Chalazion

A chalazion is an inflammatory lump or cyst that develops on the eyelid due to the blockage of an oil gland. It can occur on both the upper and lower eyelids, and multiple lesions may be present. Chalazia are more common in individuals with blepharitis (inflammation of the eyelids) or those who have eczema.

Symptoms of Chalazion

The main symptoms of a chalazion include:

  1. Lump on the eyelid: A small, painless lump or cyst on the eyelid is the characteristic sign of a chalazion.

  2. Redness and swelling: Mild redness, tenderness, or swelling of the affected eyelid can occur.

  3. Vision distortion: In some cases, a large chalazion may press on the eye, causing slight distortion of vision.

Treatment for Chalazion

In most cases, chalazia resolve without the need for surgical intervention over a period of 6-8 weeks. The following measures can help in managing chalazion:

  1. Hot compress: Applying a warm compress using a face-washer or disposable makeup pad for several minutes, 3-4 times a day, can help alleviate discomfort and reduce inflammation.

  2. Eyelid massage: Massaging the eyelids and lashes after applying hot compresses may aid in improving drainage of the blocked gland. Massaging towards the lid margin and eyelashes is most effective, as the glands are vertical in the eyelid.

  3. Eyelid hygiene: Cleaning the eyelids twice a day with warm water and diluted baby shampoo can help maintain eyelid hygiene.

  4. Antibiotics: Antibiotic drops, ointments, or tablets are only necessary if the doctor believes there is a risk of infection.

  5. Surgical drainage: If a chalazion persists and becomes bothersome, it can be surgically drained under local anaesthesia. Children may require a general anaesthetic for the procedure.