Snap Shot A 55-year-old man presents with a painless "nodule" on the inner surface of his eyelid. The finding on physical exam is shown. Introduction Inflammation of internal meibomian sebaceous gland on the conjunctival surface of the eyelid Result of granulomatous inflammation Presentation Symptoms/Physical exam swelling on conjunctival surface of eyelid not associated with pain Evaluation Histologic evaluation histopathologic examination required to rule out mallignancy Treatment No treatment condition is self limiting