A rare case of isolated eyelid myxoma

Abstract

Myxoma is a benign neoplasm derived from primitive mesenchyme usually occurring in heart but can arise rarely in orbit, eyelid and conjunctiva. A 9-year-old boy presented with a history of right eye lower lid lesion of two year duration. The patient had undergone excision of the lesion at a private hospital. Two months later patient developed a recurrence. Examination showed a soft non tender multinodular skin coloured lesion of 1.25 x1 cm dimension on the medial aspect of the right lower eyelid extending on to the conjunctival side without any involvement of the lower fornix or the lacrimal punctum. Visual acuity was 6/6, N6. Rest of the anterior segment was within normal limits. Wide excision of the lesion along with lid margin and lid reconstruction with direct closure a lateral cantholysis was done. Histopathology of the excised lesion showed features suggestive of myxoma with a prominent vasculature. Detailed cardiac and dermatological evaluation did not show other components of Carney’s complex. Isolated eyelid myxoma is an extremely rare condition with a tendency towards local recurrence following incomplete excision.