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Editor,—Eyelid swelling can be diffuse or solid, acute or chronic, isolated or part of a syndrome. The differential diagnosis of solid, chronic, and isolated eyelid swelling comprises tumours of multiple origin. We report a case of eyelid swelling which was caused by automutilation as part of Munchausen's syndrome.
A 44 year old white woman presented with bilateral lower eyelid swelling that had been present for 6 months, which made reading impossible (Fig 1). In the past she had undergone several paranasal sinus operations and 3 years earlier she had been treated for a preseptal orbital cellulitis …
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