Skip to main content

Eyelid skin problems

miiskin-3-2-133__scalewidthwzewmf0-8268734-6234750

Ad

Skin cancer

Application to facilitate skin self-examination and early detection. read more.

Text: Miiskin.

Introduction

Although the eyelids can be involved with many skin conditions, the most common are listed here.

Skin lesions

Painless and stable solitary lesions

  • Mole (melanocytic nevus), including congenital melanocytic nevus

  • Seborrheic keratosis
  • Freckles and brown marks
  • Chalazion (lipogranulomatous inflammation of the Zeis sebaceous gland at the base of the eyelash, or meibomian gland on the inner aspect of the cap; due to occlusion) – a firm, painless swelling
  • Salmon patch (angel kiss)

  • Suderiferous cyst (transparent papule containing clear fluid)
  • Other types of cysts
  • Trichoepithelioma
Solitary painless lesions stable and without eyelids

eyelid-01__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-7613000-8601971

Dermal nevus

eyelid-02__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-5801539-7455960

Seborrheic keratosis

eyelid-03__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-5433798-6649659

Suderiferous cyst

eyelid-05__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9217723-6724367

Zeiss cyst

kissing-naevus-1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-4411610-6353891

kissing naevus

Growth of solitary lesions

Skin cancers progressively enlarge.

  • Basal cell carcinoma
  • Actinic keratosis
  • Intraepidermal carcinoma
  • Scaly cell carcinoma
  • Keratoacanthoma
  • Atypical fibroxanthoma
  • Sebaceous carcinoma
  • Melanoma
eyelid skin cancer

eyelid-06__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildbd-3309449-8471886

Basal cell carcinoma

eyelid-07__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-5294704-1026866

Keratoacanthoma

eyelid-10__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4403723-2837888

Atypical fibroxanthoma

eyelid-08__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3409645-4484278

Melanoma

Multiple injuries

  • Skin tags
  • Actinic keratosis
  • Xantelasma palpebrum
  • Syringoma
  • Cysts
  • Milia
  • Moniliform blepharrhosis in lipoid proteinosis (extremely rare)
Eyelid injuries.

eyelid-39__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildrd-4394008-7429612

Skin tags

eyelid-12__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-9582888-8922102

Syringomas

eyelid-13__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2015642-3633897

Milia

xanthel1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildbd-2205912-7109230

Xanthelasma

Infections that affect the eyelids.

Bacterial skin infections

  • External hordeola (sty, infection from the tab follicle, usually caused by staphylococcus bacteria )
  • Internal hordeola (meibomian gland infection)
  • Bacterial conjunctivitis
  • Erysipelas or preseptal or orbital cellulitis (infections of the tissues around the eye), which is often due to the spread of the infection to the sinuses (responsible for orbital cellulitis), respiratory tract, impetigo, abscesses, traumaor insect bites
Bacterial eyelid infection

eyelid-16__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1222564-4269104

External hordeolum

eyelid-04__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-2524371-1344419

Internal hordeolum

eyelid-17__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-7404383-1610122

Erysipelas

eyelid-18__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9798578-3555401

Impetigo

Viral skin infections

  • viral conjunctivitis
  • Herpes simplex (caused by the cold sore virus)

  • Herpes zoster ophthalmicus (shingles, caused by the chickenpox virus)

  • Viral warts
  • Molluscum contagiosum
Viral eyelid infections

eyelid-19__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9637908-3911621

Herpes Simplex

eyelid-20__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildi3xq-5568683-9353557

Herpes infection

eyelid-14__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3930278-1035359

Viral wart

eyelid-15__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6018643-3124364

Molluscum contagiosum

Fungal skin infections

  • Tinea faciei
  • Kerion

Infestation

  • Demodex Pinch eyelash infestation

  • Pediculosis pubis (pthiriasis), also called crabs or pubic lice
Fungal infections of the eyelids

eyelid-42__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-7575866-9372508

Tinea faciei

eyelid-21__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-6928367-1349813

Tinea faciei

eyelid-40__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9919667-3065710

Kerion

Inflammatory skin conditions that affect the eyelids

Dry itchy patches

  • Blepharitis
  • Atopic dermatitis
  • Allergic conjunctivitis and keratoconjunctivitis
  • Contact dermatitis, including irritating and allergic contact dermatitis

  • Seborrheic dermatitis
  • Psoriasis
eyelid dermatitis

eyelid-41__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3763204-3634676

Infected eczema

eyelid-24__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6599441-5810389

Atopic eczema

eyelid-25__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildnd-7379968-6501526

Contact dermatitis

eyelid-26__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildiwxq-6663765-8420934

Seborrheic dermatitis

Dry itchy patches

  • Discoid lupus erythematosus
  • Psoriasis
Dry eyelids

facial-psoriasis11__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6329771-6199821

Psoriasis

eyelid-27__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1241561-8160290

Psoriasis

eyelid-28__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3636166-6235448

Discoid lupus

Papules and pustules

  • Ocular rosacea
  • Blepharitis
  • Periorificial dermatitis
  • Acne agminata

Acne vulgaris tends to avoid the eyelids.

Papules and pustules of the eyelids.

eyelid-30__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildrd-7184861-3243806

Rosacea

eyelid-31__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8297258-3712393

Periocular/perorificial dermatitis

eyelid-29__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6694627-1900224

Acne agminata

Blisters and erosions

  • Stevens Johnson syndrometoxic epidermal necrolysis
  • Cicatricial pemphigoid
  • Pemphigus vulgaris
  • Erosive lichen planus
Eyelid erosions

eyelid-32__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-2070884-9049827

Stevens Johnson syndrome

eyelid-33__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3919192-8964400

Cicatricial pemphigoid

eyelid-34__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-9963600-4040568

Pemphigus

Swelling

  • Contact dermatitis
  • Atopic dermatitis/eczema
  • Blepharitis
  • Photosensitive contact dermatitis (usually avoids folds and upper eyelids), including drug-related photosensitization
  • Angioedema or urticaria
  • Rosacea
  • Orofacial granulomatosis
  • Sinusitis
  • Conjunctivitis
  • Injuries including swelling after surgery or cryotherapy
  • Ascher syndrome

Systemic Disorders can mimic eyelid disease by causing swelling or redness of the eyelid:

  • Dermatomyositis
  • Myxedema
  • Thyroid eye disease
  • Superior obstruction of the vena cava
  • Sjogren's syndrome
  • Granulomatosis with polyangiitis
  • Churg-Strauss vasculitis
  • Amyloidosis
  • IgG4-related disease
  • Orbital and ocular lymphoid hyperplasia
  • Orbital attached lymphoma
  • Idiopathic orbital inflammatory disease
Eyelid swelling

eyelid-38__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7656498-5530600

Postoperative edema

eyelid-35__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-9912216-8946517

Angioedema

eyelid-36__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-2414362-2751962

Dermatomyositis

eyelid-37__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisinkildm2xq-3050010-2225603

Amyloidosis

Dry and irritated eyes

  • Keratoconjunctivitis sicca

Discoloration

  • Dark circles under the eyes
Open chat
💬 Need help?
Hoogstra medical centers
Hello 👋How can we help you?