The innermost layer of the eyelid is the conjunctiva. Deeper lies the tarsus, a strong plate of dense connective tissue with meibomian glands. Underneath the skin lies the striated muscle called the orbicularis muscle, which is responsible for eye closure. Eyelid skin is continuous with the skin of the face, although it is substantially thinner. The eyelid can be divided into four layers.

Another less recommended approach may involve a dry dermatoscopy, without a contact plate or with a contact plate, but without immersion fluid. To reduce the risk of irritation, an ophthalmic gel may be used instead of the immersion fluid. Proxymetacainum) into the conjunctival sack in order to prevent pain reflex and eyelid closure. Due to a close relation with sensitive conjunctiva, the examination may be preceded by applying local anesthetic drop (e.g. More accessible areas of this region may be visualized with contact dermatoscopy using a non-alcoholic medium and a special contact plate designed to be used in difficult anatomical locations ( Figures 1 and 2). Lesions located in the eyelid area may be visualized using a non-contact dermatoscope. Because of its location and morphology, it often poses a challenge for contact dermatoscopy in diagnosis and requires distinct surgical methods when such an approach is necessary. Due to its function and exposition to outside factors such as sunlight, it has distinctive anatomy and requires a unique approach. The main functions of the eyelid are to provide protection for the moist surface of the eye.

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