Dermoid cyst – A rare known carcuncular lesion

Lesions of the caruncle are rare and diverse in presentation. A 26-year-old female patient presented with swelling 1 X 1 mm in dimension, whitish and avascular in the left caruncular region with no overlying vessels or appendages. She noted a recent increase in size of the mass. There were no evidence of preauricular tags/ sinus/ fistulas/cleft palate/ facial asymmetry/ vertebral or limbal anomalies. Excisional biopsy confirmed the diagnosis of dermoid cyst. Goldenhar-Gorlin syndrome must be kept in mind in the presence of lipodermoids and other ocular or systemic abnormalities. A close correlation between ophthalmologists and pathologists need to be maintained in the evaluation of doubtful lesions.