Pattern of Eyelid Disorders in a Tertiary Health Centre, South Western, Nigeria

Eye lid lesions can have important esthetic complications, block vision and change the normal shape and function of the eyelid. Purpose: To evaluate the pattern of eye lid lesions in the oculoplastic clinic of this centre in order to estimate the hidden masquerading lesions that may require appropriate interventions. Materials and Methods: The clinic and theatre records of all patients that had eye lid disorders from January 2015-July 2017 were retrieved to obtain demographic characteristics, duration of symptoms, presenting visual acuity, eyelid lesions and histo-pathological diagnosis. Data obtained was analysed using Statistical Package for Social Sciences version 20. Results: A total of 124 patients with eye lid disorders were seen. This constituted 8.3% of all new cases seen in the oculoplastic clinic of the hospital. There were 64 (51.6%) males and 60 (48.4%) females with a male to female ratio of 1.1:1.0. A total of 63 (50.8%) of the patients with eye lid disorder had infective/inflammatory lesions while 22 (17.7%) of the patients had traumatic eye lid disorders. The proportion of eye lid disorders was significantly higher in males less than 40 years. Late presentation of eye lid disorders was higher in females. More than 3/5th of the patients 82(66.1%) had one form of surgical procedures. Conclusion: The incidence of eyelid disorders is relatively high with infective/inflammatory causes as the commonest presentation in young male patients. Early presentation and accurate clinical and histopathological diagnosis with appropriate interventions will prevent both esthetic complications and loss of life from misdiagnosed potential malignant eyelid disorders.