Simon, the referring vet is more worried and so am I! A few days has resulted in this substantial worsening in the situation. I thought these looked a little like the pyogranulomas we sometimes see in dog’s eyelids, maybe crossed with the lipogranulomatous lesions in cat associated with Meibomian gland distention. But this is far more severe – what should we do? I’ve started the cat on hot compresses as well as the antibiotics and anti-inflammatories its already being given.