• External
examination: presence of a mass (3.2 x 2.0 cm) over
the right upper eyelid. Upon palpation, the mass was firm
and was extending to the orbital rim. Presence of mild
erythema but no tenderness upon palpation.
There was complete ptosis of the left upper
eyelid. There was no proptosis.
• Slit
lamp examination: OD unable, OS presence of 2+ nuclear
sclerosis.
• DFE:
OD unable, OS vitreous clear, optic disc pink and sharp
(c/d 0.3 OS), macula and periphery within normal limits.