Eyelid Lumps?

  • **Chalazion**
  • Swelling of a meibomian gland in the eyelid.
  • Often confused with a stye or hordeolum (an infection of the lash follicle).
  • Caused by inflammation due to trapped oil secretions.
  • Small chalazia may resolve on their own; large ones can cause blurred vision, discomfort, and eyelid swelling, possibly requiring antibiotics.
  • Persistent chalazia can lead to thickening of the eyelid, complicating treatment.
  • **Papilloma/Seborrhoeic Keratoses**
  • Eyelid papilloma: smooth, rounded, or pedunculated lesions, likely viral, similar to warts.
  • Seborrhoeic keratoses: non-viral "senile warts.
  • Other benign or malignant lesions, such as basal cell or squamous cell carcinoma or melanoma, can resemble these.
  • **Xanthelasma**
  • Soft yellowish plaques under the skin of the eyelid.
  • Associated with conditions like hyperlipidemia, familial hypercholesterolemia, primary biliary cirrhosis, menopause, diabetes, and normo-cholesterolemic patients.
  • Linked to an increased risk of coronary heart disease.
  • **Cyst**
  • Common types include sebaceous cysts, cysts of Moll (benign, non-tender, from apocrine sweat glands), and cysts of Zeiss (containing oily secretions).
  • Malignant lesions, such as basal cell carcinoma, can mimic these cysts.

How can a chalazion be treated?

  • Warm Compresses and Eye Lid Massage
  • Apply twice daily: use a hot washcloth or a heated object (e.g., wrapped boiled egg or potato) to the eyelids for 10 minutes. Avoid burns.
  • Steroid Injections
  • Effective for new chalazia; performed in a clinic with topical anaesthesia.
  • Surgery
  • Involves incision and drainage of the lump.
  • - A simple 10-minute procedure usually done under local anaesthesia. Post-surgery care includes information on time off work, bandages, dressings, and hygiene.
Eyelid Lumps

How is a Brow Lift Performed?

  • **Endoscopic Brow Lift**: Minimally invasive, uses small incisions and an endoscope, suitable for mild to moderate brow droop.
  • **Internal Browpexy (Transblepharoplasty)**: Minimally invasive, combined with upper eyelid surgery, with limited effectiveness.
  • **Direct Brow Lift**: Provides effective and long-lasting results but leaves a scar along the upper brow line.
  • **Chemical Brow Lift**: Uses BoNT/fat/fillers for non-surgical reshaping and lifting.
  • Procedures typically take 1-2 hours, usually under general anaesthesia, and require assistance for post-surgery transport.