An adult woman in her 30s presented with a 10-year history of progressively enlarging lesions around both eyes. On examination, her uncorrected visual acuity was 20/20 OD and 20/20 OS. The patient was noted to have several periorbital, pedunculated, firm, cystic-appearing lesions located at the medial and lateral canthi demonstrating obvious transillumination (Figure). The lesions were diagnosed as hidrocystomas based on the clinical appearance. Hidrocystomas are benign cystic lesions of eccrine sweat gland origin that may develop on the eyelids and canthi.1,2 They may enlarge in association with increased temperature or humidity. Lesions that are bothersome can be excised surgically, with care taken to remove the sac wall to prevent recurrence. Management options were discussed with the patient, including observation or excision, and she elected to proceed with excision. She will follow up for excision of the largest lesion, with removal of additional lesions in the future per the patient's preference.