Colloid milium of the upper eyelid margins: a rare presentation.

AIM: To report a rare presentation of colloid milium occurring only on the upper eyelid margins.

DESIGN: Interventional case report.

METHODS: (1) Slit-lamp examination of eyelids and eyes and clinical examination including the face and a general physical examination; (2) photography of the lesions on the lids; and (3) excision biopsy and histopathologic examination.

MAIN OUTCOME MEASURES: Histologic examination confirmed the clinical diagnosis.

RESULTS: Clinical examination and histopathologic findings revealed the cysts to be colloid milium.

CONCLUSIONS: Colloid milium can involve upper eyelids in isolation, sparing the lower eyelids and facial skin. Such rare presentations should be kept in mind while examining similar lesions.