A Rare Case of highly Recurrent Trichilemmal Cyst on The Eyelid

Abstract

A 49-year-old male with VA (OU) 6/9 glasses 6/6 presented with complaints of gradually progressive, painless swelling of about .5*.5cm over the OS upper lid in middle 1/3rd since 1 yr. On examination, OS LID had swelled as above, rest examination was normal. He had a history of excision of similar swelling twice in the past diagnosed as a chalazion. Excision was done and the histopathological sample was sent, which reported findings consistent with trichilemmal cyst with no malignant changes. The patient remained symptom-free for 1 month however the swelling recurred. Conclusion: Occurrence of trichilemmal cyst on the eyelid in a male is an uncommon finding and can be confused as a chalazion. It can have multiple recurrences at the lid (4 times in this patient). Despite recurrences, Excision or Incision & Drainage remain the best-known modality of treatment. We hereby conclude newer options can be explored to prevent the recurrence.