Diagnosis and Treatment of Eyelid Cutaneous Leishmaniasis

Cutaneous leishmaniasis (CL) is endemic in more than 90 countries worldwide. 1World Health Organization states that there are 0.7-1 million cases of CL worldwide annually.Cases of 90% occur in Afghanistan, Pakistan, Syria, Saudi Arabia, Algeria, Iran, Brazil and Peru. 2 Due to migrations, the number of cases of CL has increased significantly, with imported cases being relatively common in non-endemic countries. 3CL is characterized by a single polymorphous lesion, usually located in the unclothed parts of body.In CL, the eyelid is rarely affected because of its movable structure and is seen in 0.4% of cases.CL can mimic basal cell carcinoma, hordeolum, chalazion and impetigo.It is important that when the diagnosis and treatment are delayed, the ocular process can progress to the ocular surface than retina and cause blindness. 4 CASE REPORTA 9-year-old male patient presented with painless redness and swelling on his right upper eyelid for 4 months.There was extensive hyperemia and papular lesion on the upper eyelid (Figure 1).There was no known additional systemic disease or drug use.In his complete ophthalmological examination, both visual levels were 0.0 according to LogMAR, eye movements were free in all directions.