Periocular tumors.

Next to the fear of death from cancer, patients fear loss of sight more than anything else. They are especially fearful of the potential for visual impairment when confronted with the need to treat an eyelid neoplasm. Patients need reassurance that the treatment will not compromise vision and that their visual needs will be attended to. Optimally, the responsibilities for patient management are coordinated and shared in a team approach. Although many tumors around the eye are easily managed, a large proportion of them are significant by virtue of their size and location. These are best treated by a team that is prepared to provide optimal assessment, can deal with any size lesion and its repair, and is familiar with the spectrum of complications and their management.