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January 17, 2026<\/p>\n
1 min read<\/p>\n<\/p><\/div>\n
\n \n \n Add topic to email alerts \n <\/span> \n <\/p>\n\n\n \n Receive an email when new articles are posted on \n <\/p>\n\n Please provide your email address to receive an email when new articles are posted on .<\/p><\/div>\n<\/p><\/div>\n “ \n data-action=”subscribe”> \n Subscribe \n <\/button>\n <\/div>\n<\/p><\/div>\n We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.<\/strong> <\/p>\nBack to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nWAIKOLOA, Hawaii \u2014 Patient history, growth rate and bleeding are important factors to consider when evaluating eyelid lesions and deciding whether or not to biopsy, according to a speaker. <\/p>\n\u201cThere are situations where we need to have heightened awareness. These skin cancers occur, and they can evolve,\u201d Jeremiah Tao, MD, FACS, <\/b>said during a presentation at Hawaiian Eye 2026.<\/p>\n \n \n \n \n <\/source><\/source><\/source><\/source><\/source><\/picture> \n Image: Eamon N. Dreisbach | Healio<\/em> \n <\/figcaption> \n <\/figure>\n\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\nWhen evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\nPhysicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\nThe most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\nWhen performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
\n Receive an email when new articles are posted on \n <\/p>\n\n Please provide your email address to receive an email when new articles are posted on .<\/p><\/div>\n<\/p><\/div>\n “ \n data-action=”subscribe”> \n Subscribe \n <\/button>\n <\/div>\n<\/p><\/div>\n We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.<\/strong> <\/p>\nBack to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nWAIKOLOA, Hawaii \u2014 Patient history, growth rate and bleeding are important factors to consider when evaluating eyelid lesions and deciding whether or not to biopsy, according to a speaker. <\/p>\n\u201cThere are situations where we need to have heightened awareness. These skin cancers occur, and they can evolve,\u201d Jeremiah Tao, MD, FACS, <\/b>said during a presentation at Hawaiian Eye 2026.<\/p>\n \n \n \n \n <\/source><\/source><\/source><\/source><\/source><\/picture> \n Image: Eamon N. Dreisbach | Healio<\/em> \n <\/figcaption> \n <\/figure>\n\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\nWhen evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\nPhysicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\nThe most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\nWhen performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
“ \n data-action=”subscribe”> \n Subscribe \n <\/button>\n <\/div>\n<\/p><\/div>\n We were unable to process your request. Please try again later. If you continue to have this issue please contact customerservice@slackinc.com.<\/strong> <\/p>\nBack to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nWAIKOLOA, Hawaii \u2014 Patient history, growth rate and bleeding are important factors to consider when evaluating eyelid lesions and deciding whether or not to biopsy, according to a speaker. <\/p>\n\u201cThere are situations where we need to have heightened awareness. These skin cancers occur, and they can evolve,\u201d Jeremiah Tao, MD, FACS, <\/b>said during a presentation at Hawaiian Eye 2026.<\/p>\n \n \n \n \n <\/source><\/source><\/source><\/source><\/source><\/picture> \n Image: Eamon N. Dreisbach | Healio<\/em> \n <\/figcaption> \n <\/figure>\n\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\nWhen evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\nPhysicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\nThe most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\nWhen performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
Back to Healio<\/button><\/p>\n<\/div>\n<\/div><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\nWAIKOLOA, Hawaii \u2014 Patient history, growth rate and bleeding are important factors to consider when evaluating eyelid lesions and deciding whether or not to biopsy, according to a speaker. <\/p>\n\u201cThere are situations where we need to have heightened awareness. These skin cancers occur, and they can evolve,\u201d Jeremiah Tao, MD, FACS, <\/b>said during a presentation at Hawaiian Eye 2026.<\/p>\n \n \n \n \n <\/source><\/source><\/source><\/source><\/source><\/picture> \n Image: Eamon N. Dreisbach | Healio<\/em> \n <\/figcaption> \n <\/figure>\n\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\nWhen evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\nPhysicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\nThe most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\nWhen performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
WAIKOLOA, Hawaii \u2014 Patient history, growth rate and bleeding are important factors to consider when evaluating eyelid lesions and deciding whether or not to biopsy, according to a speaker. <\/p>\n
\u201cThere are situations where we need to have heightened awareness. These skin cancers occur, and they can evolve,\u201d Jeremiah Tao, MD, FACS, <\/b>said during a presentation at Hawaiian Eye 2026.<\/p>\n \n \n \n \n <\/source><\/source><\/source><\/source><\/source><\/picture> \n Image: Eamon N. Dreisbach | Healio<\/em> \n <\/figcaption> \n <\/figure>\n\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\nWhen evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\nPhysicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\nThe most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\nWhen performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
\u201cOn examination, there are three key findings I think we should all be considering: Ulceration, irregularity and eyelid margin destruction. These are three features that should prompt you to put these patients into the \u2018suspicious\u2019 [category].\u201d <\/p>\n
When evaluating ulceration, Tao said, it is important to note that malignant cells can rapidly outgrow the patient\u2019s blood supply, while benign lesions usually do not ulcerate. Malignant tumors also have cell populations that expand at different rates, and these uneven growth patterns can cause irregular margins and asymmetrical shapes. Benign lesions, however, usually have smoother borders. <\/p>\n
Physicians should also keep a keen eye out for loss of normal eyelid architecture.<\/p>\n
\u201cThe eyelid margin should be straight or slightly curved. The rim of the eyelid should be straight. The lash line, gray line and mucocutaneous junction should be all in order, and the lashes should be contiguous,\u201d Tao said. <\/p>\n
The most common lid malignancy ophthalmologists will encounter is basal cell carcinoma (BCC), which occurs in 90% of eyelid malignancies, he explained. It is important to look for telangiectasias and lesions with a pearly appearance \u2014 characteristics typical of BCC. <\/p>\n
\u201cYou shouldn\u2019t send this patient home. You should tell them, \u2018You probably need to set up a biopsy,\u2019\u201d Tao said. <\/p>\n
When performing a surgical excision of these lesions, he explained, facial skin tension lines should be followed to avoid scarring. <\/p>\n
\u201cThe key is not to induce any undue tension on the eyelid, which can cause eyelid malposition,\u201d Tao said. \u201cWe also want to be mindful of aesthetics \u2014 the eyelids are in the very center of the face, and people care what that looks like.\u201d <\/p>\n
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