Diagnosis and Excision of a Solitary Trichoepithelioma

Background: Solitary trichoepithelioma is a rare benign tumor of hair follicle origin. Although has predilection for the face and neck, it not usually found on eyelids. It similar clinicopathological features to basal cell carcinoma. Surgical excision histopathologic analysis helpful correct diagnosis. Case Report: A 59-year-old Caucasian female presented with raised, reddish oval mass right lower eyelid. The had telangiectatic blood vessels its surface, was non-pigmented slightly umbilicated. in close approximation eyelid margin causing distortion poor apposition lid globe. completely removed under local anesthesia using tissue-sparing surgical technique known as shave biopsy. Histopathologic confirmed be trichoepithelioma. Conclusion: Optometrists should able differentiate from