Divided nevus of the eyelid is a rare pathologic entity and develops d
uring fetal growth, when the two eyelids are still fused together. Its
surgical treatment is mostly based on full thickness skin grafts. We
report a case of a 22-year-old woman with a congenital divided nevus a
ffecting the left upper and lower eyelid. The patient was treated in o
ur Department because of the onset of a purple red nodule in the lower
part of the nevus. We examined the case from embryological, histopath
ological, clinical, and diagnostic standpoints, and discuss surgical o
ptions in order to reach an optimal functional and aestetic result.