| Skin Cancer of the eyelids poses several | | | | as the forehead and cheek, and pose even |
| diagnostic and management challenge. As a | | | | greater challenges in reconstruction. A well |
| referral specialist, I see these patients well after a | | | | experience Doctor can help you in opting better |
| significant progression has occurred and the | | | | treatment. |
| diagnosis is fairly obvious. The excision and | | | | Key factors in the management of periocular |
| reconstruction if these tumors requires a great | | | | basal cell carcinoma and other eyelid malignancies |
| degree of creativity and flexibility to achieve the | | | | are: |
| optimal result. | | | | 1. Recognition |
| The ultraviolet radiation that is primarily responsible | | | | 2. Awareness of the patients's visual acuity in |
| for malignant transformation of skin cancer are | | | | each eye and current state of ocular health. |
| 290 to 320 nm(UV-B). The most common | | | | 3. Possibility of lacrimal drainage system |
| malignancies affecting the periocular region are | | | | involvement |
| basal cell carcinoma, squamous cell carcinoma, | | | | 4. Method of excision |
| sebaceous cell carcinoma, and malignant | | | | 5. Method of reconstruction |
| melanoma. Basal cell carcinoma accounts for 90% | | | | Early detection and diagnosis are critical in |
| of all eyelid malignancies. The tumor primarily | | | | diagnosing eyelid cancer. Reconstruction of the |
| involves the lower eyelid (50% to 66%) and the | | | | posterior and anterior lamella of the eyelid can |
| medial canthus (25% to 30%). The upper eyelid is | | | | become complicated when the defect is large. We |
| affected in 15% of cases and the lateral canthus | | | | must educate at-risk patients to bring the |
| in 5%. Although these statistics are helpful, many | | | | appearance of any new lesion to the attention of |
| skin cancers involve adjacent anatomic areas such | | | | a physician. |