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Chalazion
Related Subjects: |Episcleritis |Scleritis |Assessing a Red eye |Acute Angle Closure Glaucoma |Allergic and Infective Conjunctivitis |Anterior and Posterior Uveitis |Herpes simplex keratitis (HSK) |Acute Blepharitis |Chalazion
A chalazion is a benign, non-infectious bump that develops on the eyelid due to a blocked Meibomian gland. Unlike a stye, which is caused by infection, a chalazion typically results from glandular inflammation and may persist for weeks to months if untreated.
Causes
- Blocked Meibomian gland: The primary cause of chalazions, leading to accumulation of glandular secretions.
- Chronic blepharitis: Chronic inflammation of the eyelid margins can increase chalazion risk.
- Skin conditions: Conditions like rosacea or seborrheic dermatitis can predispose patients to chalazion formation.
Symptoms
- A painless lump on the eyelid, often without redness or warmth
- Occasional blurred vision if the chalazion presses on the eye
- Mild discomfort due to pressure sensation in the eyelid
Treatment Options
- Warm compresses: Applying warm compresses to the eyelid for 10-15 minutes, four times a day, can soften the hardened glandular material.
- Lid hygiene: Regular cleaning of the eyelids may prevent recurrence, especially in patients with blepharitis.
- Steroid injection: For persistent cases, intralesional corticosteroid injection can reduce inflammation.
- Surgical removal: When other treatments are ineffective, minor surgery can be performed to drain or excise the chalazion.
Prevention
- Maintain good eyelid hygiene, particularly for patients with oily skin or chronic blepharitis.
- Encourage regular warm compress application to prevent Meibomian gland blockages.
- Manage underlying skin conditions like rosacea, which may increase risk.