What Could Be Causing a Small Bump Under My Eyelid? - Ophthalmology

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I'm not sure what has grown?


Recently, I discovered a small, hard lump under my left upper eyelid.
It feels similar to a pimple on the skin—very tiny and not noticeable unless touched.
It is neither painful nor itchy.
I previously had a bacterial infection, but after reducing the time and frequency of wearing contact lenses, I have not experienced a recurrence of the infection.
I would like to know what this lump under my eyelid could be and if it is related to my previous bacterial infection.

claire, 20~29 year old female. Ask Date: 2003/03/21

Dr. Wu Shengping reply Ophthalmology


Hello Ms.
Chaire: Your left eye frequently experiences inflammation, which is a form of chronic inflammation.
This can stimulate the sebaceous glands, leading to the formation of granulation tissue and resulting in a hard lump known as a chalazion.
If it persists for a long time without resolution, it is advisable to consult an ophthalmologist for surgical removal.

Reply Date: 2003/03/21

More Info


Based on your description of a small, hard bump under your eyelid that is not painful or itchy, it is possible that you are experiencing a condition known as a chalazion or a stye (hordeolum). Both of these conditions can occur in the eyelid area and may present as small lumps.

A chalazion is a blockage of one of the oil glands in the eyelid, leading to a localized swelling. It often starts as a small, painless bump and can become larger over time. Chalazia are typically not associated with infection, which distinguishes them from styes. Styes, on the other hand, are usually caused by bacterial infections of the oil glands and can be painful, red, and swollen.

Given your history of a bacterial infection and the fact that you have reduced the use of contact lenses, it is possible that the bump could be related to previous irritation or blockage of the glands in your eyelid. However, since you mentioned that the bump is small, hard, and asymptomatic, it may not be a cause for immediate concern.

Here are a few points to consider regarding your condition:
1. Observation: If the bump is not causing any discomfort, it may be best to monitor it for any changes. If it remains stable and does not grow or become painful, it may not require treatment.

2. Hygiene: Maintaining good eyelid hygiene is essential, especially if you have a history of bacterial infections. Regularly cleaning your eyelids with a gentle cleanser or eyelid scrub can help prevent future issues.

3. Warm Compresses: Applying a warm compress to the affected area can help promote drainage if it is a chalazion. This can also provide comfort and may help reduce any swelling.

4. Consultation: If the bump changes in size, becomes painful, or if you notice any other symptoms such as redness or discharge, it is advisable to consult an eye care professional. They can perform a thorough examination and determine the appropriate course of action.

5. Avoiding Irritants: Since you have a history of bacterial infections, it is wise to avoid touching your eyes with unwashed hands and to limit the use of contact lenses if they contribute to irritation.

In summary, while the small bump under your eyelid could be a chalazion or a stye, it is essential to monitor it and maintain good eyelid hygiene. If you have any concerns or if the bump changes, seeking medical advice from an ophthalmologist or healthcare provider is recommended. They can provide a definitive diagnosis and appropriate treatment options if necessary.

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