From the Guidelines
Milia of the eyelid are best managed with gentle exfoliation and warm compresses, as aggressive treatments can irritate the delicate eyelid skin and are not typically necessary for these benign lesions. When considering treatment options, it's essential to prioritize methods that minimize the risk of complications and promote overall eye health. According to the most recent guidelines on blepharitis treatment 1, warm compresses and eyelid cleansing are recommended as initial steps in managing eyelid conditions, which can also be beneficial for milia.
Some key points to consider when treating milia of the eyelid include:
- Gentle exfoliation with a warm washcloth may help resolve milia without causing irritation 1
- Avoiding aggressive scrubbing or harsh skincare products that can irritate the eyelid skin
- Considering professional treatment options, such as deroofing or chemical peels, if milia are persistent or bothersome
- Maintaining gentle skincare practices and avoiding heavy or occlusive eye creams to prevent recurrence
It's also important to note that milia are benign lesions that often resolve on their own within a few weeks to months, and therefore, treatment may not always be necessary 1. However, if symptoms persist or are bothersome, consulting a dermatologist or ophthalmologist for guidance on the best course of treatment is recommended.
From the Research
Definition and Classification of Milia
- Milia are small, white bumps that can appear on the skin, including the eyelids 2
- They can be primary or secondary, and are frequently encountered in pediatric and adult clinics, as well as in general or surgical dermatology practice 2
Causes and Associations of Milia
- Milia can be associated with various conditions, including genodermatosis 2
- In some cases, milia on the eyelid can be a presentation of systemic diseases, such as sarcoidosis 3