Chalazion

Description:

A chalazion, also known as a meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of a blocked meibomian gland, usually on the upper eyelid.

Signs and symptoms:

1. Swelling on the eyelid
2. Eyelid tenderness
3. Sensitivity to light
4. Increased tearing
5. Heaviness of the eyelid

Treatment:

• The primary treatment is application of warm compresses for 10 to 20 minutes at least 4 times a day. This may soften the hardened oils blocking the duct and promote drainage and healing.
• Topical antibiotic eye drops or ointment.
• Corticosteroid injections
• Surgery under local anesthesia.

Complications:

• A large chalazion can cause astigmatism due to pressure on the cornea.
• Hypopigmentation may occur with corticosteroid injection.
• Sebaceous cell carcinoma (recurring chalazion).