A Stye (internal or external hordeolum) results from an infection along the edge of the eyelid near the eyelashes. Symptoms are generally sudden, and present with redness, swelling, and tenderness. These generally go away without treatment, but can sometimes leave a fluid-filled cyst behind.
A Chalazion (Shuh-lay-zee-uhn) is caused by the blockage of one of the ducts draining the glands that produce the oily part of the tears (Meibomian gland). These glands are located along the eyelids, a little further back than the eyelashes. They can be asymptomatic (no symptoms), or can be red, tender, and swollen. If very large, they can cause blurry vision.
Treatment for chalazion and stye may include warm, moist compresses, antibiotic drops or ointment if an infection is present, steroid injections to reduce inflammation, and surgery if conservative treatment is not effective. Surgery is minor, and can be done in the doctor’s office with a local anesthetic.
An Inclusion Cyst is a benign, white, painless skin growth. At times, it may be difficult to distinguish from a basal cell carcinoma (cancer), and biopsy may be recommended.
Nevus or freckle is a pigmented lesion present on the skin. These can often be present for many years without change. However, changes in size, color, or bleeding require evaluation and possible biopsy.
Skin Cancer may appear on the eyelids, or the skin around the eyes. Growth associated with loss of eyelashes, or lesions that change in color or size, bleed, or flaking should be evaluated. Excision and/or biopsy may be indicated.