Eyelid Lesions & malposition treatments

Lesions

Observation

  • Many benign lesions can be observed
  • If no pain or irritation and not growing, observation is often the best treatment

Incision and Drainage

  • Cysts and Inflammatory Lesions can often be drained in the office or Operating room depending on patient age, size of lesion, and location of the lesion

Steroid Injection

  • Styes and Chalazia can be treated with Steroids injected directly into the lesion

Surgery

  • Removal of lesions may be necessary if:
    • They appear to be cancerous
    • They are large
    • They are cosmetically unacceptable
    • They are causing pain or discomfort
    • Can be done in Office or in an Outpatient Surgery Center

Malpositions

Medical Treatment

  • Ptosis
    • Newer medications available to treat mild drooping of upper eyelid (UPNEEQ)

Surgery

  • Blepharoplasty
    • Removal of excess skin and periocular tissue of upper or lower eyelid
    • Can be Medically Necessary if upper eyelids causing obstruction of peripheral vision
  • Ptosis Repair
    • Lifting upper eyelid when there is laxity of Muscles or Tendons of upper lid
  • Entropion/Ectropion Repair
    • Tightening of lower lid
    • Re-attach loose muscles/tendons
  • Trichiasis
    • Epilate (remove) aberrant lashes in office
    • More extensive repair needed if recurrent irritation or multiple eyelashes involved