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Slit lamp polarized dermoscopy: a cost-effective tool to assess eyelid lesions

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Abstract

Purpose

Dermoscopy is a complementary examination of skin lesions, which allows the observation of anatomical features invisible to the naked eye. Its use increases the diagnostic accuracy of skin tumors. The development of polarized dermoscopy allowed the observation of deeper skin structures, without the need of skin contact. The purpose of this study was to present a low-cost prototype through the adaptation of polarized lenses on a slit lamp in order to assess anatomical aspects invisible to conventional biomicroscopy in eyelid lesions.

Methods

Twenty two eyelid lesions were documented using a prototype, compound of two polarizing filters, orthogonal to each other, adapted to a slit lamp with an integrated digital camera. Images of the eyelid lesions were also obtained with non-polarized biomicroscopy and with a portable dermatoscope, and were compared regarding anatomical aspects.

Results

Anatomical structures imperceptible to conventional ophthalmic examination were evidenced using the polarized lenses, demonstrating that this tool can be useful to the ophthalmologist when assessing eyelid lesions. We have obtained high-quality images of the lesions. The slit lamp provided higher magnification, better focus control and easier assessment of eyelid lesions than the portable dermatoscope.

Conclusion

Ophthalmologists already use the slit lamp in their practice. The adaptation of polarized lenses to this device is a cost-effective, fast and non-invasive method that permits to improve the diagnostic accuracy of eyelid lesions, evidencing anatomical structures imperceptible to conventional ophthalmic examination.

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Data availability

Anonymized participant data will be available upon proper request to the corresponding author.

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Funding

This study was self-funded by the authors.

Author information

Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, Division of Ophthalmic Plastic and Reconstructive Surgery, Paulista School of Medicine - EPM, Federal University of S. Paulo - UNIFESP, S. Paulo, SP, Brazil

    Fábio Henrique Luiz Leonardo, Midori Hentona Osaki, Débora Fernandes Biazim & Tammy Hentona Osaki

  2. Clínica Triune, R. 12 De Outubro, 1696 - Jardim Aviação, Presidente Prudente, SP, 19020-520, Brazil

    Fábio Henrique Luiz Leonardo & Yara Martins Ortigosa Leonardo

  3. Division of Ophthalmic Plastic and Reconstructive Surgery, Osaki Eye and Eyelid Experts, S. Paulo, SP, Brazil

    Midori Hentona Osaki & Tammy Hentona Osaki

Authors
  1. Fábio Henrique Luiz Leonardo
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  2. Midori Hentona Osaki
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  3. Débora Fernandes Biazim
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  4. Yara Martins Ortigosa Leonardo
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  5. Tammy Hentona Osaki
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Contributions

Fábio Henrique Luiz Leonardo: conception, acquisition, analysis and interpretation of data; drafting the work; final approval. Midori H. Osaki: design of the study; analysis, and interpretation of data; critical revision for important intellectual content; final approval. Débora Fernandes Biazim: acquisition, analysis, and interpretation of data; critical revision for important intellectual content; final approval. Yara Martins Ortigosa Leonardo: acquisition, analysis, and interpretation of data; critical revision for important intellectual content; final approval. Tammy H. Osaki: design of the study; analysis, and interpretation of data; critical revision for important intellectual content; final approval.

Corresponding author

Correspondence to Fábio Henrique Luiz Leonardo.

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The authors have no relevant financial or non-financial interests to disclose.

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The study was approved by the Federal University of S. Paulo Review Board.

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Leonardo, F.H.L., Osaki, M.H., Biazim, D.F. et al. Slit lamp polarized dermoscopy: a cost-effective tool to assess eyelid lesions. Int Ophthalmol 43, 1103–1110 (2023). https://doi.org/10.1007/s10792-022-02505-0

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  • DOI: https://doi.org/10.1007/s10792-022-02505-0

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