What to Do About a Growth on the Inner Eyelid: Causes and Treatments

A bump has developed on the inner eyelid?

There is a growth on the inner eyelid of my right eye, located near the end of the eyelid on the eyelashes.
It is not visible even when I slightly pull back the eyelid, and it does not cause any pain or itching.
Can you tell me what this might be? What should I do about it? I am afraid of surgery, so are there any treatment options other than surgery?

Miss Zhong, 10~19 year old female. Ask Date: 2016/08/17

Dr. Cai Wenyuan reply Ophthalmology

It could be a stye, and medication treatment is possible, but it is advisable to seek medical confirmation.
Thank you.

Reply Date: 2016/08/17

More Info

When it comes to a growth on the inner eyelid, it is essential to understand the potential causes and available treatment options. The growth you describe could be a number of things, including a chalazion, a stye (hordeolum), or a conjunctival cyst. Each of these conditions has different characteristics and treatment approaches.

1. Chalazion: This is a common eyelid condition that occurs when a meibomian gland (which produces oil to lubricate the eye) becomes blocked. A chalazion typically appears as a painless lump on the eyelid and can vary in size. It may not cause any discomfort, which aligns with your description. Treatment options include warm compresses to help unblock the gland, and if it does not resolve, a healthcare provider may recommend an injection of corticosteroids or, in some cases, surgical removal.

2. Stye (Hordeolum): A stye is an infection of the oil glands in the eyelid, often caused by bacteria. It usually presents as a red, swollen bump that can be painful and tender. Since you mentioned that the growth is not painful or itchy, this is less likely to be the cause. However, if a stye develops, warm compresses can help alleviate symptoms, and in some cases, antibiotics may be necessary.

3. Conjunctival Cyst: These are fluid-filled sacs that can develop on the conjunctiva, the membrane covering the white part of the eye and the inside of the eyelids. They are generally harmless and may not require treatment unless they cause discomfort or affect vision. If they are bothersome, a healthcare provider can remove them.

4. Other Possibilities: Other less common causes could include papillomas (benign tumors), sebaceous cysts, or even more serious conditions like tumors. Given that the growth is located on the inner eyelid and is not causing pain or discomfort, it is likely benign, but it is still crucial to have it evaluated by an eye care professional.

Treatment Options
If you are hesitant about surgery, there are still several non-invasive treatment options you can consider:
- Warm Compresses: Applying a warm compress to the affected area several times a day can help reduce swelling and promote drainage if the growth is a chalazion or stye.

- Topical Treatments: Depending on the diagnosis, your eye doctor may prescribe antibiotic ointments if there is a suspicion of infection.

- Observation: If the growth is not causing any problems, your doctor may recommend simply monitoring it over time to see if it changes.

- Consultation with an Eye Specialist: If you are uncomfortable with the idea of surgery, discuss your concerns with an ophthalmologist. They can provide you with information on the risks and benefits of various treatment options, including non-surgical methods.

When to Seek Help
It is important to seek medical attention if you notice any changes in vision, increased redness, swelling, or if the growth becomes painful. Regular eye examinations can help catch any potential issues early and ensure that your eyes remain healthy.

In conclusion, while the growth on your inner eyelid may not currently be causing any discomfort, it is advisable to have it evaluated by an eye care professional to determine the exact nature of the growth and the best course of action. Early diagnosis and treatment can prevent potential complications and ensure your eye health is maintained.

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