Gautam Lokdarshi, Neelam Pushker, Seema Kashyap, Mandeep S Bajaj, Abdul ShameerRead More
A 17-year-old girl presented with recurrent squamous papilloma of the left upper eyelid, after excision 3 months before. No previous biopsy report was available. On slit-lamp examination, squamous papilloma was involving the posterior lid margin and extending over the whole tarsoconjunctiva up to its upper border [Figure 1]a. Under frontal block, the lesion was shaved off with number 11 blade. Upper lid lamellar division was performed, and relaxing vertical cut was placed on each tarsal end extending up to upper border of the tarsus [Figure 2]. Cryoprobe (liquid nitrogen) was applied over the involved posterior lamella with double freeze-thaw technique. The durations for freezing and thawing were 20–30 s and 1–2 min, respectively. Frequent use of lubricating drop and gel was advised along with antibiotics and analgesics. No recurrence, epiphora, dry eye, or lid margin malposition was noted during the 1-year follow-up [Figure 1]b. Histopathology was suggestive of benign squamous papilloma [Figure 1]c.