Usually, inflammatory eyelid masses include:
1. Palpebral adenitis: divided into internal and external two kinds
2. Meibomian gland cyst
Palpebral adenitis, commonly known as wheat granuloma, is an acute infectious inflammation. In the acute stage, there are acute inflammation manifestations of swelling and heat pain. It can be palpable and hard, but the boundary is not clear. In the early stage, cold compress, after the acute stage, the hardening is limited, and the swelling pain is obviously alleviated. (At this time, the operation is the best). Then it develops inside and outside, and softens and bursts. Some of them appear pus when softening, and many of them are accompanied by acute inflammation. I think treatment: can puncture pus, release part of pus, apply antibiotics all over the body, change dressings every day, observe the outcome (I have tried 5 cases, the effect is good, only one case needs reoperation, the rest are cured).
But I think there will be other changes.
1. Bacteria may be killed during acute inflammation after active antibiotic therapy, rest, cold compress and antibiotic use. Inflammation subsides spontaneously, leaving no signs of sequelae such as sclerosis, and recovers. Some leave a sclerosis, which can be distinguished from chalazion according to the history of the disease, but the operation should be done like chalazion, because there may be fibrous cysts formed, although the contents are different.
2. After the acute stage, it may harden and soften, but it does not break down. In turn, it may form eyelid abscess.
Internal eyelid adenitis usually develops toward the palpebral conjunctival surface. Surgery naturally occurs on the palpebral conjunctival surface.
External eyelid adenitis generally develops to the skin. It is said in the book that the incision is made on the skin, but considering that some family members are worried about the possibility of skin scar formation affecting the appearance, they can also choose the eyelid conjunctival surface for incision.