Many of the lesions around the eyes are similar to those skin abnormalities which arise in other areas of the body eg sebaceous cyst, seborrhoeic keratosis, “warty” papillomas etc. Other periocular lumps are specific to this region due to the specialised eyelid anatomy. For example, a chalazion is a granulomatous inflammation caused by extruded lipid secretions due to a blocked meibomian gland (see anatomy of eyelids).

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