Treatment of eyelid divided nevus using shave and graft: an alternative technique

Abstract

Divided nevus of the eyelid is an uncommon feature among congenital melanocytic nevi. To report the outcome after treatment of eyelid divided nevus using shave and graft technique. Two cases of small to moderate size divided nevus at the eyelids were demonstrated, one on medial part including upper and lower punctal area and the other on lateral part. Shave and graft were done to alleviate the nevus in one or two-staged of operation. Patients underwent the uneventful operation. Pathologic results found nevus, free surgical margin without malignant transformation. Cosmetic result was satisfactory. In patient with medial divided nevus, no epiphora was found at 7 months after surgery. Since one size does not fit-all, shave and graft from hidden redundant lateral skin may be an alternative technique for small to medium size divided nevus with good cosmetic result.