What is the white thing growing inside the lower eyelid?

The appearance of a white spot inside the lower eyelid is commonly considered a clinical symptom caused by milia. Additionally, conditions such as meibomian gland inflammation (hordeolum) or conjunctival concretions may also lead to white spots on the skin of the lower eyelid.

1. Milia

Milia are tiny, pinhead-sized white bumps that appear on the skin, commonly found around the eyes in women. They occur when sebum beneath the eyelid skin becomes trapped under the keratinized layer and cannot be secreted properly, thus forming small, white, granule-like protrusions under the skin. Usually, no special treatment is required. However, for cosmetic reasons, treatments such as laser therapy or surgical removal may be considered.

2. Meibomian Gland Inflammation (Hordeolum)

Also known as stye or "pinkeye," this condition is an acute, purulent inflammation of the eyelid glands, primarily caused by Staphylococcus infection. It leads to redness, swelling, heat, pain, and pus formation in the eyelid area, making it appear as if there is a white spot. Early-stage meibomian gland inflammation can be relieved with warm compresses. For patients with bacterial infection, antibiotic medications should be used as directed by a physician, such as levofloxacin eye drops, erythromycin eye ointment, or ofloxacin eye drops.

3. Conjunctival Concretions

Also commonly referred to as eye stones, these are small, hard, yellowish, dot-like elevations on the surface of the conjunctiva, formed by the accumulation and coagulation of shed epithelial cells and degenerated white blood cells. Patients usually do not experience significant discomfort. Once diagnosed, the concretions can be removed under local anesthesia using a sterile needle or surgical blade.

In addition, conditions such as meibomian cysts (chalazion) and pinguecula may also cause white spots inside the lower eyelid. It is important to seek timely medical evaluation at a hospital to determine the underlying cause and receive appropriate treatment.