Mr Sohail Ahmed
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Eyelid Lumps

What are Eyelid Lumps?

Eyelid lumps are common conditions that appear as small bumps on the eyelid. These can be caused by blocked oil glands, infections, or skin conditions. The most common types of eyelid lumps are chalazions, which develop when an oil gland becomes clogged, and styes, which are often caused by bacterial infections. While eyelid lumps can be uncomfortable and make your eye feel irritated, they are usually harmless and can often be treated with warm compresses, gentle cleaning, or, in some cases, medication. If a lump on the eyelid grows, changes shape, or doesn’t go away, it’s important to see an eye doctor to ensure it’s not a more serious issue.

Symptoms

When you have an eyelid lump, you might notice a small bump that could be tender or painless. Common symptoms include swelling and redness around the lump, tenderness to the touch, and discomfort when blinking. You may also experience increased tearing if the lump affects your eyelid’s ability to manage tears. The symptoms can vary based on the cause of the lump, such as a chalazion or a stye. If a lump persists or changes in size or colour, it’s important to consult an eye care professional for an evaluation.

Swelling

Tenderness

Watering

Redness

What causes a Eyelid Lumps?

Chalazion

Small lump under the eyelid as a result of blocked meibomian / oil glands

Cyst of Zeiss

Small lump next to eyelashes, which is usually yellow. Results from blocked oil glands in hair follicles.

Cyst of Moll

Small clear lump between eyelashes from blocked sweat glands

Skin cancers

Small lumps anywhere on eyelid that can bleed, crust or change shape and size. Needs rapid assessment and treatment.

Surgical Removal of Lid Lumps

Eyelid lumps removal depends on the nature of the lesion. Most lumps are benign and their removal is a straightforward procedure designed for your comfort and convenience. Typically, the process takes only a short visit, during which the affected area around your eye will be numbed to ensure you feel no discomfort. Most eyelid lump removals are performed using minor surgical techniques right in our suite, which means you won’t need to stay in the hospital overnight. After the procedure, you might spend a short period in the recovery area where we’ll monitor you and apply a small dressing to the area if necessary. Before you leave, we’ll provide you with aftercare instructions to help ensure a smooth and speedy recovery.
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Chalazion

A chalazion is a common eyelid condition where a small lump forms due to a blocked oil gland in the eyelid. It is not an infection but can initially look similar to a stye. Chalazions are generally not painful and are more chronic in nature.

Swelling: Gradual swelling of part of the eyelid
Tenderness: Mild discomfort at the lump site
Eyelid Redness: Some redness may be present
Sensation: A feeling of something in the eye (foreign body sensation)

A chalazion develops when one of the oil glands in the eyelid becomes blocked, typically due to thickened oil secretion or debris. This blockage prevents the oil from draining and leads to swelling.

⦁ Warm Compresses: Applying warm compresses to the eyelid for 10-15 minutes, several times a day, can help the blocked gland to open and drain, reducing swelling.
⦁ Massage: Gently massaging the area with clean hands after warm compresses may aid in drainage.
⦁ Medication: Sometimes, if there is considerable inflammation, your doctor may prescribe antibiotic eye drops or ointments.
⦁ Steroid Injections: For persistent chalazions, a steroid injection may help reduce swelling.
⦁ Surgical Removal: In cases where a chalazion does not respond to other treatments or affects vision, surgical removal may be recommended. This minor procedure is typically performed under local anaesthesia in a small operating suite.

⦁ Eyelid Hygiene: Regular cleaning of the eyelids with mild soap or baby shampoo can prevent oil build-up.
⦁ Avoid Rubbing Eyes: Keeping hands clean and avoiding eye rubbing can prevent irritation and spread of infections that might cause blockages.

Consult your healthcare provider if:
⦁ The chalazion does not improve with home treatment.
⦁ The lump affects your vision.
⦁ You experience severe pain or redness.

Follow-up visits may be necessary to monitor the chalazion and ensure that treatment is effective. Be sure to adhere to treatment recommendations and attend all follow-up appointments.
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Cyst of Zeiss

A cyst of Zeiss is a small, benign (non-cancerous) lump that develops along the edge of the eyelid. It occurs when an oil gland (sebaceous gland) associated with an eyelash becomes blocked. These cysts are typically small, round, and filled with oily material. They are harmless and not usually painful, though they can sometimes cause mild discomfort or irritation.

⦁ Small Lump: A tiny, smooth, and round bump near the base of the eyelashes.
⦁ Translucent Appearance: The cyst may appear clear or pearly and may have a yellowish tint due to the oily material inside.
⦁ No Pain: Usually painless but may feel slightly tender if irritated.
⦁ Eyelid Irritation: Occasionally, the cyst can cause minor discomfort or rubbing against the eye.

A cyst of Zeiss forms when the small oil glands near the base of the eyelashes become blocked. These glands normally produce an oily substance that helps to keep the eyelashes and eyelid lubricated. When this gland is clogged, the oil builds up, creating the cyst.

In most cases, a cyst of Zeiss is harmless and may resolve on its own. If treatment is needed, options include:
⦁ Warm Compresses: Applying a warm compress to the eyelid for 10-15 minutes, several times a day, can help the cyst drain naturally.
⦁ Lid Massage: Gently massaging the area after applying a warm compress can encourage drainage.
⦁ Medical Removal: If the cyst does not go away or causes significant discomfort, a doctor may perform a minor surgical procedure to drain or remove it. This is done under local anaesthesia and is quick and safe.
⦁ Avoid Squeezing: Never attempt to pop or squeeze the cyst, as this can cause infection or worsen the condition.

⦁ Good Eyelid Hygiene: Clean your eyelids regularly with mild soap or a recommended eyelid cleanser to prevent oil gland blockages.
⦁ Avoid Rubbing Eyes: Keep your hands clean and avoid rubbing your eyes to minimize irritation and the risk of blocked glands.

You should consult an eye care professional if:
⦁ The cyst grows larger or becomes painful.
⦁ There is redness or swelling around the area, which could indicate infection.
⦁ The cyst does not go away after several weeks of home care.
⦁ It affects your vision or causes discomfort.

Your doctor may ask you to return for a follow-up visit to ensure the cyst is healing properly. Be sure to follow all aftercare instructions if any medical treatment or surgery is performed.
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Cyst of Moll

A cyst of Moll, also known as a sudoriferous cyst or a sweat gland cyst, is a small, benign (non-cancerous) bump that forms on the eyelid due to blockage in the sweat glands, specifically the glands of Moll. These glands are involved in sweat production and are located near the eyelashes. The cysts are typically clear or slightly yellowish in appearance and contain a jelly-like substance.

⦁ Small, Clear Lump: Typically, small and can be transparent to slightly yellowish, located along the eyelid margin.
⦁ Smooth Surface: The cyst has a smooth appearance and is often round or oval-shaped.
⦁ Discomfort: While generally painless, they can cause discomfort if they become large or rub against the eyeball.
⦁ No Vision Impairment: These cysts usually do not affect vision unless they grow large enough to press against the eyeball.

A cyst of Moll occurs when the ducts of the Moll glands become blocked, possibly due to debris, inflammation, or other minor eyelid injuries. The blockage prevents sweat from exiting the gland, leading to a fluid-filled cyst.

Cysts of Moll are usually harmless and may resolve on their own. However, treatment options include:
⦁ Warm Compresses: Applying a warm compress several times a day can help the cyst drain naturally.
⦁ Gentle Massage: Massaging the eyelid gently after applying heat can promote drainage.
⦁ Surgical Removal: Persistent or bothersome cysts may require removal by an eye care professional. This minor procedure is typically performed under local anesthesia in an outpatient setting.
⦁ Medication: In cases of associated inflammation, your doctor may prescribe topical or oral medications to reduce swelling.

⦁ Maintain Clean Eyelids: Regular cleaning of the eyelids with a gentle cleanser can help prevent the glands from becoming blocked.
⦁ Avoid Eye Irritation: Minimize eye rubbing to reduce the risk of irritation and inflammation that can lead to blockages.

Consult your healthcare provider if:
⦁ The cyst becomes painful or significantly uncomfortable.
⦁ You notice redness, swelling, or signs of infection.
⦁ The cyst does not improve with home treatment or continues to grow.
⦁ You have concerns about its appearance or effects on your vision.

Following any medical intervention, it’s important to attend any recommended follow-up appointments to ensure proper healing and to prevent recurrence. Follow your doctor’s instructions regarding eye care and any prescribed treatment.
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Basal Cell Carcinoma (BCC)

Basal cell carcinoma (BCC) is the most common type of skin cancer. It frequently appears on the eyelids, where it can form a painless, slowly growing lump or sore. BCCs are typically not aggressive but can cause significant damage by growing and invading surrounding tissues.

⦁ Appearance: BCC often appears as a firm, pearly nodule with tiny blood vessels (telangiectasias) visible on the surface. It may also look like a flat, scaly, reddish patch with a raised edge.
⦁ Ulceration: The lesion may centralize and develop a crust or a non-healing ulcer.
⦁ Change in Colour: The area might change colour, developing into a brown, black, or blue lesion.
⦁ Bleeding: There may be occasional bleeding from the affected area.
⦁ Loss of Eyelashes: The carcinoma may cause loss of eyelashes or distortion of the eyelid.

The primary risk factor for developing BCC is exposure to ultraviolet (UV) radiation from the sun or from tanning beds. Other factors include:
⦁ Fair skin, light-coloured eyes, and blond or red hair.
⦁ A history of frequent or intense sun exposure or sunburns.
⦁ Age over 50, though younger people can also be affected.
⦁ Immunosuppressive drugs or immunodeficiency disorders.
⦁ Genetic predisposition to skin cancer.

Early Detection: Early detection and treatment are crucial for the best outcomes. Regular examinations by an eye care professional or dermatologist are recommended, especially if you are at higher risk.
Surgical Options: The main treatment for BCC is surgical removal, which may include:
⦁ Mohs Micrographic Surgery: This technique removes the cancer layer by layer, examining each layer under a microscope until no abnormal cells remain.
⦁ Excisional Surgery: Removing the tumour along with some of the healthy tissue around it.
⦁ Cryotherapy: Using liquid nitrogen to freeze and destroy the tumour (less common for eyelid lesions).
Radiation Therapy: May be used if surgical options are not viable.
Medications: Topical treatments or oral medications that target cancer cells may be recommended in cases where surgery isn’t possible.
Reconstructive Surgery: Depending on the location and size of the removed tumour, reconstructive surgery may be necessary to restore function and appearance.

⦁ Protect Against UV Radiation: Use broad-spectrum sunscreen, wear sunglasses with UV protection, and a hat when exposed to the sun.
⦁ Avoid Tanning Beds: Do not use tanning beds or sunlamps.
⦁ Regular Skin Checks: Regularly check your skin for any new growths or changes in existing moles, freckles, or spots.

⦁ If you notice a new growth or a change in an existing lesion on your eyelid.
⦁ If a previously stable lesion starts to change in size, shape, colour, or symptomatology.
⦁ For routine checks if you are at higher risk of skin cancer.

⦁ Follow all post-treatment and follow-up appointments to monitor for any signs of recurrence.
⦁ Discuss any concerns with your healthcare provider to ensure continuous care and monitoring.

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4 Tips to Improving Success

Achieve better outcomes with expert surgeons, advanced procedures, and a commitment to quality care. Our focus on precision, efficiency, and timely surgeries ensures your vision restoration is in trusted hands.

The Surgeon

The experience of your eye surgeon is a key factor in the success of surgery. I will personally perform your eyelid lump removal surgery here at our operating suite. As a consultant eye surgeon with subspecialist interest in Oculoplastics I have undertaken hundreds of such procedures.

The Procedure

The process for removing eyelid lumps varies depending on the type of the lump. There are many variables which can require extra steps to ensure a safe and efficient surgery. I will guide you through the process and explain everything simply and clearly.

Quality Surgery

It is very important to get the surgery right first time. I’m a consultant ophthalmic surgeon with an expertise in undertaking cataract surgery. I have extensive experience in doing cataract surgeries in simple and complex cataracts such as very short sighted, far sighted, previous trauma and laser refractive surgery.

Timely Surgery

Most lumps are non-cancerous, but it's important to check if any could be cancerous. Quick evaluation and, if necessary, a biopsy will help us make an accurate diagnosis and ensure your comfort. We'll discuss the possibility of taking a biopsy during your assessment clinic before any surgery is planned.

Eyelid lumps FAQs

We specialize in the removal of common eyelid lumps including chalazia, cysts of Zeiss, cysts of Moll, xanthelasma, naevus (mole), sebaceous cysts, and skin cancers such as basal cell carcinomas. Each type of lump requires a specific treatment approach, which we can discuss during your initial assessment.
The procedure to remove eyelid lumps is generally not painful. We use local anaesthesia to numb the area around the eyelid, ensuring you feel comfortable and pain-free during the procedure.
During your initial visit, our specialists will examine your eyelid lump and assess symptoms. If the lump is causing discomfort, affecting vision, or has potential risks such as being cancerous, we may recommend removal. A biopsy might be performed to determine the nature of the lump.
Recovery time can vary depending on the type of lump removed and the specific procedure used. Generally, patients can expect some mild discomfort and swelling for a few days post-surgery, with most returning to their normal activities within a week.
As with any surgical procedure, there are some risks, such as infection, bleeding, or scarring. However, these are rare and our team takes comprehensive measures to minimize any complications.
After your eyelid lump removal, you will be provided with detailed aftercare instructions, which may include applying ointment, using cold compresses to reduce swelling, and avoiding certain activities that could strain your eyes. Follow-up visits will be scheduled to ensure proper healing.
There is a possibility that eyelid lumps, such as chalazia or cysts, can reoccur, especially if underlying conditions like blepharitis are present. Our specialists will provide guidance on how to reduce the risk of recurrence through proper eyelid hygiene and care.
We generally recommend waiting at least a week before applying makeup around the treated area to avoid infection and allow adequate healing time. This timeframe can vary based on individual healing rates and the specifics of your procedure.
If you experience any unusual symptoms such as increased pain, vision changes, or signs of infection (redness, pus), contact our clinic immediately for evaluation.
Coverage can vary by insurance provider and policy. We recommend checking directly with your insurance company about coverage details. Our clinic can provide necessary documentation to help with your insurance claims process.
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