Should I get this removed?

This is most likely a papillomatous growth that is caused by an epidermal infection.  Usually, these can be monitored, but if there’s any change in size or color, I recommend removal, as in this case.   The dermatologist was unwilling to remove this lesion, so I referred this to a local ophthalmologist.

Eyelid bump

A stye develops when an oil gland within the eyelid gets infected.   It looks like a bump on your eyelid and hurts when you touch it.   Ointments and drops are ineffective for a stye.    It must be treated with an oral antibiotic, such as a Z-pak (Zithromycin).

A Pimple on the Eyelid

A sty (or hordeolum) is a red, painful lump near the edge of your eyelid that looks like a pimple. Sties are often filled with pus. A hordeomlum is treated with warm compresses to the eyelid and oral antibiotics.