To evaluate two patients presenting with ptosis in benign reactive lymphoid hyperplasia.

The medical records of two patients with unilateral ptosis who were referred to Akdeniz University Ophthalmology Department were examined.

Conjunctival hyperemia and follicular hypertopia and upper eyelid edema and mechanical ptosis were seen unilaterally in both of the patients. Incisional biopsy were performed in both patients. The lesions were characterized by polyclonal lymphoid cell infiltration and pathological diagnosis were benign lymphoid hyperplasia. Systemic steroid treatment was performed and the lesions were disappeared in two months. Systemic analysis was performed and no lymphoproliferative diseases were found. The patients were decided to be examined 6-months periodically.

Benign reactive lymphoid hyperplasia should be kept in mind in cases with acquired unilateral ptosis and careful inspection is essential for accurate diagnosis in such patients.