Lid Lump!

𝘊𝘩𝘢𝘭𝘢𝘻𝘪𝘰𝘯⁣ ⁣

● Painless swelling on the eyelid⁣ ⁣

● Occurs due to a blocked meibomian gland in the upper or lower lid⁣ ⁣

● Meibomian gland secretions → blocked → retained oily secretions → breakdown of lipid possibly from bacterial enzymes or retained meibomian secretions → leak into adjacent tissue (surrounding tarsal plate stroma) → Chronic granulomatous inflammation of multinucleated giant cells and epithelioid cells surrounding a lipid globule (Lipogranuloma)⁣ ⁣

𝘙𝘪𝘴𝘬 𝘍𝘢𝘤𝘵𝘰𝘳𝘴:⁣ ⁣

● Blepharitis⁣

● Rosacea⁣

● Seborrheic dermatitis⁣

● Demodex mite infestation⁣

● Low serum Vitamin A⁣

● GI inflammation⁣

● Smoking⁣

● Diabetes⁣

𝘈𝘵𝘺𝘱𝘪𝘤𝘢𝘭 𝘊𝘩𝘢𝘭𝘢𝘻𝘪𝘢:⁣

Rule out neoplasms, infection (leishmaniasis/ TB masses), immune disorders (hyper IgE syndrome)⁣ ⁣

𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭:⁣ ⁣

● Warm compresses and lid massage and maintaining good lid hygiene, antibiotics⁣ ⁣

● Intralesional injection of triamcinolone⁣ ⁣

● Incision and curettage

⁣ ⁣ www.ophthalmobytes.com⁣ ⁣

Image from Rajan Eye Care Hospital

#ophthalmology #ophthal #eyelidlesion #chalazion #lid #stye #meibomiangland #eyelid #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency #oculoplasty