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Letter to the Editor
The oil droplet sign
  1. P HEYWORTH,
  2. J R O COLLIN
  1. Moorfields Eye Hospital, London
  2. Institute of Ophthalmology, London
  1. P LUTHERT
  1. Moorfields Eye Hospital, London
  2. Institute of Ophthalmology, London
  1. Mr P Heyworth, Moorfields Eye Hospital, City Road, London EC1V 2PD susan.heyworth{at}virgin.net

https://doi.org/10.1136/bjo.84.6.667f

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    Editor,—Over the past 22 months we have collected a series of five patients with basal cell carcinomas of the lid who exhibit the oil droplet sign. The following case report is a representative example.

    CASE REPORT

    A 27 year old Zimbabwean male presented with a 14 month history of a progressively enlarging mass in the right lower lid.

    Clinically there appeared to be a nodular basal cell carcinoma involving the lateral part of the right lower lid measuring 3.5 × 3.5 mm and involving the lid margin (Fig 1). There was no regional node involvement. On everting the lid there were multiple transparent droplets beneath the tarsal conjunctiva measuring between 0.25 and 0.50 …

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