Eyelid Tumors
Tumors can be classified as benign (non-cancerous) or malignant (cancerous) and can affect the eyelid or orbit. A biopsy is usually required. Oculoplastic surgeons are ideal for tumor removal and reconstruction, given their comprehensive training in both ophthalmology and oculoplastic surgery.
MOHS Reconstruction
Mohs micrographic surgery is a procedure used to remove skin cancer by removing tissue in step-wise sections and evaluating it under the microscope until it is all removed. This is done by a MOHS surgeon. The defect left behind is then reconstructed in the next 1-2 days using skin grafts, skin and muscle flaps, or tissue rearrangement. The goal is not only cosmesis but to preserve eyelid function to maintain eye health. Prevention of eyelid cancers is key, so close follow-up with Dr. Rosh not only to monitor the progress of reconstruction but also to monitor for new eyelid/facial lesions is important as well.
An eyelid biopsy is a procedure in which a small sample of tissue is taken from the eyelid and sent off to be examined under a microscope. It’s often done to help diagnose skin conditions, infections, or tumors on the eyelid.
An eyelid biopsy may be recommended if you have a suspicious growth, lesion, or skin changes on your eyelid that need further investigation to determine if they are benign or malignant.
The procedure is typically done under local anesthesia, so you will not feel pain during the biopsy. You may feel some pressure or a slight pinch, but discomfort is minimal.
A small area of your eyelid is numbed with a local anesthetic, and then a small sample of tissue is carefully removed. The area is then closed with stitches, and a bandage may be applied.
The procedure usually takes around 10 to 20 minutes, depending on the complexity.
Yes, typically small stitches are used to close the wound. These are usually removed within 5 to 7 days, or may dissolve on their own.
There is typically no special preparation needed. However, you should inform Dr. Rosh of any medications you are taking, especially blood thinners, as these could affect the procedure.
You may experience some swelling, bruising, or mild discomfort around the biopsy site, which is normal. Apply ice packs and follow Dr. Rosh’s aftercare instructions for the best recovery. Hypochlorous acid which can be purchased at the office is the best way to keep the area clean and then prescription eye ointment can be used on the wound 3x a day.
The biopsy results usually take a few days to a week. Dr. Rosh will schedule a follow-up appointment to discuss the findings with you usually 7-10 days after the procedure.
Although rare, potential risks include infection, scarring, or changes in eyelid function. Dr. Rosh will ensure that the procedure is performed safely to minimize these risks.
Most patients can resume normal activities within a day or two. However, you should avoid strenuous activities or rubbing your eyes until you’ve fully healed.
There may be a small scar, but Dr. Rosh takes great care to minimize this by placing the incision in a way that blends naturally with the eyelid’s folds.
Yes, in most cases, an eyelid biopsy can be scheduled AFTER the initial office visit and performed on a different day. This ensures that risks, benefits, complications have been discussed and reviewed at the consult and medication can be sent appropriately to the pharmacy.
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