What does it mean if there's a small white spot inside the eyelid?

Apr 19, 2023 Source: Cainiu Health
Dr. Cui Xin
Introduction
A small white spot inside the eyelid may be related to factors such as styes, chalazia, or conjunctival concretions. It is important to visit an ophthalmologist early for examination and diagnosis, and to select appropriate treatment based on the specific cause, including medication or, if necessary, surgical intervention. Additionally, conditions such as blepharitis could also be responsible. It is essential to maintain good eye health, take preventive measures, and seek prompt medical attention upon noticing any abnormalities.

A small white spot appearing inside the eyelid may be related to factors such as hordeolum, chalazion, or conjunctival concretions. It is important to seek prompt ophthalmologic evaluation and diagnosis, followed by treatment based on the underlying cause, including medication or, if necessary, surgical intervention.

1. Hordeolum

When purulent bacteria invade the glands of the eyelid, an inflammatory reaction occurs, irritating the eye and causing symptoms such as a hard lump, pain, redness, and swelling. Mild cases can be treated under medical guidance with medications such as levofloxacin hydrochloride ophthalmic gel, tobramycin ointment, or tobramycin eye drops. If abscess formation occurs, surgical incision and drainage should be considered.

2. Chalazion

If the opening of a meibomian gland becomes blocked, it can lead to an aseptic small cyst, forming a round subcutaneous nodule in the eyelid, sometimes accompanied by redness, swelling, and pain. In early stages, local warm compresses using a warm towel are recommended. If the condition worsens, surgical excision of the chalazion may be required. Postoperative care should include maintaining hygiene of the affected eye.

3. Conjunctival Concretions

Chronic conjunctival inflammation leads to local inflammatory exudation, which over time accumulates dead tissue, resulting in symptoms such as foreign body sensation and eye pain. Once diagnosed, patients should consult a doctor about undergoing concretion removal procedures. After surgery, adequate rest is essential, and eye strain should be avoided.

In addition, such spots could also result from sweat gland tumors (syringomas). It is important to maintain good eye health, take preventive measures, and seek timely medical attention upon noticing any abnormalities.