Small Bumps in the Inner Corner of Your Eye: Causes and Treatments - Ophthalmology

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Hello, doctor?


Hello, Doctor.
I would like to ask about small bumps located at the inner canthus of my eye (which I found online is referred to as the inner canthus).
They are very small, resembling tiny, round, translucent blisters, and they also appear similar to small fibromas (as there are several, but all within the inner canthus area).
How should I address this? Is it an acute condition? Additionally, on the right eye, there is a small, curved muscle on the right side of the inner canthus that used to be distinctly linear but now appears somewhat shapeless, resembling a small mass of tissue, although it does not look like a pterygium.
Is this abnormal, and what could be the diagnosis? Thank you, Doctor!

Awei, 30~39 year old female. Ask Date: 2021/07/11

Dr. Gao Pilin reply Ophthalmology


Hello, Avi: If there are no symptoms, it should be considered normal tissue and does not require treatment.
It could also be a conjunctival cyst, which is also not a concern.
As for the slight curvature of the muscle, it may still be an early sign of a pterygium.
However, this is just speculation; if you are worried, it is best to get it checked.
Online answers can only serve as a reference, and if necessary, you should seek medical attention at a healthcare facility.
Gao Pilin

Reply Date: 2021/07/11

More Info


Understanding small bumps in the inner corner of your eye can be concerning, especially when they appear as tiny, translucent, round structures that resemble small water blisters or even small growths. These bumps can arise from various causes, and it’s essential to differentiate between benign conditions and those that may require medical attention.

One common cause of small bumps in the inner corner of the eye is the presence of pinguecula or pterygium, which are growths on the conjunctiva (the clear membrane covering the white part of the eye). Pingueculae are typically yellowish and can appear as small bumps, while pterygia can grow onto the cornea and may cause discomfort or vision problems. These growths are often related to sun exposure, wind, and dust, and they are more common in individuals who spend a lot of time outdoors.

Another possibility is chalazia or styes (hordeola), which are caused by blocked oil glands in the eyelid. A chalazion is a painless lump that can develop when a meibomian gland becomes obstructed, while a stye is usually painful and occurs due to an infection of the hair follicle of an eyelash. Both conditions can lead to swelling and discomfort, and while they may resolve on their own, warm compresses can help facilitate drainage and healing.

If the bumps you are experiencing are small and painless, they may also be sebaceous cysts or milia, which are small, benign cysts that can form on the skin. These are generally harmless and do not require treatment unless they become bothersome or infected.

Regarding the small, curved muscle you mentioned in the inner corner of your eye, it could be related to the orbicularis oculi muscle, which is responsible for closing the eyelids. Changes in the appearance of this muscle can occur due to various factors, including aging, muscle tone changes, or even inflammation. If this change is accompanied by pain, discomfort, or visual disturbances, it would be prudent to seek an evaluation from an eye care professional.

In terms of treatment, if the bumps are asymptomatic and not causing any issues, they may not require any intervention. However, if they are causing discomfort, affecting your vision, or if you are concerned about their appearance, it is advisable to consult with an ophthalmologist. They can perform a thorough examination and provide a definitive diagnosis, as well as recommend appropriate treatment options, which may include medication, drainage, or surgical removal if necessary.

In conclusion, while small bumps in the inner corner of the eye can be benign, it is essential to monitor their characteristics and any associated symptoms. If you notice changes in size, color, or if they become painful, it is crucial to seek medical advice. Regular eye examinations can help maintain eye health and address any concerns promptly.

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