Eyelid Contact Dermatitis
Eyelids cosmetics and cleansers are usually used on the eyelids or eyelashes. These can cause an irritant or allergic reaction in patients sensitive to such cosmetics and cleansers. Patients will complain of itching, burning and redness.
Eye drops, contact lens and medicaments may also cause eyelid contact dermatitis. If you have eyelid dermatitis you should consult your doctor who will prescribe some creams and refer you to a dermatologist for allergy test if necessary.
Atopic Dermatitis is a genetic skin disorder. Patients with atopic dermatitis often have eyelid involvement The skin may be red, scaly and sometimes oozing. Itch is common.
Many patients are also allergic to housedust. Housedust may aggravate their eye inflammation.
Bacterial Skin Infection (Impetigo or Conjunctivitis)
Like skin elsewhere, bacteria can infect the eyelids. The eye will show a thick, sticky yellow discharge and the eyelids may be red with yellow crusts. Impetigo is most commonly seen in children. Good hygiene and antibiotics are needed to clear bacterial infection.
These are flat to slightly raised yellowish plaques on the upper and lower eyelids. They are associated with high blood cholesterol or Triglycerides level in about 20% of people with this condition. Sometimes there will be a family history of similar problem. Patients with high cholesterol or Triglycerides should have their lipid level controlled before surgery.
These are tiny skin coloured growths on the eyelids. Several family members may have the same lesions. These growths are harmless. They are enlarged, under developed sweat glands. Syringomas usually appear during adolescent and adulthood. Most people choose to leave these skin growths alone.
Skin Tags Small outgrowths of skin can be seen around the eyes and the eyelids in some individuals . Similar skin outgrowths are often seen on the neck and chest. These growths are skin coloured and harmless.
These are small white or yellowish white skin growths often seen on the eyelids or temple . They are very small and resemble millet seeds. They can be removed surgically for cosmetic reasons. They represent obstructed sweat ducts.
Dark Rings Round The Eyes – Dark Circles
Darkened pigmentation of the eyelids are common in many dark skin individuals. In many cases the darkening seems to vary with stress or lack of sleep. This condition is benign and may be inherited or constitutional. It is not a sign of any illness. Treatment is unnecessary.
Naevus of Ota
This is a birthmark that occurs at birth or shortly after birth as a patch of blue-black discolouration on one cheek, temple and eyelids. Usually one side of the face is affected although occasionally both sides of the face may be blue, black discolouration is present on the white of the eye.
These are vascular birthmarks. It can appear as a large red soft growth on the eyelids. The growth will continue to enlarge and grow as the baby grows old but the growth will slowly regress spontaneously when the child is 3-4 years old. If the vascular growths are small, they can be left alone to await spontaneous regression. If large and encroaching on the eyelid, vision may be affected. They should then receive treatment.
There is another vascular birthmark. They present as flat red patches on the eyelids and the skin of the cheek at birth . Unlike strawberry naevus, portwine stains never disappear spontaneously as the child grows older. The vascular birthmarks increase in thickness and small blebs of blood vessels may be seen. These growths do not regress on their own and treatment is necessary. Most portwine stains respond to the vascular laser.
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