From the Guidelines
A chalazion is a small, painless bump that forms on the eyelid due to a blocked oil gland, specifically the meibomian gland, which becomes clogged with oil secretions, causing swelling and inflammation 1. This condition is usually not painful and results from blockage rather than infection, unlike a stye, which is typically painful and caused by an infection. The primary treatment involves applying warm compresses to the affected eyelid for 10-15 minutes, 4-6 times daily, which helps soften the hardened oil and promote drainage, as recommended in the management of blepharitis 1. Gently massaging the area after applying the warm compress can also help, and it is essential to avoid squeezing or attempting to pop the chalazion as this can cause infection or scarring. Some key points to consider in the management of chalazion include:
- Applying warm compresses to the affected eyelid to soften the hardened oil and promote drainage
- Gently massaging the area after applying the warm compress to help express the meibomian secretions
- Avoiding squeezing or attempting to pop the chalazion to prevent infection or scarring
- Maintaining good eyelid hygiene, including regular cleaning of the eyelids, to help prevent recurrence If the chalazion persists beyond a month, grows very large, affects vision, or becomes infected, medical treatment may be necessary, and a doctor might prescribe antibiotic or steroid eye drops or ointments, or in some cases, perform a minor procedure to drain the chalazion 1. It is crucial to note that meibomian gland dysfunction (MGD) is a common condition that can lead to the development of chalazion, and the management of MGD is essential in preventing the recurrence of chalazion 1. Overall, the management of chalazion requires a comprehensive approach that includes warm compresses, gentle massage, and good eyelid hygiene, as well as medical treatment if necessary, to prevent complications and promote optimal outcomes.
From the Research
Definition of Chalazion
- A chalazion is a common eye condition presenting as a mass lesion of the eyelids, seen in all age groups 2.
- It is a non-inflammatory process that develops due to retained secretion of the meibomian or Zeis glands 2.
Characteristics of Chalazion
- Chalazion causes meibomian gland loss, and the range of meibomian gland loss is not related to the treatment method but to the range of chalazion itself 3.
- The acinar structure of the meibomian gland cannot be observed clearly in the meibomian gland loss area in most patients 3.
Treatment of Chalazion
- Treatment of chalazion may include application of warm compress onto eyelids, lid hygiene, using local antibiotic ointment with or without steroids, injecting steroid solution into the lesion, and surgical removal of the lesion by incision and curettage 2.
- Other experimented methods include injection of botulinum toxin A, tarsal trephination, removal of chalazion by application of CO2 laser or cryogenic action 2.
- A hot compress as part of conservative treatment can improve meibomian gland function at the site of chalazion in the short term 3.
- Combined doxycycline and intense pulsed light therapy has shown promising efficacy in treating intractable recurrent chalazion, with significant improvements in meibomian gland function and reduced recurrence rates 4.