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Chalazion

A chalazion is a lump that occurs due to long-term inflammation and infection of the meibomian (oil-producing) gland and becomes visible on the outer eyelid. There is often confusion by the patient as to whether they have a chalazion or a sty.

If both cause swelling to the lid, how can the doctor tell if it is a chalazion or a sty?

Both cause a swelling to the area on the eyelid, but it is an infection of the eyelash follicle that causes a chalazion. Chalazions tend to occur farther from the edge of the eyelid than sties and tend to "point" toward the inside of the eyelid. Sometimes a chalazion can cause the entire eyelid to swell suddenly, but usually there is a definite tender point. When a chalazion is small and without symptoms, it may disappear on its own. If the chalazion is large, it may cause blurry vision.

How are chalazions treated?

Chalazions may be treated in a variety of ways. The first course of action is usually to apply warm compresses. The simplest way is to hold a clean washcloth, soaked in warm water, against the closed lid. This should be done 3 or 4 times per day and held in place for five to ten minutes each time. Repeatedly soak the washcloth to assure warmth to the covered area. The majority of chalazions will disappear within a few weeks. There are times when an antibiotic ointment will also be prescribed to use in combination with the warm compresses.

What other treatments are available?

If the chalazion is large or if it has not responded to other treatments, surgical incision or excision may be advised.

Once it is removed, is it gone forever?

Once treatment has begun, chalazions usually respond well, although some people appear to be prone to recurrences. If a chalazion should recur in the same place, it is best to let your ophthalmologist re-evaluate the situation. A biopsy might be called for to rule out a more serious problem.

For more information, please contact the patient advisor by phone at 330-747-2733 or by email at info@eyecareassociates.com.