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

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



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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