and Treating Small Growths on the Eyelid - Ophthalmology

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There are small growths on the eyelid?


Hello, doctor.
My father recently developed a small growth on his upper eyelid, approximately 0.1 cm in diameter.
Although it is not painful or itchy, it is cosmetically concerning, so we would like to have it removed.
Should we go to an ophthalmologist or a dermatologist for the removal? Or is there a better treatment option? Thank you for your response.

Xiao Zi, 20~29 year old female. Ask Date: 2008/02/20

Dr. Wang Yuwei reply Ophthalmology


Either ophthalmology or dermatology is acceptable; a simple excision for examination will suffice.

Reply Date: 2008/02/20

More Info


When it comes to small growths on the eyelid, such as the small bump your father has developed, it is essential to understand the nature of these growths before deciding on the best course of action for treatment. The growth you described, approximately 0.1 cm in diameter, could be a variety of benign conditions, including a seborrheic keratosis, a skin tag, or a chalazion, among others.

Understanding Eyelid Growths
1. Seborrheic Keratosis: These are non-cancerous skin growths that often appear as brown, black, or light tan bumps. They can be flat or raised and are generally harmless.

2. Skin Tags: These are small, soft pieces of skin that stick out on a thin stem. They are common and usually painless.

3. Chalazion: This is a blocked oil gland in the eyelid that can appear as a painless lump. It may resolve on its own or require treatment if it becomes bothersome.

4. Milia: These are tiny white bumps that typically appear on the face, including the eyelids, and are caused by keratin trapped beneath the skin.


Treatment Options
Given that the growth is not painful or itchy, it may not require immediate treatment. However, if it is causing cosmetic concerns for your father, there are several options available:
1. Observation: If the growth is not causing any discomfort or functional issues, sometimes the best approach is simply to monitor it for any changes.

2. Consultation with a Specialist: For a definitive diagnosis and treatment plan, it is advisable to consult with a healthcare professional. Both an ophthalmologist (eye specialist) and a dermatologist (skin specialist) can evaluate the growth.
- Ophthalmologist: They specialize in eye health and can provide treatment options that consider the delicate nature of the eyelid and surrounding tissues.

- Dermatologist: They can assess skin-related issues and may offer treatments such as cryotherapy, electrosurgery, or excisional surgery for removal.

3. Surgical Removal: If the growth is bothersome, surgical removal is a common procedure. This can often be done in an outpatient setting and may involve local anesthesia. The choice of specialist may depend on the growth's characteristics and the patient's overall health.

4. Non-Surgical Options: In some cases, non-invasive treatments such as laser therapy or cryotherapy may be appropriate, depending on the type of growth.


Recommendations
- Initial Consultation: It would be beneficial for your father to have an initial consultation with an ophthalmologist, especially since the growth is on the eyelid. They can provide a thorough examination and determine if the growth is benign and whether removal is necessary.

- Follow-Up Care: If removal is performed, follow-up care is crucial to ensure proper healing and to monitor for any recurrence of the growth.

- Avoid Self-Treatment: It is important to avoid attempting to remove the growth at home, as this can lead to complications such as infection or scarring.

In conclusion, while small growths on the eyelid are often benign and may not require treatment, it is always best to consult with a healthcare professional for an accurate diagnosis and appropriate management. Your father's comfort and confidence are important, and addressing the growth with the right specialist will help achieve the best outcome.

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