A Bump on the Eyelid

1/3/2008

A three year old boy was seen today with a history of three days with a “bump under the lower eyelid”. Upon examination, this child was found to have a very benign swelling called a chalazion. This swelling is the result of a gland within the deeper layers of the eyelid becoming inflamed. While sometimes dramatic in appearance, this condition is very benign and rarely requires aggressive treatment. The vast majority of these cases resolve to warm compresses alone. There is no need for an ophthalmic or oral antibiotic. The catch is that the compresses must be applied frequently (several times per day) and sometimes for several weeks.

What is the difference between a sty and a chalazion? A sty is a swelling of the most superficial glands that line the upper and lower eyelids associated with the many hair follicles. These oil secreting glands can get blocked by thick secretions or use of make up. They appear red and swollen and often respond to warm compresses and use of a mild liquid soap. The treatment of a sty can be much shorter than a chalazion.

      

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