Eyelid skin cancers are common. Their treatment is routinely accomplished without aesthetically significant disfigurement or eye problems. It is best to surgically excise eyelid skin cancers as this affords the greatest opportunity to completely eradicate the malignancy the first time. Special surgical techniques are available to reconstruct all necessary anatomy including not only the skin, but also the conjunctiva (moist inner lining of the eyelid), tear ducts, tendons, etc.
Eyelid skin cancer is a medical problem and therefore always covered by health insurance. It is not necessary (or helpful) to have vision insurance for treatment of eyelid malignancies.
Diagnosis is made by performing a simple biopsy in the office. This procedure is quick with minimal discomfort. Biopsy should not be considered a treatment to completely eradicate a cancerous tumor. Rather, it is undertaken to reach a definitive diagnosis.
Dr. Lensink undertakes most skin cancer surgery in a state-of-the-art outpatient surgery center. To learn more about our straightforward "5 STEP PROCESS" to surgically treat Eyelid Skin Cancers Click Here. Under most circumstances, tumor excision and reconstruction can be completed in a single surgical setting. Less commonly a second stage procedure is required.
The most common eyelid skin cancer is basal cell carcinoma. These tumors typically do not spread to other parts of the body. The second most common eyelid skin cancer is squamous cell carcinoma. Squamous cell carcinomas in general are more likely to spread elsewhere in the body, but when they occur in the eyelid they are less likely to do so.
If there is reason to suspect an eyelid malignant tumor has or possibly might spread elsewhere in the body, Dr. Lensink will work with your primary care doctor to engage the services of appropriate medical specialists.
Benign eyelid tumors are very common and of many different types. The most common seen in our practice include papilloma, seborrheic keratosis, actinic keratosis, skin tags, and mole or nevus. They can typically be removed if they cause symptoms or present an aesthetic concern, but are often left alone. We recommend biopsy when a noncancerous diagnosis can't be made with confidence from clinical examination. Some are considered to be "premalignant" and are therefore best removed.
Smaller benign tumors can most often be removed in the office at the time of initial evaluation. Local anesthetic is administered, the eyelid is prepped, and the lesion removed. A variety of techniques are available to remove lesions including crytherapy (freezing), scraping, laser, and excision. For a variety of reasons, the technique we nearly always use is excision.
Excision of larger benign tumors is often best scheduled in the office at a later date. Occasionally with adults, we perform excision of some larger tumors in an ambulatory surgery center. When caring for children we nearly always remove them in a surgery center. To learn more about our straightforward "5 STEP PROCESS" to surgically treat Benign Eyelid Tumors Click Here.
A hordeolum (hôr-dē'ə-ləm), is a tender inflamed area in the eyelid. It is technically not a tumor, but an area of bacterial infection, often associated with an abscess within the lid. Appropriate treatment includes oral antibiotics and hot compress. Less commonly an abscess must be drained.
Small hordeola are commonly treated with antibiotic eye drops or ointment. Large hordeola require antibiotic pills. It is important to differentiate a hordeolum which is limited to the superficial eyelid tissues, from a more serious infection involving tissues behind the eye (orbital cellulitis).
A chalazion (kə-lā'zē-ən, -ŏn'), is a firm, usually non-tender bump in the eyelid. Most are beneath the skin, but some cause skin redness and less commonly disrupt the skin surface. It is caused by a non-infected inflammatory process in an eyelid oil gland.
In our office, treatment is undertaken at the time of initial evaluation if desired. We gently anesthetize the lid, apply a small instrument to isolate the chalazion, and clean out the cystic pocket. Once the lid has been anesthetized, the procedure takes about five minutes. Following the procedure, we apply antibiotic ointment and a patch that is to be left in place for a few hours. Thereafter we recommend prescription eye drops for about two weeks.
A sebaceous (sēbā′shəs), cyst is a cyst in the skin that comes about when an oil gland loses its opening to the skin surface, but continues creating oil. As this oil accumulates, a cyst develops.
Small eyelid sebaceous cysts can usually be removed in a matter of minutes at initial consultation in our office. Larger sebaceous cysts may require additional time for removal and therefore require scheduling at a later date, but are nearly always removed in the office. Post treatment care is typically very minimal.