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Figure 1 .
(A) Appearance of left lower eyelid before incisional biopsy. The contour is a distorted by the fibrotic lesion at the medial end of the lid. It is pale with telangiectatic vessels and has indistinct margins. The tumour has no cilia on it. (B) The tumour involves the full thickness of the lid including the posterior lamella. It surrounds the lower punctum and has obliterated its lumen.
Figure 2 .
(A) In this field there are two keratocysts. Narrow strands of epithelium are embedded in a dense fibrous stroma (haematoxylin and eosin, original magnification × 25). (B) Ductal differentiation in the form of small cysts are present (haematoxylin and eosin, original magnification × 25).
Figure 3 .
Satisfactory lower eyelid appearance 4 months after tumour excision and reconstruction with Hughes tarsoconjunctival flap and free skin graft to medial half of lower eyelid.