Purpose

Chalazion commonly arises at the eyelids of patients of all ages. Recurrent chalazion also is a common situation that usually responds to treatment. However, there is a scarce possibility that lesions at the eyelids may look as chalazia or hordeolums but are actually malignancies.

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Methods

We report a case of lymphoma at the margin of the upper eyelid, misdiagnosed as chalazion. The patient presented with a lesion at the upper eyelid margin, but without prominent infectious characteristics. The lesion was not particularly swelling or red, but looked like a chalazion that was not at the inflammatory phase. The patient had repeatedly received treatment for chalazion, but the lesion had not responded.

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Results

We excised the lesion of the upper eyelid and sent it in for biopsy, which indicated a lymphomatous tumor.

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Conclusion

In cases with recurrent or persistent chalazia or hordeolums, the ophthalmologist should always keep in mind the possibility of a malignancy.

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Additional Authors

First name	Last name	Base Hospital / Institution
Theodora	Tsirouki	Athens Ophthalmic Plastic Center
Phoebos	Papadopoulos	Athens Ophthalmic Plastic Center

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