A mass at the upper lid margin obstructing the visual axis causing mechanical ptosis. Variable amount of pigmentation. Poliotic hairs (lashes) grow from the lesion without causing corneal irritation. The size of the mass has remained constant over years. There was no associated lymphadenopathy. If such a lesion is found in early childhood removal should be considered to prevent deprivation amblyopia through obstruction of the visual axis and astigmatism. In this case the patient has not been keen to have the lesion removed.
Tan Aik Kah, M.D., Universiti Malaysia Sarawak¦2, Kuching, Malaysia