An eyelid papilloma is a benign, painless growth that carries little risk of becoming malignant, according to Wills Eye Hospital. It typically occurs in patients who are middle aged or elderly and is very common. It is usually a similar color to the surrounding area, can be rough or smooth, and may be solitary or multiple. If it is large or swollen, surgical removal may be necessary; otherwise, doctors typically keep it under observation.
Removal of an eyelid papilloma typically involves surgical excision; however, there is a possibility of it returning despite undergoing a complete excision, states Eyelid Associates of South Texas. Excision is safer than other procedures due to the proximity to the eye. The doctor applies topical anesthetic to numb the area, then removes all of the papilloma. The procedure lasts approximately 30 minutes, and the patient may experience mild bleeding or bruising at the surgical site for several days after removal.
Other types of skin lesions that affect the eyelid include hydrocystoma, which is a clear cyst resulting from blocked sweat glands; nevi, which are small lesions that are genetic and usuallly benign; molluscum contagiosum, which are small nodules of wax resulting from viral infection; and xanthelasma, which are small yellow patches that can be genetic or the result of high cholesterol. These lesions are typically not dangerous, according to Healthline.