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MEIBMIAM CYST - Coggle Diagram
MEIBMIAM CYST
Management
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Refer to ophthalmologist if lesion large, causing corneal distortion/interfering with eyelid function or if uncertainty of diagnosis.
Consider refer to ophthalmologist if young child, large or multiple meibomian cysts, astigmatism or mechanical ptosis
Clinical features of meibomian cysts - reassure will resolve within weeks /months rarely causing serious complications
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If cyst not improved after 4 weeks - consider no treatment.
Reassure.
Referral to an ophthalmologist for invasive treatment e.g. surgery or intralesional steroid injection
If not resolved after 6 weeks treatment - invasive treatment such as incision/curettage or intralesional steroid injection.
Further investigation such as biopsy may rule out eyelid cancer.
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Diagnosis
History - lesion, character, speed of onset, progression and duration.
Firm lump in upper /lower eyelid developed slowly over several weeks.
Lesion slightly tender initially, often painless and non tender.
Two or more lesion may occur in single eyelid.
Lesion may present or follow an acute internal stye.
Associated symptoms - pain/redness/burning/itching/limited eye movement/fever/malaise.
PMH
Known triggers/contact lens/cosmetics/previous episodes of meibomian cyst
Examination - eyelid, 2-8mm diameter subcutaneous nodule
Two/more lesions in single lid
Ptosis
Erythema/ signs of conjunctival infection
Assess - risk factors e.g. blepharitis/ seborrhoeic dermatitis. Firm, warm /tender/erythematous/oedematous eyelid with severe pain , blurred lesion, limited and painful eye movements, headache, fever, malaise suggestive of orbital cellulitis
A typical clinical features e.g. distortion of eyelid margin, eyelash loss, ulceration, bleeding suggest possible eyelid cancer
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