The Ophthalmic Office Procedures Handbook

SECTION 3 Lids, Lashes, and Adnexa

114

FIGURE 7-2 This is a pedunculated lesion, most likely a seborrheic keratosis or papilloma along the lash line. Recommendation would be an excisional or incisional biopsy with cautious cauterization to avoid injuring lash follicles. The majority or even all the mass can be removed by pulling up on the lesion with forceps and cutting at the base with scissors. The resulting cauterization and inflammation may destroy any remaining cells of the lesion. Let the patient know there will be a scab that will need to heal. No sutures should be needed.

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FIGURE 7-3 A and B , This patient presents with a slightly pigmented lesion of the periocular skin. Recommend removal by excision with biopsy sent to pathology for diagnosis: scissors or blade could be used and may need sutures to close the defect. Final pathology re port was seborrheic keratosis.