A Rare Case of highly Recurrent Trichilemmal Cyst on The Eyelid

  • Shreya Tyagi Resident, Department of Ophthalmology, Gandhi Medical College, Bhopal, MP, India
  • Himanshu Gaikwad Fellow, Oculoplasty, Sadguru Netra Chikitsalaya, Chitrakoot, MP, India
  • Poorva Shrivastava Senior Resident, Department of Ophthalmology, Gandhi Medical College, Bhopal, MP, India
  • Neha Singh Jat Fellow, Phaco Refractive Surgery, Asg Eye Hospital, Jodhpur, Rajasthan, India


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.


Download data is not yet available.


Adachi N, Yamashita T. Trichilemmal cyst of the scalp: MR imaging. AJR Am J Roentgenol. 1990 Feb;154(2):423-4. doi: 10.2214/ajr.154.2.2105043.

Ikizoglu, Guliz, et al. The use of the freer dissector for the removal of trichilemmal cysts." International journal of dermatology 42.5 (2003): 405-407.

Karuppannon, Bashkaran, et al. Trichilemmal cyst in the eyelid. Int J Ophthalmol 9.8 (2009).

Meena, Manju, Ruchi Mittal, and Debarati Saha. Trichilemmal cyst of the eyelid: masquerading as recurrent chalazion. Case Reports in Ophthalmological Medicine 2012 (2012).

Rutty, G. N., P. I. Richman, and J. H. E. Laing. Malignant change in trichilemmal cysts: a study of cell proliferation and DNA content. Histopathology 21.5 (1992): 465-468.

Lai, Tze Foon, et al. Trichilemmal carcinoma of the upper eyelid. Acta Ophthalmologica Scandinavica 81.5 (2003): 536-538.

Kadri, Rajani, et al. Trichilemmal cyst of the bulbar conjunctiva: a rare presentation. Middle East African Journal of Ophthalmology 20.4 (2013): 366.

Jakobiec, Frederick A., Manisha Mehta, and Francis Sutula. Keratinous cyst of the palpebral conjunctiva." Ophthalmic Plastic & Reconstructive Surgery 25.4 (2009): 337-339.

Jakobiec, Frederick A., et al. The white caruncle: sign of a keratinous cyst arising from a sebaceous gland duct." Cornea 29.4 (2010): 453-455.

Ikegami, Takeshi, et al. Trichilemmal cyst in the pulp of the index finger: a case report. Hand Surgery 8.02 (2003): 253-255.

Bernardini, Francesco P. Management of malignant and benign eyelid lesions. Current opinion in ophthalmology 17.5 (2006): 480-484.

Satyaprakash, Anita K., Daniel J. Sheehan, and Omar P. Sangueeza. Proliferating trichilemmal tumors: a review of the literature." Dermatologic Surgery 33.9 (2007): 1102-1108.

Elenitsas, R., and A. Halpern. Biopsy Techniques in Lever‘s Histopathology of the Skin, eight edition." (1997): 3-50.

Leppard BJ, Sanderson KV. The natural history of trichilemmal cysts. Br J Dermatol. 1976 Apr;94(4):379-90. doi: 10.1111/j.1365-2133.1976.tb06115.x.

How to Cite
Shreya Tyagi, Himanshu Gaikwad, Poorva Shrivastava, & Neha Singh Jat. (2022). A Rare Case of highly Recurrent Trichilemmal Cyst on The Eyelid. Tropical Journal of Ophthalmology and Otolaryngology, 7(1), 23-25. Retrieved from https://opthalmology.medresearch.in/index.php/jooo/article/view/224
Case Report