“…Patients with this presentation will likely be treated as chronic blepharitis or eczema (7) . The differential diagnosis of eyelid DLE includes chronic blepharitis, allergic dermatitis, sarcoidosis, tinea, vitiligo, acne rosacea, lichen planus, psoriasis, cicatricial pemphigoid (1,3,4,11) , basal cell carcinoma, sebaceous gland carcinoma, and lymphoma (4,13) . Early diagnosis and treatment can prevent complications such as permanent scarring, entropion, ectropion, adhesion, trichiasis, and visual dysfunction (2,3) .…”