The evaluation of eyelid lesions should be carried out by specialists such as internists
, ophthalmologists, and others.
Eyelid lesions can either be benign or malignant. Typical benign lesions are xanthelasmas, chalazions, hordeolum, and molluscum contagiosum. Xanthelasmas are cholesterol deposits around the eyelids that usually involve both eyelids. A chalazion is an obstruction of a sweat gland that forms a chronic swelling; sometimes this can be inflamed and cause pain. Molluscum contagiosum is from a virus and forms painless, shiny, small nodules. A hordeolum (or stye) is an acute bacterial infection than can cause significant swelling, redness, and pain. These are all common, benign problems. A hordeolum, if it progresses without resolution should involve prompt medical management. Warm compresses can be used (for at least 15 minutes four times daily). Sometimes, a topical antibiotic can be used. If the swelling does not resolve, then one should see an ophthalmologist
Certain cancers, such as basal cell carcinoma, squamous cell carcinoma, keratoacanthoma, and sebaceous carcinomas, can occur and should be evaluated.
It is not possible to develop a diagnosis and management plan without seeing the patient. It is therefore the strong recommendation to seek a referral to an ophthalmologist to be evaluated in person.