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Figure 1

Figure 2

Photos courtesy of: Vasan Eye Care Hospitals, India.

This 62-year-old male presented with a painless and “mobile” swelling of the medial aspect of the right upper lid (Figure 1). It has been gradually increasing in size over the past six months. When the lid was raised, a soft yellowish mass was seen (Figure 2). The remainder of the eye examination was normal and the patient was otherwise in good health.

1.	The most likely diagnosis is:
	a. dermolipoma b. dermoid c. orbital fat prolapse d. brow fat ptosis e. hemangioma
2.	This condition is:
	a. usually bilateral b. most often seen in younger individuals c. often a sign of a malignancy d. usually found temporally rather than nasally e. none of the above
3.	This patient should be managed with:
	a. surgery b. observation c. irradiation d. biopsy e. chemotherapy

For answers to the above, click here on or after January 18, 2011.