DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.060

Pages: 1122-1126

Palpebral hidrocystomas are benign cystic lesions originating from eccrine or apocrine sweat glands and commonly present as translucent eyelid nodules. Although several treatment modalities have been described, including surgical excision and laser therapy. We report the case of a woman presenting with multiple bilateral palpebral hidrocystomas involving both upper and lower eyelids. Clinical examination revealed several painless translucent cystic lesions. Management consisted of needle aspiration followed by cauterization for the smaller lesions, while the largest lesion was surgically excised for histopathological confirmation. Histopathological analysis confirmed an apocrine hidrocystoma. The postoperative course was favorable, with complete resolution of the lesions, satisfactory cosmetic outcome, minimal residual scarring, and no recurrence after one year of follow-up. This case highlights cauterization as a simple, effective, minimally invasive, and cost- effective therapeutic option for palpebral hidrocystomas, particularly in cases with multiple lesions and in resource-limited settings.