In most cases, an experienced ophthalmologist can make a visual diagnosis or judge what type of growth it is based on the location and appearance of the tumour. Examples of benign eyelid changes include Barley grain, that Hailstone, warts or even fat deposits in the eyelid skin, so-called xanthelasms, as well as blood sponges.
In the case of benign findings, a wait-and-see observation with photo documentation is often sufficient. Because the eyes are very centrally located on the face, tumours in this area are often cosmetically disruptive. With a minor procedure, they can usually be easily removed under local anesthesia. If it cannot be ruled out with certainty whether it is a malignant tumour, the removed tissue is sent to the laboratory for histological processing.
Papillomas are small benign tumors or warts that often grow in the area of the eyelids.
Xanthelasmas are sharply defined, yellowish to reddish cholesterol deposits in the skin. Half of the affected patients have dyslipidemia, i.e. elevated blood lipid levels, which can also cause atherosclerosis. In approximately 40% of patients, xanthelasma recurs even after surgical removal. The lesions can also be removed with laser or icing, although the risk of recurrence is higher than with surgical removal of the affected area of skin.
Blood lipid levels in patients with xanthelasma should be checked by the general practitioner and treated if necessary.
Cysts are cavities in tissue that are lined with a fine cuticle. These are usually caused by an outflow disorder, e.g. in a gland. Opening and emptying a cyst alone causes it to fill up again over time, so the wall of the cyst must also be removed in order to fix the problem in the long term and prevent a recurrence.
Benign eyelid tumours usually only affect the top layers of skin and can therefore be easily removed. Pedunculated superficial papillomas can be cut off under the stem using “shaving.” In the case of larger papillomas or xanthelasmas, the entire skin is removed. Stem of the tumour In the case of larger papilloma, local anesthesia is required and, in case of doubt, the removed tissue is sent for histological evaluation.
In the case of larger eyelid warts, small vessels must also be obliterated to stop the bleeding. In this case, unaffected skin areas are mobilized to cover the defect without tension after excision. Deep layers of fabric are adapted with self-dissolving threads and the superficial skin is sutured with nylon threads.
No, it is very unlikely that an eyelid tumor will regress without treatment.
No, with pedunculated papillomas, you only feel a short pick and with deeper papillomas, the operating area is anesthetized with lidocaine.
For the first two weeks, you should keep the wound dry, avoid rubbing it, and don't put on makeup. Tobradex eye ointment twice a day prevents infections and inflammation.
Approximately one week after the procedure, sutures that do not dissolve by themselves may be removed.
Yes, if not all tumour tissue is removed, the same eyelid tumour can regrow again. We are therefore trying to completely remove the tumor in Toto.
