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Welcome to question of the day #37
Why do some patients complain of a tender eye lid (that looks ‘white and quiet’ on examination)?
This is often reported by patients with one or more of the following:
Prior history of chalazia, hordeolae, or ‘styes’
Acne rosacea
Ocular rosacea
Acne vulgaris
Meibomianitis, often with generally ‘oily skin’.
Commonly the cause is an early or non-organized chalazion.
Management
Hot packs 4-5x daily for two weeks
Meibomian gland expression in the practice and/or, at home
Lid scrubs.
If these are unsuccessful then referral to a medical practitioner asoral tetracyclines or steroid injections(into the lid) are clinically warranted.