TY - CHAP M1 - Book, Section TI - Chapter 13. Bumps Around the Eyes A1 - Lueder, Gregg T. PY - 2011 T2 - Pediatric Practice: Ophthalmology AB - Table Graphic Jump Location|Download (.pdf)|PrintThe Problem“My child has a bump on (or near) his eye.”Common CausesNewbornsHemangiomaDermoidMucoceleOlder childrenStye/chalazionOther CausesNewbornsConjunctival dermolipomaEncephaloceleOlder childrenMolluscum contagiosumKeratin cystsPilomatrixomaConjunctival nevusKEY FINDINGSHistoryInfantile capillary hemangiomaInitially noted in first few weeks of lifeGrows rapidly in first 1 to 2 monthsOrbital dermoidPresent at birth (though may not be noticed until later)Most commonly located at superolateral orbitMucocelePresent at or shortly after birthMass on medial canthusMay have symptoms of lacrimal obstructionIf large, associated nasal cyst may cause respiratory difficultiesStye/chalazionInitial eyelid erythema (may mimic cellulitis)Usually evolves into discrete noduleExaminationInfantile capillary hemangiomaVascular-appearing lesionIf subcutaneous, vascular character may not be visibleMay have hemangiomas elsewhere on the bodyDermoidSmooth, firm, subcutaneous noduleMost commonly located at superotemporal orbital rimMucoceleUsually blue-tinged mass overlying lacrimal sacIf infected, becomes erythematousMay have periocular crusts, dischargeStye/chalazion/hordeolumInitially may have diffuse eyelid swelling and erythema (may mimic cellulitis)Usually develop erythematous nodule, often with white centerMay drain spontaneouslyIf chronic, usually firm noduleMay have multiple, recurrent lesionsBlepharitis common (crusts of lashes, erythematous lid margin) SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=56150324 ER -