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Stye of the upper eyelid 8-year-old boy with an external hordeolum of lower lid. The first sign of a stye is a small, yellowish spot at the center of the bump that develops as pus and expands in the area. [7] Other stye symptoms may include: A lump on the top or bottom eyelid; Localized swelling of the eyelid; Localized pain; Redness; Tenderness
The conjunctival inflammation is called "active trachoma" and is usually seen in children, especially those in preschool. It is characterized by white lumps in the undersurface of the upper eyelid (conjunctival follicles or lymphoid germinal centers) and by nonspecific inflammation and thickening, often associated with papillae.
Conjunctival concretions are generally asymptomatic.Common symptoms include eye discomfort, eye irritation, and foreign body sensation. Sometimes, the larger, harder or multiple concretions make the rubbing off of the superficial layers of the conjunctiva or eyelids to cause conjunctival abrasion, especially prominent when blinking.
The upper eyelid crease is a common variation between people of White and East Asian ethnicities. [9] Westerners commonly perceive the East Asian upper eyelid as a "single eyelid". [9] However, East Asian eyelids are divided into three types – single, low, and double – based on the presence or position of the lid crease. [10]
An epicanthic fold or epicanthus [6] is a skin fold of the upper eyelid that covers the inner corner (medial canthus) of the eye. [3] However, variation occurs in the nature of this feature and the presence of "partial epicanthic folds" or "slight epicanthic folds" is noted in the relevant literature.
The lacrimal caruncle is found at the medial canthus of the eye. [1] It consists of skin, hair follicles, sebaceous glands, sweat glands, accessory lacrimal tissue and other tissues that are present in the skin and accessory lacrimal glands.
The eyelid is injected with a local anesthetic, a clamp is put on the eyelid, then the eyelid is turned over, an incision is made on the inside of the eyelid, and the chalazion is drained and scraped out with a curette. A scar on the upper lid can cause discomfort as some people feel the scar as they blink.
Treatment can include warm compresses to thin the secretions and eyelid scrubs with a commercial eyelid cleanser or baby shampoo, [17] [13] or emptying ("expression") of the gland by a professional. Lifitegrast and ciclosporin are topical medication commonly used to control the inflammation and improve the oil quality.