An elderly woman visits her GP who notices a skin lesion near the medial canthus of her right eye.

An elderly woman visits her GP who notices a skin lesion near the medial canthus of her right eye. .

The lesion is raised, non-tender and 5mm in diameter.

It has a few branching telangiectasias on the surface and a pearly appearance when stretched.

The patient says it has been there for a long time and grown slowly.