Chalazion

Chalazion

Chalazion

Chalazion is a cyst in the eyelid due to a blocked oil gland. They are typically in the middle of the eyelid, red, and non painful. They tend to come on gradually over a few weeks.

A chalazion may occur following a stye or from hardened oils blocking the gland. The blocked gland is usually the meibomian gland but can also be the gland of Zeis. A stye and cellulitis may appear similar. A stye, however, is usually more sudden in onset, painful, and occurs at the edge of the eyelid.Cellulitis is also typically painful.

Treatment is initiated with warm compresses. If this is not effective injecting steroids into the lesion may be tried. If large, incision and drainage may be recommended. While relatively common the frequency of the condition is unknown. The term is from the Greek "khalazion" meaning "small hailstone.

Signs and symptoms

chalazion in iran

 

Eyelid affected by a chalazion

  • Painless swelling on the eyelid
  • Eyelid tenderness typically none to mild
  • Increased tearing
  • Heaviness of the eyelid
  • Redness of conjunctiva

Complications

A large chalazion can cause astigmatism due to pressure on the cornea.

As laser eye surgery involves shaping the cornea by burning parts of it away, weakening its structure, post-operation patients can be left predisposed to deformation of the cornea from small chalazia.

Complications including hypopigmentation may occur with corticosteroid injection.

Recurring chalazia in the same area may sometimes be a symptom of sebaceous cell carcinoma, albeit rarely.

Sometimes, as a last resort, surgery is performed. The eyelid is injected with a local anesthetic, a clamp is put on the eyelid, then the eyelid is turned over, an incision is made on the inside of the eyelid, and the chalazion is drained and scraped out with a curette. A scar on the upper lid can cause discomfort as some patients feel the scar as they blink. Of course, as surgeries are intrusive and damage healthy tissue (e.g., leaving behind scar tissue or possibly even causing blepharitis), given other options, less intrusive treatment is always preferable. Similarly, chalazia may recur once the eye is predisposed and surgical intervention each time is not possible. So surgery should be considered only as a last resort, performed on as few as 5% of all chalazia patients.

Blocked meibomian glands may also be treatable with hot towels, which soften the oils in the gland.

iranian surgeryDiagnosis

A chalazion or meibomian cyst can sometimes be mistaken for a stye.

Differential diagnosis

  • Sebaceous gland adenoma
  • Sebaceous gland carcinoma
  • Sarcoid granuloma
  • Foreign body granuloma

Treatment

chalazion treatment in iran

 

A large chalazion ca. 20 minutes upon excision. This bipartite chalazion was removed via two separate incisions. Further along the lower eyelid, signs of chronic inflammation (Blepharitis) are visible.

Topical antibiotic eye drops or ointment (e.g., chloramphenicol or fusidic acid) are sometimes used for the initial acute infection, but are otherwise of little value in treating a chalazion. Chalazia will often disappear without further treatment within a few months, and virtually all will reabsorb within two years.Healing can be facilitated by applying a warm compress to the affected eye for approximately 15 minutes 4 times per day. This promotes drainage and healing by softening the hardened oil that is occluding the duct.

If they continue to enlarge or fail to settle within a few months, smaller lesions may be injected with a corticosteroid, or larger ones may be surgically removed using local anesthesia. This is usually done from underneath the eyelid to avoid a scar on the skin. If the chalazion is located directly under the eyelid's outer tissue, however, an excision from above may be more advisable so as not to inflict any unnecessary damage on the lid itself. Eyelid epidermis usually mends well, without leaving any visible scar. Depending on the chalazion's texture, the excision procedure varies: while fluid matter can easily be removed under minimal invasion, by merely puncturing the chalazion and exerting pressure upon the surrounding tissue, hardened matter usually necessitates a larger incision, through which it can be scraped out. Any residual matter should be metabolized in the course of the subsequent healing process, generally aided by regular appliance of dry heat. The excision of larger chalazia may result in visible hematoma around the lid, which will wear off within three or four days, whereas the swelling may persist for longer. Chalazion excision is an ambulant treatment and normally does not take longer than fifteen minutes. Nevertheless, owing to the risks of infection and severe damage to the eyelid, such procedures should only be performed by a medical professional.

Chalazia may recur, and they will usually be biopsied to rule out the possibility of a tumour.

Surgery

chalazion

 

Classic lipogranulomatous response seen in a well-developed chalazion

Chalazion surgery is a simple procedure that is generally performed as a day operation, and the person does not need to remain in the hospital for further medical care.

Chalazion removal surgery is performed under local or general anesthesia. Commonly, general anesthesia is administered in children to make sure they stay still and no injury to the eye occurs. Local anesthesia is used in adults and it is applied with a small injection into the eyelid. The discomfort of the injection is minimized with the help of an anesthetic cream, which is applied locally.

The chalazion may be removed in two ways, depending on the size of cyst. Relatively small chalazia are removed through a small cut at the back of the eyelid. The surgeon lifts the eyelid to access the back of its surface and makes an incision of approximately 3mm just on top of the chalazion. The lump is then removed, and pressure is applied for a few minutes to stop any oozing of blood that may occur because of the operation. Surgery of small chalazia does not require stitches, as the cut is at the back of the eyelid and therefore the cut cannot be seen, and the cosmetic result is excellent.

Larger chalazia are removed through an incision in front of the eyelid. Larger chalazia usually push on the skin of the eyelid, and this is the main reason why doctors prefer removing them this way. The incision is not usually larger than 3mm and it is made on top of the chalazion. The lump is removed and then pressure is applied on the incision to prevent oozing. This type of surgery is closed with very fine stitches. They are hardly visible and are usually removed within a week after the surgery has been performed. Although chalazia are rarely dangerous, it is common to send the chalazion or part of it to a laboratory to screen for cancer.

When surgery for a chalazion is considered, patients who take aspirin or any other blood-thinning medications are advised to stop taking them one week prior to the procedure as they may lead to uncontrollable bleeding. There are several tests taken prior to surgery to make sure the patient is in good condition for the operation.

In rare cases, patients are kept overnight in the hospital after chalazion surgery. This includes cases in which complications occurred and the patient needs to be closely monitored. In most cases however, patients are able to go home after the operation has ended.

iranian surgery

The recovery process is easy and quite fast. Most patients experience some very minor discomfort in the eye, which can be easily controlled by taking painkilling medication. Patients are, however, recommended to avoid getting water in the eye for up to 10 days after surgery. They may wash, bathe, or shower, but they must be careful to keep the area dry and clean. Makeup may be worn after at least one month post-operatively. Patients are recommended to not wear contact lenses in the affected eye for at least eight weeks to prevent infections and potential complications.

Commonly, patients receive eye drops to prevent infection and swelling in the eye and pain medication to help them cope with the pain and discomfort in the eyelid and eye. One can use paracetamol(acetominophen) rather than aspirin to control the pain. Also, after surgery, a pad and protective plastic shield are used to apply pressure on the eye in order to prevent leakage of blood after the operation; this may be removed 6 to 8 hours after the procedure.

People who undergo chalazion surgery are normally asked to visit their eye surgeon for post-op follow-up three to four weeks after surgery has been performed. They may start driving the day after surgery and they may return to work in one or two days.

Chalazion surgery is a safe procedure and complications occur very seldomly. Serious complications that require another operation are also very rare. Among potential complications, there is infection, bleeding, or the recurrence of the chalazion.

 

 

 

10 common question about chalazion

1How long does it take for a chalazion to go away?
The good news is that many chalazia require minimal medical treatment and clear up on their own in a few weeks to a month. Apply warm compresses to the eyelid for 10 to 15 minutes 4 to 6 times a day for several days.
2How do you get rid of a chalazion?
The surgeon lifts the eyelid to access the back of its surface and makes an incision of approximately 3mm just on top of the chalazion. The lump is then removed, and pressure is applied for a few minutes to stop any oozing of blood that may occur because of the operation.
3Can you pop a chalazion?
Don't Try to Pop Them That may tempt you to squeeze it until it pops. Don't do it -- that can spread the infection to your eyelid. Just leave the area alone. Both styes and chalazia usually go away by themselves in a few days or weeks
4How do you know if a chalazion is draining?
The lump is usually visible, red, and noticeable to the touch. Chalazia may develop over days to weeks, sometimes at the site of a recent stye (eyelid infection). A chalazion might go away if its contents drain, either through the skin surface or onto the eyeball surface.
5What happens if a chalazion is left untreated?
If left untreated, most chalazion should eventually heal by themselves, but this may take many months and could cause infections, discomfort and affect your child's vision during this time. ... Local anaesthetic is injected around the chalazion. The chalazion is then removed from the inner surface of the eyelid.
6Does Chalazion surgery leave a scar?
Rarely, a chalazion will heal by itself but may leave a scar on the eyelid. This problem is more common after surgery to remove the chalazion, but is still rare.
7How do they surgically remove a chalazion?
The chalazion may be removed in two ways, depending on the size of cyst. Relatively small chalazia are removed through a small cut at the back of the eyelid. The surgeon lifts the eyelid to access the back of its surface and makes an incision of approximately 3mm just on top of the chalazion.
8Can a chalazion be popped?
This then leads to swelling of the meibomian gland, called a chalazion or meibomian cyst. Sometimes, the cyst (if left alone) can discharge or burst spontaneously through the skin of the eyelid, or through the inner lining of the eyelid.
9Can a chalazion last for years?
If the chalazion is large and lasts more than 2 months, it usually needs to be opened and drained by an eye surgeon (an ophthalmologist). Call during office hours if: The chalazion doesn't get smaller after you have treated it for 1 month with warm compresses and massage. The swelling becomes larger.
10Can chalazion be cancerous?
Sebaceous carcinomas are one of the rarest eye cancers and can look like a chalazion (stye) or conjunctivits.

[kkstarratings]

Chalazion surgery

Chalazion is a cyst in the eyelid due to a blocked oil gland. They are typically in the middle of the eyelid, red, and non painful. They tend to come on gradually over a few weeks.

A chalazion may occur following a stye or from hardened oils blocking the gland. The blocked gland is usually the meibomian gland but can also be the gland of Zeis. A stye and cellulitis may appear similar. A stye, however, is usually more sudden in onset, painful, and occurs at the edge of the eyelid.Cellulitis is also typically painful.

Treatment is initiated with warm compresses. If this is not effective injecting steroids into the lesion may be tried. If large, incision and drainage may be recommended. While relatively common the frequency of the condition is unknown. The term is from the Greek “khalazion” meaning “small hailstone.

Signs and symptoms

chalazion in iran

Eyelid affected by a chalazion

  • Painless swelling on the eyelid
  • Eyelid tenderness typically none to mild
  • Increased tearing
  • Heaviness of the eyelid
  • Redness of conjunctiva

Complications

A large chalazion can cause astigmatism due to pressure on the cornea.

As laser eye surgery involves shaping the cornea by burning parts of it away, weakening its structure, post-operation patients can be left predisposed to deformation of the cornea from small chalazia.

Complications including hypopigmentation may occur with corticosteroid injection.

Recurring chalazia in the same area may sometimes be a symptom of sebaceous cell carcinoma, albeit rarely.

Sometimes, as a last resort, surgery is performed. The eyelid is injected with a local anesthetic, a clamp is put on the eyelid, then the eyelid is turned over, an incision is made on the inside of the eyelid, and the chalazion is drained and scraped out with a curette. A scar on the upper lid can cause discomfort as some patients feel the scar as they blink. Of course, as surgeries are intrusive and damage healthy tissue (e.g., leaving behind scar tissue or possibly even causing blepharitis), given other options, less intrusive treatment is always preferable. Similarly, chalazia may recur once the eye is predisposed and surgical intervention each time is not possible. So surgery should be considered only as a last resort, performed on as few as 5% of all chalazia patients.

Blocked meibomian glands may also be treatable with hot towels, which soften the oils in the gland.

iranian surgeryDiagnosis

A chalazion or meibomian cyst can sometimes be mistaken for a stye.

Differential diagnosis

  • Sebaceous gland adenoma
  • Sebaceous gland carcinoma
  • Sarcoid granuloma
  • Foreign body granuloma

Treatment

chalazion treatment in iran

A large chalazion ca. 20 minutes upon excision. This bipartite chalazion was removed via two separate incisions. Further along the lower eyelid, signs of chronic inflammation (Blepharitis) are visible.

Topical antibiotic eye drops or ointment (e.g., chloramphenicol or fusidic acid) are sometimes used for the initial acute infection, but are otherwise of little value in treating a chalazion. Chalazia will often disappear without further treatment within a few months, and virtually all will reabsorb within two years.Healing can be facilitated by applying a warm compress to the affected eye for approximately 15 minutes 4 times per day. This promotes drainage and healing by softening the hardened oil that is occluding the duct.

If they continue to enlarge or fail to settle within a few months, smaller lesions may be injected with a corticosteroid, or larger ones may be surgically removed using local anesthesia. This is usually done from underneath the eyelid to avoid a scar on the skin. If the chalazion is located directly under the eyelid’s outer tissue, however, an excision from above may be more advisable so as not to inflict any unnecessary damage on the lid itself. Eyelid epidermis usually mends well, without leaving any visible scar. Depending on the chalazion’s texture, the excision procedure varies: while fluid matter can easily be removed under minimal invasion, by merely puncturing the chalazion and exerting pressure upon the surrounding tissue, hardened matter usually necessitates a larger incision, through which it can be scraped out. Any residual matter should be metabolized in the course of the subsequent healing process, generally aided by regular appliance of dry heat. The excision of larger chalazia may result in visible hematoma around the lid, which will wear off within three or four days, whereas the swelling may persist for longer. Chalazion excision is an ambulant treatment and normally does not take longer than fifteen minutes. Nevertheless, owing to the risks of infection and severe damage to the eyelid, such procedures should only be performed by a medical professional.

Chalazia may recur, and they will usually be biopsied to rule out the possibility of a tumour.

Surgery

chalazion

Classic lipogranulomatous response seen in a well-developed chalazion

Chalazion surgery is a simple procedure that is generally performed as a day operation, and the person does not need to remain in the hospital for further medical care.

Chalazion removal surgery is performed under local or general anesthesia. Commonly, general anesthesia is administered in children to make sure they stay still and no injury to the eye occurs. Local anesthesia is used in adults and it is applied with a small injection into the eyelid. The discomfort of the injection is minimized with the help of an anesthetic cream, which is applied locally.

The chalazion may be removed in two ways, depending on the size of cyst. Relatively small chalazia are removed through a small cut at the back of the eyelid. The surgeon lifts the eyelid to access the back of its surface and makes an incision of approximately 3mm just on top of the chalazion. The lump is then removed, and pressure is applied for a few minutes to stop any oozing of blood that may occur because of the operation. Surgery of small chalazia does not require stitches, as the cut is at the back of the eyelid and therefore the cut cannot be seen, and the cosmetic result is excellent.

Larger chalazia are removed through an incision in front of the eyelid. Larger chalazia usually push on the skin of the eyelid, and this is the main reason why doctors prefer removing them this way. The incision is not usually larger than 3mm and it is made on top of the chalazion. The lump is removed and then pressure is applied on the incision to prevent oozing. This type of surgery is closed with very fine stitches. They are hardly visible and are usually removed within a week after the surgery has been performed. Although chalazia are rarely dangerous, it is common to send the chalazion or part of it to a laboratory to screen for cancer.

When surgery for a chalazion is considered, patients who take aspirin or any other blood-thinning medications are advised to stop taking them one week prior to the procedure as they may lead to uncontrollable bleeding. There are several tests taken prior to surgery to make sure the patient is in good condition for the operation.

In rare cases, patients are kept overnight in the hospital after chalazion surgery. This includes cases in which complications occurred and the patient needs to be closely monitored. In most cases however, patients are able to go home after the operation has ended.

iranian surgery

The recovery process is easy and quite fast. Most patients experience some very minor discomfort in the eye, which can be easily controlled by taking painkilling medication. Patients are, however, recommended to avoid getting water in the eye for up to 10 days after surgery. They may wash, bathe, or shower, but they must be careful to keep the area dry and clean. Makeup may be worn after at least one month post-operatively. Patients are recommended to not wear contact lenses in the affected eye for at least eight weeks to prevent infections and potential complications.

Commonly, patients receive eye drops to prevent infection and swelling in the eye and pain medication to help them cope with the pain and discomfort in the eyelid and eye. One can use paracetamol(acetominophen) rather than aspirin to control the pain. Also, after surgery, a pad and protective plastic shield are used to apply pressure on the eye in order to prevent leakage of blood after the operation; this may be removed 6 to 8 hours after the procedure.

People who undergo chalazion surgery are normally asked to visit their eye surgeon for post-op follow-up three to four weeks after surgery has been performed. They may start driving the day after surgery and they may return to work in one or two days.

Chalazion surgery is a safe procedure and complications occur very seldomly. Serious complications that require another operation are also very rare. Among potential complications, there is infection, bleeding, or the recurrence of the chalazion.

 

 

 

2 Comments

  1. Avatar Sadie says:

    Treatment of Chalazion with the best versions of traditional medicine????

    • Iranian Surgery Adviser Iranian Surgery Adviser says:

      Using of hot water compressor for home treatment of eyelashes
      The heat created by placing warm compresses on the affected eye area will help increase blood circulation, thereby increasing rupture to drain pus. Reduces pain, swelling and puffiness of eyes.
      Materials Required:
      Clean napkins
      Hot water
      Method
      Take a clean towel and place in a bowl filled with warm water.
      Use a cloth to wipe off excess water.
      Then close your eyes to apply warm water compresses to the eye area.
      Allow to stand for 5 to 7 minutes and remove for 3 to 4 minutes.
      Repeat this for 3 to 4 times until the pus comes out
      Remove the pus and apply the compress on it to completely clear the pus.
      And
      Coriander: Coriander seeds have excellent anti-inflammatory properties that help relieve swelling, redness and pain in the eyelids.
      Materials Required:
      Coriander seeds 1c
      1 cup water, pan
      Method:
      Pour the coriander seeds and water in a pan and heat.
      Boil it and remove from heat.
      Let the coriander cool for a few minutes.
      Use this water to rinse the affected area of the eye
      Repeat coriander juice 2 to 3 times daily until completely cured

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