Here are 2 scenarios:
1: The swelling is at the eyelid margin at the root of an eyelash. It is red and tender. Child complains of pain Dx. Style. Treat with warm compress. Do not try to squeeze.
Use Antibiotic ointment. Your physician may epilate the eyelash and release the pus. Use topical antibiotics for a few days till it resolves. Keep eyelashes clean.
2: Swelling is round, mobile, non tender, at the margin or on the eye lid. No pain. Dx. Chalazion. Treat with warm compress at least 20-30 minutes twice daily. Often times 4-6 weeks. Continue the same until it begins to leak. Be patient. Do not squeeze.
No need to consult an ophthalmologist.
Hope this helps,
However if it’s localised then it might just be a chalazion which doesn’t usually require intervention especially when it involves the lower lid only. But considering the history I wouldn’t be too keen to make a diagnosis of chalazion without seeing the child.
Treatment is often to roll up a wash cloth like a shushi and dip it into warm (not hot) water, squeeze out the drips and place on the closed eye for 30 seconds. Remove, replace in warm waters down, repeat for another 30 seconds. Continue that routine for 5 minutes and do that for five minutes, 4 times a day.
Your doctor may ask you to take an antibiotic eye drop after each session. The lump should go away within a week. If not, check with an ophthalmologist.
Roger Ohanesian, MD