My Eyelids Are Different, I Had Stye Twice in my Life and I Think That Was the Cause of Uneven Eyelids. What Can I Do? (photo)

Chalazion is an eyelid sty that doesn't go away.  It results from blocked tear glands in the eyelids, secondary to thick oil and blepharitis.  It can cause mechanical eyelid ptosis (droopy eyelid) and eye irritation, or it can be subtle.  Treatment options for chalazion include local injection with steroid and/or excision.  Consult an oculoplastic surgeon.

A stye refers to acute swelling and inflammation of an eyelid.  Often when the stye resolves, what you are left with is a chalazion.  This is a organized inflammatory nodule that is caused by oils from a plug meibomian gland leaking into the eyelid.  The oils are very irritating and the body attacks them which produced the initial inflammation (stye) and ultimately this organizes into the chalazion.  These can persist.  An injection of kenalog usually resolves these without the necessity of surgery, which is generally very destructive to eyelid tissue.  When the chalazia is resolved the ptosis should also resolve.

Hi Eye Guy,

You may have a cyst below the skin of your eyelid.  Best to consult with an oculoplastic surgeon for proper diagnosis and treatment.  Good luck and be well.

Dr. P