Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a persistent, slowly enlarging lesion on the [upper/lower] eyelid. Reports occasional bleeding, crusting, and non-healing ulceration. Denies pain, vision changes, or ocular motility disturbances. Duration of lesion is [X] months. No history of prior trauma or ocular surgery in the affected area.
Clinical Examination Findings
Examination reveals a [size in mm] pearly, indurated nodule with telangiectatic vessels on the [location, e.g., medial canthus/lid margin]. Lesion demonstrates rolled borders and central ulceration. No evidence of lash loss (madarosis) or eyelid retraction. Ocular motility is full and painless. Visual acuity is [X/X]. Palpation reveals no regional lymphadenopathy.
Treatment Protocol
Recommended treatment is complete surgical excision with [Mohs micrographic surgery/wide local excision] to ensure clear margins. Reconstruction plan: [e.g., primary closure/full-thickness skin graft/local rotational flap]. Intraoperative frozen section analysis to confirm negative margins. Post-operative care includes topical antibiotic ointment and eye patching as indicated.