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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
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Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have a small white bump on the INSIDE of my lower eyelid.

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I have a small white bump on the INSIDE of my lower eyelid. The area around the small bump is inflammed/red. This morning when I woke up, the area under my eye was swollen a bit. That has gone away, but the little white bump and inflammation inside the lower lid is still there.
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

 


We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)


 

Expert:  Dr. Rick replied 2 years ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

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Customer: replied 2 years ago.
So where do I go from here???
Expert:  Dr. Rick replied 2 years ago.
The most common cause for swelling or bump on the eyelid is a chalazion or a stye. These bumps form when a gland in your eyelid gets plugged up and possibly infected. It is very often associated with a condition called blepharitis.

The treatment for this condition, however, is not antibiotics but rather cleaning the eyelids with baby shampoo. Buy some unscented baby shampoo and, in the shower, put the shampoo on your index fingers. Close your eyes, and raise your eyelids (to get skin out of the way) and scrub back and forth along your EYELASH margin. This is where the gland openings are located. The warm water will soften the gunk in the plugged glands, the friction and pressure of your fingers will massage the glands, forcing the gunk out and the shampoo will wash it away. You can also use warm compress to the affected lids during the day as your schedule allows.

This treatment will help to treat the bump on your eyelid while at the same time solving your underlying blepharitis. The lump may take many weeks to go away but you should notice some improvement in a few days or so.

If this doesn't work then the chalazion or stye can be removed with a straight forward surgery in your ophthalmologists office. Here is a good video that shows this procedure:

http://www.youtube.com/watch?v=Zlaeh8CBJXc

This takes care of this condition in the vast majority of cases.


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Let me know if you have further questions.

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Customer: replied 2 years ago.
The bump isn't ON my eyelid, it's INSIDE the eyelid. It's not a chalazion. It's a small white bump INSIDE the eyelid. The area around it is inflammed. The area under the eye was swollen this morning, but that swelling has gone away.
Customer: replied 2 years ago.
When I say the white bump is INSIDE the eyelid, I mean I have to pull the eyelid down to see it.
Expert:  Dr. Rick replied 2 years ago.
Yes. That is a very common spot for one of these beasts to show up. It is from a plugged gland in your eyelid.
Customer: replied 2 years ago.
So how does using baby shampoo on the outside of the eyelid treat the bump on the inner side of the eyelid?
Expert:  Dr. Rick replied 2 years ago.
Actually, the baby shampoo, warm compresses and scrubbing motion of your fingers addresses all the issues that causes the chalazion to form: It gets rid of the bacteria, removes the plugged up oils and gland secretions and massages the infected/plugged gland to encourage it to drain, along with the friction/warm compresses helping your body to move white blood cells into the area to clean up the mess.

I know most people want an $100/bottle antibiotic eye drops and, if you want I'm sure you can get your doctor to prescribe some tobradex for you. But, I can tell you my way, while it is low tech, works better.

I've even used it myself when I got a bump like yours.

As they say: Trust me. I'm a Doctor ;-)
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7852
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you
Customer: replied 2 years ago.
I trust you; I'm just a contrarian. Thanks for your answers, I appreciate it!
Expert:  Dr. Rick replied 2 years ago.
No problem. You sound like a guy after my own heart :-)

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