Chalazion – Symptoms, Causes, and Treatments

What is a Chalazion?

A chalazion is a cyst on the eyelid that is caused by an inflammation of a blocked gland; usually affects the upper eyelid, but can appear on the lower eyelid as well. Chalazions are different from styes in that they are subacute and usually painless nodules. They may become inflamed, but unlike a stye, a chalazion usually sits inside the lid rather than on the lid margin.

Signs and Symptoms:
● Swelling on the eyelid
● Eyelid tenderness
● Sensitivity to light
● Increased tearing
● Heaviness on the eyelid

How is a Chalazion Treated?

Topical antibiotic eye drops or ointments are sometimes used for the initial acute infection. They may often disappear without further treatment within a few months. Healing can be facilitated by applying a warm compress to the affected eye for approx. 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, they may be surgically removed using local anesthesia by a small injection. The chalazion is then removed through a small incision underneath the eyelid to avoid a scar and normally does not take longer than 15 minutes. There are no sutures required after the removal.

Day of Surgery:

Please do not wear eye makeup to the appointment. No need to stop Aspirin or blood thinners. You can eat and drink as per normal.

After Surgery:

The eye is sometimes patched for 1-2 hours. Pink color on the patch and in tears, as well as a foreign body sensation, is normal. You may resume normal activities. A Prescription will be given for the appropriate antibiotic drops or ointment. Please call one of our offices if you have any questions or concerns. If we are closed and you feel it is an emergency, please see your family physician, walk-in clinic, or the nearest emergency department.

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