How to cure a swelling inside the inner portion of the eyelid in a 7-week-old child?

Question

Hello doctor,

My seven-week-old son has had progressive swelling over the past ten days in the inner upper eyelid, causing his eye to droop. When I raise his eyebrow, it looks like it has a pit in the center and is more prominent when he cries. The upper eyelid looks puffy, and the eye itself looks fine.

What could this be?

I have attached pictures for your reference.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

As per the photograph (the attachment has been removed to protect the patient's privacy) and your description, it is more likely that the child seems to be having something called a hemangioma. It is a small bulge in the wall of a blood vessel that becomes more prominent when more blood flows through it. That is when the child is crying or straining, etc.

These anatomical defects usually get repaired on their own by the age of 8 to 10 years in about 90 to 95 percent of cases. They do not require treatment unless they are causing defects in vision, disfigurement or breathlessness or any other significant issues (based on the location of the hemangioma).

Though not an emergency, please get the child physically examined by a paediatrician to confirm the same.

I hope it helps.

Thank you.