Journal of Ophthalmology Research & Therapeutics

Abstract

Basal cell carcinoma is the most common malignant eyelid tumor and may result in extensive periocular defects requiring complex reconstruction following surgical excision. We report the case of a 45-year-old man presenting with a locally advanced periocular lesion involving the lower and upper eyelids. Following complete tumor excision with histopathologically negative margins, staged reconstruction was performed using a combination of local flaps and eyelid-sharing techniques to restore eyelid anatomy and function. The postoperative outcome demonstrated complete eyelid closure, satisfactory restoration of both functional and aesthetic eyelid integrity, and adequate ocular surface protection. No evidence of tumor recurrence was observed during follow-up. This case highlights the challenges associated with the management of extensive periocular basal cell carcinoma and emphasizes the importance of individualized reconstructive planning to achieve favorable functional and cosmetic outcomes.

This study was conducted in accordance with the ethical principles of the Declaration of Helsinki, and written informed consente for publication was obtained from the patient.