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Fig. 1	Fig. 2
Fig. 3a	Fig. 3b

All photos courtesy of: LV Prasad Eye Institute
Used with permission. Not to be reproduced.

A 4-year-old boy presented with a mass on the right upper lid growing gradually for the past one month [Fig. 1]. Close examination revealed a 10 mm round, cystic, smooth lesion with dry keratinized surface. The lid margin was well spared with prominent feeder vessels on its surface [Fig. 2]. There was no history of trauma or the mass increasing in size on crying. The rest of the ocular examination was normal and the left eye examination was unremarkable.

1.	What is the most appropriate clinical diagnosis?
	a. capillary hemangioma b. lymphangioma c. cavernous hemangioma d. none of the above
2.	B scan [Fig 3 a & b] above is suggestive of:
	a. cystic lesion with blood flow b. solid lesion c. lesion with medium to high blood flow d. cystic lesion
3.	Treatment would be:
	a. observation b. intra-lesional steroids c. excision with base cryotherapy d. a trial of intra-lesional steroids followed by excision biopsy, if no resolution

For answers to the above, click here on or after December 30, 2008.