Eye Corner Bumps: Causes and Treatments

Growth at the outer corner of the eye?

I apologize for the inconvenience.
Previously, I had a small bump near the outer corner of my eye that was slightly dark red with a white protrusion in the center.
I initially thought it was a chalazion and didn't pay much attention to it.
However, it started to become red and swollen, and blinking became painful.
After two to three days, the swelling subsided, and now it is neither painful nor itchy, but after a month, it has only returned to its original state without disappearing.
What could this be? Thank you, doctor.

Pingzi, 20~29 year old female. Ask Date: 2015/10/22

Dr. Wu Yuxin reply Dermatology

It could be a milium or a cyst based on the description.
However, without actually seeing the lesion, it cannot be confirmed.
It is recommended to have a dermatologist evaluate it for a proper diagnosis.

Reply Date: 2015/10/22

More Info

Understanding bumps at the corner of the eye, particularly those that appear red and swollen, can be concerning. Based on your description, it sounds like you may have experienced a chalazion or a stye (hordeolum). These conditions are common and can occur due to various reasons, including blocked oil glands, bacterial infections, or inflammation.

A chalazion is a lump that forms when one of the oil glands in the eyelid becomes blocked. Initially, it may appear as a small, painless bump, but it can become red and swollen if inflammation occurs. The fact that it was painful and red suggests that there may have been an inflammatory response, possibly due to an infection or irritation. Over time, chalazia can resolve on their own, but they may take weeks or even months to disappear completely.

On the other hand, a stye is an infection of the oil glands in the eyelid, often characterized by a painful, red bump that can resemble a pimple. Styes typically resolve within a week or two with proper care, including warm compresses to promote drainage and reduce inflammation.

In your case, since the bump has not completely resolved after a month, it may still be a chalazion that has not fully drained or healed. If the bump is not causing any discomfort and is not affecting your vision, it may not require immediate treatment. However, if you notice any changes, such as increased redness, swelling, pain, or changes in vision, it is essential to consult an eye care professional.

Treatment options for a persistent chalazion or stye may include:
1. Warm Compresses: Applying a warm compress to the affected area several times a day can help soften the hardened oil and promote drainage. This is often the first line of treatment.

2. Topical Antibiotics: If there is a concern about infection, your doctor may prescribe antibiotic ointments or drops to help clear up any bacterial infection.

3. Steroid Injections: In some cases, a corticosteroid injection may be administered to reduce inflammation and promote healing.

4. Surgical Drainage: If the bump persists and causes discomfort or cosmetic concerns, a minor surgical procedure may be performed to drain the chalazion.

5. Avoiding Irritants: It’s important to avoid touching or rubbing the eyes, as this can exacerbate the condition or introduce bacteria.

In conclusion, while the bump at the corner of your eye may not be a cause for immediate concern, monitoring its progress is essential. If it does not improve or if you experience any new symptoms, seeking professional medical advice is recommended. Regular eye examinations and maintaining good eyelid hygiene can also help prevent future occurrences.

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