This close-up image captures an upper eyelid mass with a striking reddish-purple coloration, characteristic of Merkel cell carcinoma’s unusual presentation. The lesion displays smooth, rounded nodules beneath a tense, glistening surface, with fine vessels coursing across its contour. An extremely rare eyelid tumour, this picture captures all the clinical features - red, pink or violaceous; loss of lashes; nodularity; and intrinsic vascularity.