ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London



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Epidemiologic Differences and Management of Eyelid Lesions in the Pediatric Population

Author: Jiwei Sheng
ePoster Number: 225


To report the relative incidence of excised pediatric eyelid lesions and describe the correlation between the clinical and pathology diagnosis.


A retrospective analysis of 138 consecutive pathology-confirmed lid lesions excised at a US quaternary children’s hospital system. Chalazion was excluded from this study.


Benign non-cystic epithelial lesions comprised 47.8% of all excised lesions, followed by mesenchymal (14.5%) and cystic (10.1%) lesions. The most common lesions were molluscum contagiosum (21.7%), verruca vulgaris (18.8%), and pyogenic granuloma (8.2%). Hispanic white race represented 62.3% of cases, followed by non-Hispanic white (23.2%) and black (8.7%). There were no malignant lesions. A specific pre-operative clinical diagnosis was attempted in 69.6% of cases. Of these, 60.4% had a matching histopathology.


We report a vastly higher proportion of molluscum contagiosum and verruca vulgaris when compared to literature; these differences may suggest racial susceptibility, geographic variance, management preference, or general rise in incidence. Correlation with pathology showed that clinical diagnosis of eyelid lesions can be very challenging even for ophthalmologists. However, malignancy in pediatric lid lesions is exceedingly rare and submission for histopathology may be safely omitted, except in cases with atypical features or suspicion for syndromic disease. The decision for surgery should be methodically approached and take into consideration the most likely diagnosis, natural history of the disease, sociopsychological impact, anesthesia risk, and resource burden.

Additional Authors

First nameLast nameBase Hospital / Institution
ManasiJoshiBaylor College of Medicine
KatherineWilliamsBaylor College of Medicine
HoneyHerceTexas Children’s Hospital
RichardAllenBaylor College of Medicine

Abstract ID: 21-116