This lesion, which serves as a marker for severe actinic damage, may masquerade as chronic blepharitis. Early diagnosis prior to dermal invasion is important. Complete excision is the recommended treatment. Adjunctive treatment with topical 5-fluorouracil may be appropriate in some circumstances. Long-term follow up is mandatory.

No abstract

SUMMARYFollowing cataract extraction, the intraocular inflamma tory response is particularly marked in some patients, who then require more intensive post-operative care. This pro spective randomised double-masked controlled trial of Over the last 20 years, cataract extraction has become an increasingly successful and safe procedure.I-3 In-patient stay and post-operative rehabilitation time have been dra matically reduced,4 with many patients now having their operations performed as day cases.5-7 It is therefore becoming increasingly important to prevent complica tions which require more intensive post-operative care.Following cataract extraction, the intraocular inflam matory response is particularly marked in some patients, who then require additional post-operative examinations and treatment, or prolonged in-patient stay.S-IO Therefore to maintain clinical standards and reduce pressure on the in-patient and out-patient services, it is necessary to pro vide optimal anti-inflammatory prophylaxis. Current

Tumour of the follicular infundibulum (TFI) is an uncommon, benign lesion of the skin adnexae. Four cases are reported of periocular TFI. In all cases a clinical diagnosis of basal cell carcinoma was made before surgery; however, histopatholog ca examination revealed TFI. This is an epithelial tumour showing differentiation along the lines of the follicular infundibulum. Characteristic features are a shelf-like proliferat on of pale epithelia cells in the upper dermis, attachment to the epidermis and the upper portions of the pilosebaceous units, a dense border of elastic fibres, and palisading of the peripheral cell layer of the tumour plate. This benign tumour has not, to the authors' knowledge, been reported in the ophthalmic literature. It has a non-specific appearance and may be clinically misdiagnosed as naevus sebaceous, xanthoma, seborrhoeic keratosis, or basal cell carcinoma.

Tumour of the follicular infundibulum (TFI) is an uncommon, benign lesion of the skin adnexae. Four cases are reported of periocular TFI. In all cases a clinical diagnosis of basal cell carcinoma was made before surgery; however, histopatholog ca examination revealed TFI. This is an epithelial tumour showing differentiation along the lines of the follicular infundibulum. Characteristic features are a shelf-like proliferat on of pale epithelia cells in the upper dermis, attachment to the epidermis and the upper portions of the pilosebaceous units, a dense border of elastic fibres, and palisading of the peripheral cell layer of the tumour plate. This benign tumour has not, to the authors' knowledge, been reported in the ophthalmic literature. It has a non-specific appearance and may be clinically misdiagnosed as naevus sebaceous, xanthoma, seborrhoeic keratosis, or basal cell carcinoma.