The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Eyelid rhabdomyosarcoma

Photo by Professor Chua Chung Nen

This boy presented with a fungating eyelid tumour which turned out to be a pleomorphic form of rhabdomyosarcoma. The tumour was not responsive to chemotherapy. The tumour was excised and the resultant large upper eyelid defect was reconstructed using the Cutler-Beard's technique and glabellar flap. Post-operatively, he underwent further chemotherapy and radiation to prevent recurrence. He was able to close the left eye when the eye was opened. Details of the case can be found in Case 8 in Case of the Week.

 

A large upper eyelid rhabdomyosarcoma.

Glabellar flap and Cutler-Beard's technique to reconstruct the upper eyelid.

 

4 weeks after opening of the eyelid. The corneal scar was the result of compressive keratopathy.

 

Normal eyelid closure.

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