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What causes lesions to form within the eylid?

I was having pain and swelling in my eyelid last night, and this morning it was even worse. I just peeled back my eyelid and found what looks like a lesion on the INSIDE. What could cause this? How can I treat it? How common is this problem? Is my vision at risk?
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.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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