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Osteoma cutis is a term applied to bone formation in the dermis or subcutaneous tissue. It is deemed primary when occurring de novo without prior disease or secondary when associated with pre-existing inflammation, neoplasia or trauma. The authors describe a longstanding focal calcified and ossified lesion of the upper eyelid in a healthy 10-year-old girl along with a sterile corneal ulcer. The lesion most likely represented an ossified tarsal cyst or chalazion.

Purpose of reviewImprove outcomes from an elective procedure by preventing a rare but sight-threatening complication. Recent findingsAdvancement in anti-infective prophylaxis, and therefore shift in the causative organism permits better diagnostic and empiric management.