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SYMPTOMS
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Usually asymptomatic. Sometimes discomfort
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SIGNS
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Elevated, hard lid lesion
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WORK-UP
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Thorough history. Slit lamp examination
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TREATMENT
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Lid cleaning | warm compresses | antibiotic/AB-steroid combo drops or ointment | Doxycycline 100mg qd-bid | Incision and curettage | Intralesional steroid injection | Photobiomodulation
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FOLLOW-UP
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Frequent follow-ups are rarely necessary. Follow-up after surgery to assess recovery.
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ETIOLOGY
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Granulomatous inflammation of a meibomian gland. Staphylococcal species are the most common bacterial source.
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DIFFERENTIAL DX
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Preseptal cellulitis | hordeolum | sebaceous carcinoma | pyogenic granuloma
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NOTES
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Association with demodex, hordeolum, and blepharitis.
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