Mohs' micrographic technique, described in this issue of the Archives,1 and which has also been called chemosurgery, microsurgery, microscopically controlled excision, Mohs' microsurgery, and Mohs' technique, has revolutionized the management of difficult eyelid cancer. Dr Mohs' wealth of experience and careful long-term patient follow-up are unexcelled, and his cure rates for eyelid tumors with the micrographic technique set a standard that we all should envy.
While most ophthalmologists spend more time studying rare intraocular tumors, eyelid tumors are by far the most common malignant neoplasm managed in our field. Mortality ranging from 2% to 11% due to epithelial eyelid tumors was reported at reputable institutions before such developments as the micrographic technique.2-4 In my opinion, all eyelid tumors that are large, recurrent, or have indefinite margins should be managed by the micrographic technique.
Indeterminant forms of therapy for primary basal cell carcinoma of the eyelids, such as
Anderson RL. Mohs' Micrographic Technique. Arch Ophthalmol. 1986;104(6):818-819. doi:10.1001/archopht.1986.01050180052029