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Domains: Clinical practice

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This one-hour recorded webinar will help optometrists to identify and manage commonly occurring suspicious eyelid conditions. Consultant Ophthalmic Surgeon Raman Malhotra covers both benign and malignant eyelid lesions. He also discusses the features, diagnosis, management, and referral of the conditions by community optometrists.

Optometrists regularly observe suspicious-looking lid lesions and need to be able to examine and differentiate between those you can manage in practice and those that need referring to the hospital eye service. The webinar will cover history taking, how to examine the lids, how to recognise potentially malignant lesions and discuss when referral is required.

The lecture concludes with a Q&A where Mr Malhotra answers some of the questions raised during the talk. 

At the end of the course you can complete the CPD quiz to gain one non-interactive CPD point. 

First published: October 2022
Last reviewed: July 2024

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    Clinical Practice 

    s.6 Recognise, and work within your limits of competence

    • Understands when patients presenting with suspicious eyelid conditions require referral for specialist investigation.

    s.7 Conduct appropriate assessments, examinations, treatments and referrals

    • Able to examine and investigate patients presenting with suspicious eyelid pathology.
    • Able to identify benign from malignant eyelid lesions and improve skills and decision making for referral.

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      Please note: The markers in the video refer to chapter headings (listed below). You can use these markers to return to a specific section if you can’t watch the recording in one sitting. For more information on viewing Docet videos, including how to watch them in full screen and how to screencast, please go to our FAQs. 

      • Chapter headings

        1. Introduction 
        2. Benign Eyelid lesions A
          • Chalazion
        3. Benign Eyelid lesions B 
          • Verruca vulgaris
          • Squamous papilloma
          • Cysts
          • Milia
        4. Benign Eyelid lesions C 
          • Molluscum contagiosum
          • Actinic and seborrheic keratosis
        5. Benign Eyelid lesions D
          • Pigmented eyelid lesions – Naevi
        6. Benign Eyelid lesions E
          • Cilia incarnate
          • Xanthelasma
          • Pyogenic granuloma
        7. Malignant Eyelid lesions A
          • Basal cell carcinoma (BCC)
        8. Malignant Eyelid lesions B
          • Squamous cell carcinoma (SCC)
          • Eyelid melanoma
          • Sebaceous carcinoma


        Q&A

        9. Question 1 - What is the referral urgency in regards to suspicious malignant lesions and how fast do BCC spread? 

        10. Question 2 - What is the frequency of review for benign lesions? 

        11. Question 3 - Do we need to be concerned if patient only shows one of the key signs that indicate malignancy?

        12. Question 4 - Are benign lesions treatable on the NHS?

        13. Question 5 - What is the treatment and management plan for chalazia? 

        14. Question 6 - Can there be underlying causes in recurring chalazia and hordeolum?

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      Certificate available only to users who had successfully completed the CPD quiz prior to 28 June 2024.

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