Eyelid Lumps: Should You Worry About Hemangiomas?

A small lump has developed under the eyelid?

I have a small growth inside my right eyelid.
When I pull up my eyelid, I can't feel it, so it seems like it's growing from within.
It has shown some signs of growth, and I'm wondering if it could be a hemangioma.
I had a hemangioma on my chin in the past, which was surgically removed.
The doctor mentioned that hemangiomas can recur, and I'm worried this might be one.
Which specialist should I see? Since it's on my eye, should I go to an ophthalmologist or a surgeon?

Fei Bi, 20~29 year old female. Ask Date: 2006/04/24

Dr. Li Guoding reply Surgery

Dear Phoebe,
According to your description, the most likely possibility is that you have developed a "chalazion." It is a type of lipid granuloma formed in the meibomian glands of the inner eyelid due to chronic inflammation, commonly referred to as an "adenoma" or "granuloma." Its characteristic feature is a gradually enlarging, painless gland, with no signs of inflammation on the surface.
Upon careful palpation, you may feel a small, hard, round lump present.
Asymptomatic chalazia do not require treatment; however, if it continues to enlarge, becomes prominent, protrudes from the eyelid, causes a sensation of foreign body in the eye, discomfort, or even leads to astigmatism, surgical intervention by an ophthalmologist may be necessary to incise and curette the granulomatous tissue inside.
Additionally, chalazia can also be associated with persistent bacterial infections, leading to acute inflammatory responses such as redness, swelling, heat, and pain, or even suppuration, which would require local antibiotic treatment.
You mentioned that you have previously undergone surgery to remove a vascular tumor from your chin; however, the likelihood of developing a vascular tumor in the eyelid is very low.
Nevertheless, it is advisable to consult an ophthalmologist for a thorough evaluation of your condition.
The Tainan Hospital of the Department of Health cares about your health.

Reply Date: 2006/04/24

More Info

When it comes to eyelid lumps, particularly in your case where you suspect it might be a hemangioma, it's essential to approach the situation with a clear understanding of what these growths are and the appropriate steps to take. Hemangiomas are benign tumors made up of blood vessels, and while they are common in infants, they can occur in adults as well. Given your history of having a hemangioma removed from your chin, it's understandable that you would be concerned about a similar growth on your eyelid.

Understanding Eyelid Lumps
1. Types of Eyelid Lumps: Eyelid lumps can be caused by various conditions, including cysts, styes, papillomas, and hemangiomas. Hemangiomas are characterized by their reddish color and can feel soft or spongy to the touch. They may not always be palpable if they are located deeper within the eyelid tissue.

2. Symptoms and Signs: If the lump is growing, changing in color, or causing discomfort, these are important signs to consider. Hemangiomas can sometimes grow rapidly, especially in children, but in adults, they may remain stable or grow slowly.

3. Diagnosis: The best way to determine the nature of the lump is through a clinical examination. An ophthalmologist (eye doctor) is typically the best specialist to consult for eyelid issues. They can perform a thorough examination, possibly using imaging techniques if necessary, to assess the lump's characteristics.

Next Steps
1. Consult an Ophthalmologist: Since the lump is located on your eyelid, starting with an ophthalmologist is advisable. They specialize in eye-related conditions and can provide a comprehensive evaluation of your eyelid lump. If they determine that the lump requires surgical intervention, they may refer you to an oculoplastic surgeon, who specializes in eyelid surgery.

2. Monitoring: If the lump is not causing any discomfort or vision problems, your doctor may recommend monitoring it over time. Regular follow-ups can help track any changes in size or symptoms.

3. Treatment Options: If the lump is diagnosed as a hemangioma and is causing cosmetic concerns or other issues, treatment options may include observation, laser therapy, or surgical removal, depending on its size and location.

4. When to Seek Immediate Care: If you experience any sudden changes in vision, increased pain, or if the lump becomes red and swollen, you should seek medical attention promptly.

Conclusion
While it is natural to worry about the possibility of a hemangioma, especially given your medical history, the best course of action is to consult with an ophthalmologist. They will provide you with the necessary information and guidance based on a thorough examination. Early diagnosis and appropriate management can help alleviate your concerns and ensure the best outcome for your eyelid health. Remember, not all eyelid lumps are serious, and many can be managed effectively with the right care.

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