Eyelid lumps and bumps

They are asymptomatic. These are hidrocystomas. They are usually of eccrine or sweat gland origin. Simply incising them with a needle will cause them to empty but they may recur. They can be punch excised or treated with a CO2 laser. Surprisingly they also respond to atropine drops, but this causes problems if the drops get into the eye. Apocrine hidrocystomas also occur in this area but they tend to have a bluish tinge about them. Notably, the lesion on the upper eyelid seen here was a basal cell carcinoma.
For histology of these lesions, see www.skinconsult.com.au

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