Purpose: To describe the effects of collagen vascular diseases on the eyeli
ds and periorbital tissues.
Methods: Retrospective review of dermatologic pathology slides at Massachus
etts General Hospital and eye pathology slides at Massachusetts Eye and Ear
Infirmary, Boston, Massachusetts.
Results: A spectrum of dermatologic manifestations of collagen vascular dis
eases was observed, affecting the eyelids and periorbital region.
Conclusions: Collagen vascular diseases may present complicated diagnostic
and clinical challenges for the practicing ophthalmologist. Familiarity wit
h the cutaneous periocular manifestations of these diseases may facilitate
early recognition, diagnosis, and ophthalmologic intervention where necessa
ry.