Eyelid Lesions: Causes and Treatments

Eyelid lesions develop for many reasons, such as infections, blocked glands, or early signs of skin cancer. Some remain small and painless, while others grow larger, change color, or cause irritation.

Certain changes should prompt a closer look at the eyelid.

• A visible bump or lump on the eyelid
• Changes in skin color or texture, such as redness, scaling, or unusual pigmentation
• Pain, tenderness, or discomfort when touching the eyelid
• Itching or a burning sensation near the eyelid
• Lesions that affect eyelid movement or block vision

Early assessment helps protect eye health and vision.

• A bump that grows quickly or changes in shape or color
• Persistent pain, itching, or irritation around the eyelid
• Lesions that bleed, crust, or do not heal
• Eyelashes that grow abnormally or begin to fall out
• Blurred or obstructed vision
• A personal history of skin cancer or high sun exposure

Warm compresses can relieve swelling and improve drainage, especially for blocked glands or infections. Antibiotics may be prescribed when bacteria are involved.

Several procedures safely remove lesions while preserving eyelid function.

• Punch biopsy removes a small circular section for diagnosis.
• Excisional biopsy removes the entire lesion along with a small margin of normal skin.
• Mohs surgery removes thin layers one at a time, checking each under a microscope to ensure all cancer cells are gone.

Blood-thinning medicines may need to be paused, always under medical guidance. Local anesthesia numbs the eyelid, and a protective pad is placed afterward. Vision can be blurry for a short time, so arrange for help getting home.