- Dr Medha Sharma
Chalazion
Overview, Causes, Treatment, and Prevention
A chalazion is a cyst on the eyelid caused by the blockage of a meibomian gland. It usually presents as a painless lump or swelling on either the upper or lower eyelid, although it can become painful if a secondary infection occurs. Large, chronic chalazia can press on the cornea, leading to astigmatism and decreased vision.
Causes: Chalazia are often associated with inflammatory conditions. Common underlying causes include:
- Seborrheic dermatitis
- Acne rosacea
- Chronic blepharitis
Treatment
Conservative Medical Treatments
Warm Compresses: Apply for 10 minutes, 4 times daily.
Eyelid Massage and Scrubs: Regularly massage and clean the eyelid.
Topical Steroids or Antibiotics: Mild topical treatments may be used to reduce inflammation and treat any secondary infection.
Oral Antibiotics
Tetracycline or azithromycin may be prescribed for severe blepharitis, rosacea, or bacterial infection of the surrounding eyelid tissues (cellulitis).
Surgical Drainage
Necessary for large, swollen, or persistent chalazia unresponsive to conservative treatment.
The procedure is typically done under local anesthesia in adults and older
children, while general anesthesia is usually required for young children.
Prevention
Daily Eyelid Cleaning
Use baby shampoo or pre-moistened eyelid cleansing wipes to clean the eyelids.
Dietary Supplements
Oral omega-3 and/or flaxseed oil supplements may reduce eyelid inflammation.
Regular Use of Antibiotics
For patients with recurrent chalazia, regular use of topical or oral antibiotics can be beneficial.
Note: It is important not to attempt squeezing or draining a chalazion on your own, as improper handling may lead to complications and delayed healing.
By adhering to these guidelines, individuals can manage and prevent chalazia effectively, ensuring better eye health and comfort.
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