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A Bump On Your Eyelid – what does it mean?

6/9/2014

2 Comments

 
If you have a bump on your eyelid and it is new, chances are it is probably a benign lesion, like a chalazion, skin tag or stye.  If you have noticed, however, that the bump has been slowly enlarging over time, or if you have recurrent chalazia or styes on the same eyelid not involving the other eyelids, you should be evaluated by an ophthalmologist to make sure that it is not something more serious. 

There are many tumors that can affect the eyelids.  Some of the more common and serious tumors are basal cell carcinoma, squamous cell carcinoma, melanoma and sebaceous gland carcinoma.  Most of the “dangerous” eyelid tumors occur in fair-skinned patients, who have a history of sun exposure.  There is often a loss of eyelashes at the site of the lesion. 

Basal cell carcinoma is the most common tumor affecting the eyelids, accounting for about 85% of all eyelid tumors. It is often located on the lower eyelid and looks like a “pearly” nodule that is non-tender.  Squamous cell carcinoma of the eyelid often presents as a raised bump on the lower eyelid with an associated loss of eyelashes.  Sebaceous gland carcinoma can often masquerade as chronic inflammation of the eyelids, as seen with blepharitis or recurrent styes or chalazia on the same eyelid.  This potentially lethal tumor is especially worrisome, as it may be undiagnosed for years and it can spread to other parts of the eye and body.  Malignant melanoma is a darkly pigmented area or bump on the eyelid, although some may not be pigmented.  They are common in fair skinned individuals who enjoy being out in the sun, and account for the many of the deaths related to eyelid tumors.

If you have noticed an eyelid bump and are not sure what it is, not to worry.  Make an appointment with your ophthalmologist today, who can examine it and perhaps even biopsy or remove it. The worst thing that you can do for yourself is ignore it, so please, get it checked out!


2 Comments
Bobbie
1/9/2015 12:44:02 am

I have been recently getting what i thought was a stye. They move around to both eyes on top, then one down low on the bottom where dark circles appear. starts as a small red painful swelling, gets a whitehead, goes away and leaves a small teeny tiny skin tag when it goes away. As soon as its gone the other eye gets one. Never have ever had one before. Only thing new is I have changed my diet to mostly organic, cutting out bread and i started a new supplement regiment. Can it be toxins? its been a month of this. its awful

Reply
Erinn link
12/27/2020 01:29:33 am

Great reading thiss

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    Dr. Patel is currently Board Certified by the American Board of Ophthalmology and an active member of the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgery, the Northern Virginia Academy of Ophthalmology and the Virginia Society of Ophthalmology. She is currently seeing patients in the Vienna, VA area with general ophthalmic conditions, corneal disease, cosmetic needs, dry eye and laser vision correction candidates.

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