A chalazion, also known as an eyelid cyst or meibomian cyst, is a red bump that develops on the eyelid. It occurs when an oil gland, called a meibomian gland, becomes blocked.

Initially, a chalazion may cause some discomfort, but it typically becomes painless over time. While they usually form on the upper eyelids, chalazia (plural for chalazion) can occasionally develop on the lower eyelid.

Symptoms of Chalazion

Besides the obvious red bump on your eyelid, other symptoms may include:

• Swelling of the eyelid
• Tenderness or sensitivity to touch
• Blurred vision, if the chalazion is pressing on the eye

If you are experiencing any of these symptoms, it’s important to consult with an ophthalmologist for proper diagnosis and treatment.

Chalazion Vs. Stye

Styes, also known as hordeolums, are similar to chalazia in that they both develop from blocked oil glands. However, styes form at the base of an eyelash follicle and are typically caused by a bacterial infection. On the other hand, chalazia usually develops further away from the eyelashes and may be caused by a blockage or inflammation of the meibomian glands.

Causes of chalazion

As mentioned earlier, a chalazion occurs when the meibomian gland becomes blocked. This can happen due to various reasons such as:

• Inflammation of the eyelid
• Excessive touching or rubbing of the eyes
• Wearing contact lenses for long periods without proper cleaning and hygiene

Non-Surgical Treatments for Chalazion

There are various treatment options available for chalazion, depending on the severity and individual case. These include:

Steroid Injections

For smaller chalazia, steroid injections may be recommended to reduce inflammation and shrink the cyst. This can often be done in the ophthalmologist’s office.

Warm Compress and Massage

Applying a warm compress to the affected area can help soften the hardened oil inside the blocked gland, making it easier for the cyst to drain. Gentle massage can also help in this process.

Antibiotic Ointments or Drops

If there is an infection present, your doctor may prescribe antibiotic ointments to help clear it up. These can help prevent the chalazion from growing larger or becoming more painful.

Eyelid Chalazion Surgery

In cases where non-surgical treatments have been unsuccessful, or if the chalazion is large and causing discomfort or affecting your vision, surgical removal may be recommended. This is a minor procedure that can usually be done in the ophthalmologist’s office.

Local Anesthesia

Chalazion surgery is performed under local anesthesia, which means you will be awake but will not feel any pain during the procedure. Your doctor may also give you a sedative to help you relax.

Incision and Drainage

During the surgery, your ophthalmologist will make a small incision on the inside of your eyelid to drain the fluid and remove any hardened oil. The procedure usually takes around 15 minutes.

Pressure Patch

After the surgery, your doctor may place a pressure patch over your eye to help reduce swelling and prevent infection. You will need to keep this patch on for a few hours or as instructed by your doctor.

Aftercare for Chalazion Surgery

Preventing Infection

To prevent infection, it is important to follow your doctor’s instructions for aftercare. This may include using prescribed antibiotics and keeping the area clean.

Avoid Touching Your Eyes

It is also recommended to avoid touching or rubbing your eyes, especially with unwashed hands, as this can increase the risk of developing a chalazion.

Wearing Contact Lenses

If you wear contact lenses, it’s best to avoid wearing them until the chalazion has completely healed. This will help prevent irritation and potential reinfection.

Recovery Time

In most cases, recovery time after chalazion surgery is quick and patients can resume their normal activities within a few days. However, it is important to follow up with your doctor to ensure proper healing.

Frequently Asked Questions about Chalazion Surgery

Here we address some common questions and concerns about chalazion and its treatment:

What is the success rate for chalazion surgery?

Chalazion surgery has a high success rate, with most patients experiencing complete resolution of the chalazion after surgery. However, recurrence can happen, especially in individuals with a history of chalazion or certain eyelid conditions.

Is chalazion surgery painful?

The surgery is performed under local anesthetic, meaning the area is numbed, so you will not feel pain during the procedure. Some discomfort, swelling, and bruising can be expected after the procedure, but this is typically minimal and temporary.

How often should I apply a warm compress post-surgery?

Applying a warm compress several times a day, especially during the first few days after surgery, can help promote healing and reduce swelling. This should be done for about 15 minutes at a time.

Can I prevent a chalazion from occurring?

While not all chalazia can be prevented, maintaining good eyelid hygiene can help reduce the risk. Avoid touching or rubbing your eyes, especially with unwashed hands. If you wear contact lenses, ensure they are clean before inserting them.

Are there any risks associated with chalazion surgery?

As with any surgery, there are some risks, but serious complications from chalazion surgery are rare. There can be temporary discomfort, swelling, or bruising. In some rare cases, there may be infection or changes in eyelid appearance.

Remember, it’s always best to discuss your concerns and questions with your ophthalmologist to get accurate information tailored to your specific case.