A wart, or verruca, is
caused by a human papillomavirus. A viral eyelid
papilloma typically presents as a painless, keratinized
cutaneous lesion, usually without inflammation. A wart on
the eyelid margin can cause a mild papillary
conjunctivitis. A
benign squamous cell papilloma, also known as a
"Skin Tag", can resemble a viral papilloma.
This keratinized, fleshy projection can be either
pedunculated or sessile. Other common benign eyelid
tumors of the epidermis are seborrheic keratosis and
epidermal inclusion cysts.
Excision is not usually
necessary in the case of any of these lesion. However, it
is considered when histopathologic study is needed for
diagnostic confirmation to exclude malignancy, when
ocular surface inflammation is present, or when the
cosmetic appearance is affected. All of these lesions may
recur after excision.
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