I have had what you speak of on my eyelid and never gave gout a thought. I have always been able to easily squeeze the little buggers and get a thick white waxy bit out and the “wound” healed invisible in a day or two. Perhaps there were uric acid crystals involved, perpaps not…but out they came.
I may have had one on my ear also but that popped just as easily. The ears are a common tophi site, the eyelidss not.