This is the commonest eyelid lump in all ages. It is caused by blockage of the meibomian gland orifice such that the secretions accumulate. A granulomatous inflammation is set up, which results in a painless, round, firm, slowly growing lump in the tarsal plate (Figure 15.3). The cyst can become infected, when it becomes red hot and painful. Treatment is by incision and curettage.
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