How to Manage Styes and Recurring Chalazions
Understanding Eyelid Cancer
Eyelid cancers, such as basal cell carcinoma, melanoma, sebaceous cell carcinoma, and squamous cell carcinoma, are significant health risks. Squamous cell carcinoma, in particular, can invade lymph nodes and metastasize. Identifying signs like scaly, crusty, or bleeding lesions that persist, form scabs, or exhibit irregular pigmentation is crucial. These signs and symptoms mean you need immediate attention from an eye care specialist, one who can refer you to an eyelid reconstruction surgeon. Unfortunately, many patients delay seeking treatment, which can result in extensive damage, with the resultant tumor growth consuming up to half of the eyelid. The most effective treatment is the complete removal of the tumor through Mohs surgery. This procedure is performed by a specialty trained dermatologist, and it involves trimming out the cancer, and then examining each edge by dividing it into sections. Every section is thoroughly checked under the microscope to ensure no cancer cells remain, conserving as much healthy tissue as possible. The Mohs surgeon focuses on tumor removal, while an oculoplastic specialist handles the task of eyelid reconstruction. The goal is to restore the eyelid’s function and aesthetics, matching it as closely as possible to the opposite eye. Techniques vary, such as cleaning up and pulling edges together or taking an
actual vertical section from the upper lid to close the lower lid. Large tumors may require rotating skin and muscle flaps. Most methods aim to retain eyelashes and protect the eye’s function and health. Deciding on a specific reconstructive technique involves consideration of both the least aggressive approach and the best aesthetic outcome. Upper eyelid cancers need prompt attention due to the dynamic nature of the upper eyelid movement. The upper lid blinks to protect the eye, making reconstruction more complex than the lower lid. Basic steps in managing eyelid cancer include identifying the tumor, removing it, assessing the best reconstruction technique, reconstructing the eyelid, and possibly performing secondary procedures. Patient-specific details play a significant role in treatment planning. For instance, older patients often have looser eyelids, which can simplify reconstruction. Ultimately, the careful balance of removing cancer while preserving eyelid function and appearance is key to successful outcomes. Just remember that early detection and treatment of eyelid cancers are vital. Regular check-ups with eye care specialists can prevent extensive damage and ensure timely intervention.
Lime Chicken With Corn and Poblano Salad
INGREDIENTS
DIRECTIONS
1. Preheat oven to 400 F. 2. In a large oven-proof skillet, heat olive oil over medium heat. 3. In a bowl, whisk flour, spices, and lime zest. Dredge chicken in the mix to coat. Add chicken, skin-side down, to skillet, then place skillet in the oven for 30–35 minutes. 5. In a medium skillet, heat olive 4.
Chicken •
3 tbsp olive oil
• • • • • • •
1 cup all-purpose flour 1 1/2 tsp garlic powder 1/2 tsp cayenne pepper
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1 1/2 tsp salt
3/4 tsp black pepper
Zest of 1 lime 8 chicken thighs
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Corn and poblano salad • 2 tbsp olive oil •
oil and add poblanos. Sauté 4–5 minutes. Add garlic and sauté for another minute. In a bowl, add poblano mix, corn, scallions, lime juice, and cilantro, toss and serve with the chicken.
2 poblano peppers, diced 2 garlic cloves, minced
• • • • • •
1 14-oz can of corn 4 scallions, minced
6.
Juice of 2 limes
1/3 cup chopped cilantro
Salt and pepper
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