They are frequently benign (non cancerous), but may be malignant (cancerous).
I shall discuss eyelid features that Optometrists and Ophthalmologists pay close attention to when tentatively deciding if a lid lesion is more likely to be benign or malignant. I shall then give examples of common eyelid lesions.
Factors that Optometrists and Ophthalmologists pay attention to prior to carrying out any invasive diagnostic tests such as biopsies include; the duration of time the lesion has been present, subtle changes to colour and/or contour of the eyelid tissue, the presence of eyelid bleeding, any loss of eyelashes, whitening of the eyelashes, non healing lesions and finally increased history of sunlight exposure.
A Chalazion (stye) is a common benign lump of the eyelid. Chalazions may resolve with conservative measures including warm compresses and gentle massage. If conservative measures consistently fail, minor surgery under local anaesthetic may be carried out.
Basal cell carcinomas are common malignant lid tumours in Europe, USA and Australia. Basal cell carcinomas are characterised as non resolving lesions with pearly edges, usually present on the lower eyelid. They are usually painless and locally invasive.
