Eyelid nodule outcomes

1 April 2017 | Fiona Rowe (Prof) | EYE - Paediatrics, EYE - Strabismus

Idiopathic facial aseptic granuloma (IFAG) is a recently defined paediatric dermatology disorder. This study presents the clinical outcomes of children with IFAG nodules on their eyelids with or without facial nodules and aim to compare the outcomes with those presenting with Hordeola and Chalazia on their eyelids. This retrospective review identified records for 50 children: 24 females and 26 male – 14 with IFAG, 28 with >1 Hordeola and eight with >1 Chalazion. IFAG patients had no history of trauma at or near the lesion and all were in good health. Sixty-four percent had only ocular involvement (eyelid nodules); 36% had IFAG nodules on the lids and face; 64% had multiple lesions. There was no diagnosis of rosacea. Duration of lesions was longer in patients with Chalazia. Duration of the lesions and treatment response time were shorter in children with IFAG. Treatment for Hordeola was antibiotics and these patients had similar treatment responses to IFAG. Chalazia were managed surgically. All IFAG patients responded well to antibiotic treatment – 85% had complete resolution. Seventy-one percent of those with Hordeola had complete recovery and all with Chalazia had complete recovery after surgery.