Abstract
We describe a 16-year-old male patient with congenital divided nevus of the eyelids who underwent surgical management using musculocutaneous and tarsoconjunctival flap, and discuss the alternative surgical approaches in the light of the literature. Musculocutaneous flap in conjunction with a tarsoconjunctical flap can be considered as a suitable surgical approach in the management of divided nevus. The patient’s age, gender, the diameter of the lesion, and involvement degree of the entire tarsus, must be kept in mind before the surgery. If the surgical treatment method is tailored for the patient, a better cosmesis can be achieved.
References
Guerra-Tapia A, Isarria MJ (2005) Periocular vitiligo with onset around a congenital divided nevus of the eyelid. Pediatr Dermatol 22:427–429
Kaplan EN (1974) The risk of malignancy in large congenital nevi. Plast Reconstr Surg 53:421–428
Andersen H, Ehlers N, Matthiesen ME (1965) Histochemistry and development of eyelids. Acta Ophthalmol 43:642–648
Beyer-Machule C (1985) Upper and lower lid reconstruction. In: Heilman K, Paton D (eds) Atlas of ophthalmic surgery. Georg Thieme Verlag, Stuttgart, pp 1.72–1.95
Antinone RL, Helveston EM, Bennett JE, Keener P (1976) Giant hairy nevus: preventable cause of amblyopia. J Pediatr Ophthalmol 13:192–195
Arons MS, Hurwitz S (1983) Congenital nevocellular nevus: review of the treatment controversy and report of 46 cases. Plast Reconstr Surg 72:355–365
Miller CJ, Becker DW Jr (1979) Removing pigmentation by dermabrading naevi in infancy. Br J Plast Surg 32:124–126
Ehlers N (1969) Divided nevus. Acta Ophthalmol 47:1004–1011
Ribuffo D, Cavalieri L, Sonnino M, Tarallo M, Latini C, Muratori L, Scuderi N (1996) Divided nevus of the eyelid: a case report. Ophthal Plast Reconstr Surg 12:186–189
Callahan A (1946) The removal of adjacent nevi of eyelids. Am J Ophthalmol 29:563–565
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yildirim, N., Sahin, A. & Erol, N. The surgical treatment of congenital divided nevus of the eyelid: a case report and review of the literature. Int Ophthalmol 29, 45–47 (2009). https://doi.org/10.1007/s10792-007-9163-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-007-9163-5