Does anyone know how it is that people start reading a blog? Does the author tend to comment on other websites and hope that those people reading that website will venture over to this part of town. I know when I comment on a post I want it to be worthwhile and not just a random promotion but I know I’m at a point where I want people to see what’s written here and give me their thoughts. I think that time will come when I write a piece that I know I need to tell the world. For now I’m happy writing for myself and those few who chose to follow this blog. I hope one day I can compile a list of stories and interesting consultations from over the years.
Interesting Case of the Day
Today I was presented with a 6 year old who had 2 cystic lumps over the upper eyelid and the lower eyelid. It was initially treated as a stye and managed with antibiotics. The practice point in this presentation is that a stye needs to have an associated hair follicle in the area that’s affected. This was close but not part of a hair follicle. This was in fact a chalazion or meibomian cyst and the treatment is different. You can confirm their presence by inverting the eyelid. Once I knew what it was I advised mum to apply warm compresses on it (for 5-10 minutes approximately 3 times a day). This is the definitive treatment and baby shampoo can be used to prevent recurrence when applied over the eyelid. In the instance where it is infected, oral antibiotics may be used. If there is no improvement then of course you’ll need to make a specialist referral to remove the cyst. Sometimes we just have to look a little closer.