Complete Excision of Eyelid/Orbital Dermoid Cyst

Surgery may be considered when the cyst causes changes in appearance, compressive symptoms (such as proptosis, diplopia, pain), recurrent inflammation, or imaging suggests gradual enlargement. The decision is usually made by a specialist team based on factors such as the location and size of the lesion, its relationship to important structures within the orbit, whether it is superficial and accessible, a history of previous infection or rupture, imaging evaluation, and overall health.