Eyelid Lesions &

An eyelid lesion is a growth that develops on the eyelid. Most eyelid lesions are not vision-threatening or life-threatening, but you should be evaluated by your eye doctor to ensure there are no concerns. A malposition is when the eyelid is not in its normal anatomical position which can affect peripheral vision, its ability to protect the eye and tear drainage.

Eyelid Lesions

Cancerous Lesions

  • Basal Cell Carcinoma
  • Squamous Cell Carcinoma
  • Melanoma
  • Sebaceous Cell Carcinoma
  • Actinic Keratosis

Non-Cancerous Lesions

  • Papilloma
  • Seborrheic Keratosis
  • Cyst
  • Molluscum Contagiosum
  • Xanthelasma
  • Nevus

Inflammatory Lesions

  • Stye
  • Chalazion


Upper lid malposition can cause:

  • Drooping of upper lids
  • Obstruct peripheral vision

Low lid malposition can cause

  • Excessive tearing due to poor tear flow
  • Irritation/Foreign Body Sensation due to mechanical irritation from eyelashes

Upper lid conditions

  • Ptosis
    • Drooping of Upper Eyelid due to muscle or tendon laxity
  • Dermatochalasis
    • Hooding of upper eyelid due to excess skin
  • Trichiasis
    • Misdirection of eyelashes
    • Rub Against surface of eye

Lower lid conditions

  • Ectropion
    • Outward rotation of lower eyelid
    • Causes excessive tearing as tears cannot be properly directed to tear ducts for drainage from the eye
  • Entropion
    • Inward rotation of lower eyes
    • Causes irritation due to eyelashes being misdirected against cornea (Surface of eye)
  • Trichiasis
    • Misdirection of eyelashes
    • Rub against surface of eye