%0 Journal Article %T Enlarging Pigmented Eyelid Mass Associated with Remote Pencil Trauma %A Dale R. Meyer %A J. Andrew Carlson %A Paul O. Phelps %J Archive of "Ocular Oncology and Pathology". %D 2017 %R 10.1159/000470913 %X The authors present a case of a gradually enlarging pigmented mass of the upper eyelid and anterior orbit that was discovered to be the graphite tip of a pencil surrounded by macrophages bearing graphite and fibrous tissue. A 25-year-old woman with no medical history presented with a gradually enlarging pigmented lesion of her left upper eyelid. She denied any history of previous skin cancer, trauma, or previous surgery. A biopsy was performed. This revealed an encapsulated grayish, pigmented mass within the medial portion of the left upper eyelid and anterior orbit. Within the pigmented cocoon, the graphite core of a pencil (¡°pencil lead¡±) was identified. Histopathology demonstrated granulomatous inflammation with fibrosis and macrophages %K Foreign body reaction %K Eyelids %K Orbit %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757604/