Small Bumps on the Eyeball: When to See an Eye Doctor - Ophthalmology

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I have a small bump on my upper eyelid?


Hello doctor, I have noticed a small bump on the surface of my right eye.
I can feel it when I touch my eyelid with my finger, but it doesn't hurt when I press on it.
Is this bump concerning? Should I see an ophthalmologist? Thank you.

roger, 20~29 year old female. Ask Date: 2004/07/25

Dr. Lin Zhengyi reply Ophthalmology


The small painless particles on the eyeball are most commonly known as pinguecula, which are yellowish-white spots located on the conjunctiva between the upper and lower eyelids.
They are usually asymptomatic and do not require treatment.
However, if you can feel the particle by touching your eyelid with your finger, it may be significant in size.
It is advisable to visit an ophthalmology clinic for further examination and diagnosis by a physician.

Reply Date: 2004/07/25

More Info


When it comes to small bumps on the eyeball, it is essential to approach the situation with caution and awareness of potential underlying issues. The presence of a small bump on the eyeball, especially if it is not painful when touched, can be concerning but does not always indicate a serious problem. However, it is crucial to understand the various possibilities and when it is appropriate to seek medical attention.

Firstly, the bump you are experiencing could be a benign condition such as a pinguecula or a pterygium. A pinguecula is a yellowish, raised growth on the conjunctiva (the clear tissue covering the white part of the eye) that is often associated with sun exposure, wind, and dust. It typically does not cause pain or discomfort. A pterygium, on the other hand, is a growth that can extend onto the cornea and may cause irritation or vision problems if it grows large enough. Both conditions are generally harmless but can be monitored for changes.

Another possibility is a cyst or a small tumor, which can also appear as a bump on the eyeball. These can be either benign or malignant, and while many are harmless, it is essential to have them evaluated by an eye care professional to rule out any serious conditions.

In your case, since the bump is not painful and does not seem to be causing any vision problems, it may not require immediate attention. However, it is advisable to monitor the bump for any changes in size, color, or associated symptoms such as redness, swelling, or changes in vision. If you notice any of these changes, or if the bump begins to cause discomfort or affects your vision, it is important to see an eye doctor promptly.

Additionally, if you have a history of eye problems, such as previous injuries, surgeries, or conditions like high myopia, it is wise to consult with an eye care professional sooner rather than later. Individuals with high myopia, for instance, are at a higher risk for retinal issues, and any new symptoms should be taken seriously.

In summary, while a small, painless bump on the eyeball may not seem alarming, it is always best to err on the side of caution. If you are uncertain or if the bump changes in any way, scheduling an appointment with an eye doctor is a prudent decision. They can perform a thorough examination, provide a proper diagnosis, and recommend any necessary treatment or monitoring. Your eye health is paramount, and regular check-ups can help ensure that any potential issues are addressed early on.

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