Dermoscopy Can Aid in Periorbital Lesion Evaluation

Healthy Moscow pavilion at Muzeon Park of Arts
MOSCOW, RUSSIA – MAY 16, 2021: A man receives a dermatoscopy examination on his visit to a Healthy Moscow pavilion at the Muzeon Park of Arts. A total of 46 such pavilions are open to the public across the parks of Moscow, carrying out check-ups and providing medical advice. Artyom Geodakyan/TASS (Photo by Artyom GeodakyanTASS via Getty Images)
Researchers qualitatively analyzed the impact dermoscopy made in characterizing periorbital lesions and facial scars.

This article is part of Ophthalmology Advisor’s conference coverage from the 2021 Fall Scientific Symposium of the American Society of Ophthalmic Plastic and Reconstructive Surgery, held in New Orleans from November 11 to 12, 2021. The team at Ophthalmology Advisor will be reporting on a variety of the research presented by the oculoplastic researchers and other clinicians at the ASOPRS. Check back for more from the ASOPRS 2021 Fall Scientific Symposium.

Dermoscopy is an advantageous tool for identifying characteristics of periorbital lesions and facial scars, researchers reported in a study they presented at the American Society of Ophthalmic Plastic and Reconstructive Surgery 52nd Annual Fall Scientific Symposium in New Orleans, November 11-12.

Dermoscopy has proven useful in analyzing malignancies of the skin, including scar healing, vascularity and pigmentation, and decreasing biopsy of benign lesions. Researchers analyzed the utility of the tool in analyzing periocular scars and eyelid margin tumors to better inform treatment.

The presentation assessed what impact dermoscopy made in evaluating patients who presented to an oculofacial plastic and facial cosmetic surgery practice with periorbital lesions (n=50) and scars (n=50).

Researchers acquired photos with a dermoscope. A surgeon evaluated depth, vascularity, pigmentation, ulceration, margin destruction, madarosis/poliosis, and content components both with and without a dermatoscope.

Vascularity and dermoscopic patterns were more apparent with the dermatoscope compared with slit-lamp exam and the naked eye, the researchers reported. The dermatoscope’s ability to provide high-quality magnified images and upload them into electronic medical records was also helpful, particularly for surveilling scar progress. Knowledge of the depth and vascularity of scars was most important for making treatment decisions.

There was no significant difference between examination with the dermatoscope compared with typical ophthalmological methods in identifying madarosis, poliosis, and ulceration.

“Dermoscopy is an affordable and portable device that may be easily implemented in clinical practice, and it offers additional insights beyond slit-lamp examination,” the investigators reported. “Dermoscopy is a valuable tool that can aid the clinician in highlighting features of periorbital lesions and scars that may inform treatment implementation.”

Disclosure: One study author declared affiliations with biotech, pharmaceutical, and/or device companies. Please see the original reference for a full list of authors’ disclosures.

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Reed D, Epstein A, Somogyi M, et al. Evaluation of dermoscopy as a tool in oculofacial plastic surgery. Poster presented at: American Society of Ophthalmic Plastic and Reconstructive Surgery 52nd Annual Fall Scientific Symposium; November 11-12, 2021; New Orleans.