Clinical Diagnosis and Novel Treatment of Eyelid Molluscum Contagiosum

TL;DR

This paper describes a rare case of eyelid molluscum contagiosum and a successful treatment using a novel surgical method under a microscope.

Contribution

A novel surgical technique using fine forceps under an operating microscope for treating eyelid molluscum contagiosum is introduced.

Findings

Complete curettage using fine forceps under an operating microscope resolved symptoms without scarring.

No recurrence was observed at a nine-month follow-up.

Slit-lamp examination and histopathology were effective for diagnosis.

Abstract

Molluscum contagiosum is an infectious skin disease caused by the molluscum contagiosum virus that affects 6 million people in the United States annually. However, molluscum contagiosum on the eyelid is uncommon. The aim of this article is to describe the clinical diagnosis and effect of curettage using fine forceps under an operating microscope in a patient with eyelid molluscum contagiosum. We reported a patient who presented with a two-month long history of a dome-shaped skin-colored papule with a central umbilication containing white caseous material on the left upper eyelid margin. The patient underwent a complete curettage using fine forceps under an operating microscope. Postoperative histopathology revealed Henderson–Patterson bodies. A diagnosis of eyelid molluscum contagiosum was made. At the 1-week follow-up, his symptoms had resolved completely without scarring. No recurrence was observed at a nine-month follow-up. This novel surgical method may be beneficial and safe for patients with eyelid molluscum contagiosum. Slit-lamp examination is a noninvasive and valuable tool for evaluating this condition. Typical pathological features may help in the diagnosis. Early diagnosis and precise treatment can prevent reinfection and control transmission. This report is particularly relevant to dermatologists and ophthalmologists because it offers valuable insights into a rare localization of molluscum contagiosum and its treatment approach.

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