Abstract
Eyelid and periorbital lesions encompass a wide range of etiologies and clinical presentations, often posing diagnostic challenges. We report a case of a right lower eyelid mass that was initially referred to as a nonresolving chalazion. Clinical suspicion suggested a vascular lesion; however, magnetic resonance imaging indicated a dermoid or epidermoid cyst. Definitive diagnosis was achieved through histopathological examination of the excised specimen, which revealed a vascular thrombus originating from a true aneurysm of an artery. In the absence of a clear history of trauma, infection, or a systemic illness, an unrecognized injury was considered the most plausible explanation. To the best of our knowledge, a vascular thrombus arising from a true arterial aneurysm involving the lower eyelid has not been previously reported. This case report underscores the importance of comprehensive clinical, radiological, and histopathological evaluation in the assessment of atypical eyelid lesions.
Keywords
Publication details
- DOI
- 10.4103/ojo.ojo_313_25
- Journal
- Oman Journal of Ophthalmology, 19(2), 252-255
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Suryawanshi, M. P., Al Battashy, A. S. R., & Suryawanshi, R. M. (2026). Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst. Oman Journal of Ophthalmology, 19(2), 252-255. https://doi.org/10.4103/ojo.ojo_313_25
MLA 9
Suryawanshi, Milind Prasannakumar, et al. "Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst." Oman Journal of Ophthalmology, vol. 19, no. 2, 2026, pp. 252-255. https://doi.org/10.4103/ojo.ojo_313_25.
Chicago (author–date)
Suryawanshi, Milind Prasannakumar, Aisha Salim Rashid Al Battashy, and Rhema Milind Suryawanshi. 2026. "Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst." Oman Journal of Ophthalmology 19 (2): 252-255. https://doi.org/10.4103/ojo.ojo_313_25.
Harvard
Suryawanshi, M. P., Al Battashy, A. S. R. and Suryawanshi, R. M. (2026) 'Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst', Oman Journal of Ophthalmology, 19(2), pp. 252-255. doi:10.4103/ojo.ojo_313_25.
Vancouver
Suryawanshi MP, Al Battashy ASR, Suryawanshi RM. Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst. Oman Journal of Ophthalmology. 2026;19(2):252-255. doi:10.4103/ojo.ojo_313_25
IEEE
M. P. Suryawanshi, A. S. R. Al Battashy, and R. M. Suryawanshi, "Diagnostic challenge of a lower eyelid swelling: A vascular thrombus mimicking a dermoid cyst," Oman Journal of Ophthalmology, vol. 19, no. 2, pp. 252-255, 2026, doi: 10.4103/ojo.ojo_313_25.