Eyelid Disorders

Question 1

What is the presentation of a chalazion?

Answer 1

Gradually enlarging firm painless lump

Question 2

What is the presentation of blepharitis?

Answer 2

Bilateral sore, gritty eyes worse in the morning

Eyelids may stick together on waking

Question 3

What is the presentation of a stye?

Answer 3

Acute onset
Unilateral eyelid pain
Discrete area, tender on palpation
Pustule head may be seen

Question 4

Outline appropriate lid hygeine advice

Answer 4

Dilute baby shampoo 1:10 with warm water and use cloth or cotton bud to gently wipe along the lid margins to clear any lid debris.

Eyelids should be cleaned twice daily initially, then once daily as symptoms improve.