There is a small pimple on the eye

Many people find that a small bump appears on their eyes for unknown reasons. In fact, this is most likely a disease called chalazion. Chalazion is a common disease. The disease progresses slowly and relapses may occur despite treatment. Generally speaking, massage can be used to relieve the symptoms in the early stages, and no quality control is required. However, if it is in the middle or late stages, it is best to have surgery to remove it.

Chalazion is a chronic inflammatory granuloma of the meibomian glands caused by obstruction of the meibomian gland drainage duct and retention of secretions. Also known as chalazion. It is a common disease that can affect both children and adults. The disease progresses slowly and may recur. A firm, painless lump may be felt on the eyelid with raised skin overlying the eye. When the disease occurs in the elderly and tends to recur, it needs to be differentiated from meibomian gland carcinoma.

Clinical manifestations

1. The course of the disease is slow, and there are generally no obvious symptoms. There is no pain in the eyes, and sometimes there is only a feeling of heaviness. Temporary astigmatism may be caused by pressure from a mass, or a foreign body sensation may be caused by pressure from the eyeball.

2. One or several round lumps of varying sizes can be felt under the eyelid skin, ranging from as small as rice grains and mung beans to as large as soybeans and cherries. They have a smooth surface, are not adhered to the skin, have clear edges, and are not tender.

3. When the eyelid is turned over, a purple or gray-red localized bulge can be seen on the conjunctival surface of the lump. If there is secondary infection, it may develop into a stye.

4. Small lumps can be completely absorbed by themselves, or they can break through the conjunctival surface and discharge the gelatinous contents, forming fungus-like granulation proliferation. This granulation tissue can also pass through the discharge ducts of the meibomian glands and form papillary proliferation on the surface of the eyelid margin.

examine

One or several round lumps of varying sizes can be felt under the eyelid skin, ranging from as small as rice grains and mung beans to as large as soybeans and cherries. There is no redness, swelling or tenderness on the skin surface. When the eyelid is turned over, a purple or gray-red localized bulge can be seen on the conjunctival surface of the mass. For elderly patients, especially those with recurrent recurrences after surgery, the resected specimens should be sent for pathological examination to rule out the possibility of meibomian gland carcinoma.

diagnosis

Patients usually have no subjective symptoms. There are nodules under the eyelid skin, which are not tender and have no adhesion to the skin. When the eyelid is turned over, the conjunctiva facing the cyst is purple-red or grayish white (the cyst can break through the conjunctiva to expose the granulation tissue). The diagnosis is made by an eye examination.

treat

1. For early and smaller chalazions, hot compresses or physical therapy and massage therapy can be used to promote dissipation and absorption. Small cysts do not require treatment.

2. Injecting 0.3-0.5 ml of prednisolone around or into the cyst can promote its absorption.

3. Large chalazions can be removed surgically. During the operation, the cyst wall must be removed completely to prevent recurrence.