Myxoma, a benign mesenchymal tumour, can rarely present as an isolated eyelid swelling. A 33-year-old male presented with a progressively increasing swelling in the temporal part of the right upper eyelid of 5-month duration. The patient was misdiagnosed as chalazion and underwent incision and curettage locally. Subsequently, the patient presented with recurrence of the swelling and was treated with excision of the lesion. Histopathology showed the presence of spindle- to stellate-shaped cells in a myxoid matrix. Alcian blue stain was positive for mucin. The systemic evaluation did not show any components of Carney's complex. It is important to be aware of this entity of cutaneous eyelid myxoma as a rare cause of eyelid swelling and its propensity to recur rapidly after incomplete excision.
Keywords: Cutaneous; eyelid; isolated; myxoma; recurrent.