EYELID CYSTS

Eyelid cysts can be fluid filled or epithelial. Fluid-filled cysts are called apocrine hidrocystomas. They transilluminate meaning they glow as the internal fluid is highlighted with an external light source. These lesions can be translucent or bluish in color. Multiple cysts can be present. Treatment involves complete excision of the cyst to prevent a recurrence.

Solid cysts of the epidermis are called epidermal inclusion cysts. They form from either the base of a hair follicle or from a surface epithelial cell being trapped below the skin surface. The lesions are slow-growing, round, elevated and smooth. If a cyst ruptures, the surrounding tissues can become markedly inflamed and/or infected. Treatment involves complete excision of the lesion.