Eyelid Masses | Eyelid mass

Benign Eyelid Lesions/Tumors. Squamous Papilloma. (squamous papilloma found on upper lid). This is the most common benign eyelid tumor growth. The lesion ...EyelidMassesHome / BasicOphthalmologyReview / Lids/LashesTitle:EyelidMassesAuthor:XavierMortensen,MS4,UniversityofUtahSchoolofMedicineLOCATION:MedicalStudentEducationOutline>II.AnatomicalApproachtoEyeDisease>Lids/Lashes>4.MassesEyelidMassesEyelidmassescanbecategorizedintoinflammatory,benign,ormalignantmasses.Belowisadescriptionofsomeofthemorecommonmassesfoundineachofthesecategories. InflammatoryMassesChalazionAchalazionisaninflammatory—buttypicallynotinfectious—massoftheeyelidthatresultsfromanobstructionoftheMeibomianglands.Itoftenpresentswithadome-likeelevationwithsurroundingerythema.TheMeibomianglandsaretheoil-producingsebaceousglandsontheposteriormarginoftheupperandlowereyelids.Itcanbeassociatedwithintenseinflammationandthereforecanbepainful.Ifthereisasuperimposedbacterialinfection,itmaybepurulent.Itiscommonlyassociatedwithrosaceaandchronicblepharitis.Treatment:Warmcompresswithgentlemassageinadditiontoeyelidhygiene.Minocyclineordoxycyclinemaybeusedformultipleandrecurrentcases.Itmaytakeweekstomonthstoresolvefully.Stye(ExternalHordeolum)(Styeonmediallowerlid)Astyeisanacuteinfectionofthesebaceousglands(glandsofZeisorMoll)oftheanteriormarginoftheeyelid(oftenStaphylococcusaureus).Itoftenappearstocenteraroundaneyelashfollicle.Itcanbepainful,hot,andswollen.Treatment:Spontaneousresolutionoftenoccurs;howeverwarmcompressesandtopicalantibioticointmentmaybeusedifneeded.BenignEyelidLesions/TumorsSquamousPapilloma(squamouspapillomafoundonupperlid)Thisisthemostcommonbenigneyelidtumorgrowth.Thelesionisskincoloredandcaneitherbesessileorpedunculated.Pathologyrevealsepithelialhyperkeratosisandacanthosisaroundacentralvascularcore.Itgrowsslowlyandoftenformsgroupsoftumorsinchildren,whileintheelderlyitmorecommonlyisisolatedasindividualtumorsorwidelyspacedtumors.Theetiologyisn’tcompletelyunderstood,butincreasedageisariskfactorandmay


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