Date of last review: Due to be updated

Differential diagnosis

  • Hordeolum (external or internal)
  • Sebaceous cyst of skin
  • Sebaceous cell carcinoma (consider if lesion recurrent)

Possible management by Optometrist

Treatment

  • Regular lid hygiene as for blepharitis
  • Hot compresses and massage

Advice

  • Majority resolve spontaneously (may take weeks/months)

Management Category

  • Normally no referral
  • Routine referral if
    • Persistent or recurrent
    • Causing significant astigmatism
    • Cosmetically unacceptable

Possible management by Ophthalmologist

  • Incision and curettage where appropriate
  • Intralesional Triamcinolone injection
  • Excision biopsy if recurrent at same site to look for tumour or malignancy