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What Does A Small Bump Is Under Eyelid Indicate?

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Posted on Fri, 5 Sep 2014
Question: Hello
I am attempting to find out exactly what this small bump is under my left eyelid. I have gotten them before over the years and they come and go. This time this one has stayed around much longer (it has been for weeks). It doesn't always hurt but sometimes it makes my eyes feel itchy and or sometimes ache. What should I do to remedy,if anything?
doctor
Answered by Dr. Dadapeer K (4 hours later)
Brief Answer:
It is inflammatory swelling of glands, chalazion.

Detailed Answer:
Hello
Welcome to Health care magic.

I am Dr. DADAPEER K, an Ophthalmologist and I answer health problems related to eye.

I reviewed your history and the photos attached with the question.
It seems from the history that you are having small bump under the left eyelid, with repeated recurrences.
This is because of inflammatory swelling of the glands of the eyelids like chalazion.
The treatment is by hot compression in the initial stages. In later and long standing stages it requires treatment by intralesional steroid injection or by incision and curettage.

In case of repeated recurrences we need to rule out predisposing conditions like diabetes, eye conditions like blepharitis......


Hope the information is helpful to you.
Please do write back to me for any other questions. Happy to help you.


Thank you
With regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (15 minutes later)
Hello thanks for the response. I reviewed it and I must say (although I never considered to be an catalyst) is that I do have blepharitis (seborrhea) on may face. I sometimes get flaky skin around the nose, mouth and in between eyebrows (which also gets flaky and itchy. What do you suggest using? Do you all offer prescriptions? Do you think that it's relates to my eye issues? What are they systems if it's diabetes? That does run in my family. Thanks!
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
Blepharitis require treatment by lid scrubs.

Detailed Answer:
Hello
Thank you for the follow up question.

The symptoms of flaky skin and itching indicates probable blepharitis as the likely predisposing cause for your repeated occurrence of chalazion.
This requires treatment by the use of antibiotic eye ointments. I usually prefer antibiotic eye ointments like ciprofloxacin or erythromycin eye ointment. Along with this lid hygiene by use of lid scrubs to clean the eyelid margin is helpful.

The presence of diabetes can be tested by simple blood tests like random blood sugar. Since there is family history of diabetes I advice you to consult your physician and to go for blood sugar test.

Hope the information is helpful to you.

Thank you

With regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (2 hours later)
Can I purchase ciprofloxacin or erythromycin eye ointment over the counter? Who performs lid scrubs? Can I do myself? How? Can I purchased over the counter? Do I have to go to doctors office for that? Just to be clear Blepharitis is the same as seborrhea correct??
doctor
Answered by Dr. Dadapeer K (18 minutes later)
Brief Answer:
You yourself can do lid scrubs.

Detailed Answer:
Hello
Thank you for the follow up question.

Ciprofloxacin or Erythromycin eye ointment can be purchased and it needs to be applied to the eyelid margin during night and massaged slightly.
Lid scrubs are also available commercially. Otherwise you can use a cotton bud dipped in XXXXXXX baby shampoo diluted with warm water for massaging over the eyelid margin.
Usually blepharitis is a chronic condition and treatment is required for 1-3 months depending on the severity of the condition.
Hence I advice you to consult your ophthalmologist once for confirmation of diagnosis and treatment depending on the severity of the condition.

Seborrhea is a type of blepharitis and it is called as seborrheic blepharitis. The treatment for this is by lid scrubs as I have described already. If the seborrhea of the scalp it needs attention at the same time.

Hope the information is helpful to you.
Please do write back to me for any other questions. Happy to help you.

Thank you
With regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dadapeer K (2 hours later)
I don't think Ciprofloxacin or Erythromycin eye ointment can be purchased over the counter here in Maryland. Do they have other names? Where can I find here?
doctor
Answered by Dr. Dadapeer K (1 hour later)
Brief Answer:
You need to use any of the antibiotic eye drops.

Detailed Answer:
Hello
Welcome to Health care magic
Thank you for the follow up question.
Ciprofloxacin, Erythromycin are antibiotics. You can use any of the antibiotic eye drops like ofloxacin, moxifloxacin, tobramycin.....

In few countries, over the counter medications of these antibiotics is not available, in that case you have to contact your family physician for prescription of any of the antibiotic eye drops.

Hope the information is helpful to you.

Thank you
With regards


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dadapeer K

Ophthalmologist

Practicing since :2003

Answered : 5709 Questions

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What Does A Small Bump Is Under Eyelid Indicate?

Brief Answer: It is inflammatory swelling of glands, chalazion. Detailed Answer: Hello Welcome to Health care magic. I am Dr. DADAPEER K, an Ophthalmologist and I answer health problems related to eye. I reviewed your history and the photos attached with the question. It seems from the history that you are having small bump under the left eyelid, with repeated recurrences. This is because of inflammatory swelling of the glands of the eyelids like chalazion. The treatment is by hot compression in the initial stages. In later and long standing stages it requires treatment by intralesional steroid injection or by incision and curettage. In case of repeated recurrences we need to rule out predisposing conditions like diabetes, eye conditions like blepharitis...... Hope the information is helpful to you. Please do write back to me for any other questions. Happy to help you. Thank you With regards