LID EXAMINATION The skin of the lids should be examined for any "lumps or bumps" or skin lesions. It is best to have the patients close their eyes and scan the lids starting with the upper lid from temporal to nasal followed by the lower lid. Low (7 to 10X) to moderate (10X to 16X) magnification is used when examining the lids with higher magnification only used to study an abnormality. If too high a magnification is used numerous abnormalities may be missed.