This guideline last updated 06/05/2022 17:39:09

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