Learn About Chalazion

What is the definition of Chalazion?

A chalazion is a small bump in the eyelid caused by a blockage of a tiny oil gland.

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What are the alternative names for Chalazion?

Meibomian gland lipogranuloma

What are the causes of Chalazion?

A chalazion is caused by a blocked duct in one of the meibomian glands. These glands are located in the eyelid directly behind the eyelashes. They produce a thin, oily fluid that lubricates the eye.

What are the symptoms of Chalazion?

A chalazion often develops following an internal hordeolum (also called a stye). The eyelid most often becomes tender, red, swollen and warm. Sometimes, the blocked gland causing the stye will not drain even though the redness and swelling go away. The gland will form a firm nodule in the eyelid that is not tender. This is called a chalazion.

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What are the current treatments for Chalazion?

A chalazion will often go away without treatment in a month or so.

  • The first treatment is to place warm compresses over the eyelid for 10 to 15 minutes at least four times a day. Use lukewarm water (no hotter than you can leave your hand in comfortably). This may soften the hardened oils blocking the duct, and lead to drainage and healing.
  • DO NOT push or squeeze the chalazion.

If the chalazion continues to get bigger, it may need to be removed with surgery. This is most often done from the inside of the eyelid to avoid a scar on the skin.

Steroid injection is another treatment option.

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What is the outlook (prognosis) for Chalazion?

Chalazia most often heal on their own. The outcome with treatment is excellent in most cases, but they may return after they have initially healed.

What are the possible complications of Chalazion?

You may lose some eyelashes or you may end up with a small notch in the edge of the eyelid. Rarely, a healed chalazion will leave a small scar on the skin of the eyelid.

When should I contact a medical professional for Chalazion?

Call your health care provider if lumps on the eyelid continue to get bigger despite treatment, or you have an area of eyelash loss.

How do I prevent Chalazion?

Applying warm compresses daily, then scrubbing the lid at the eyelash line may help prevent chalazia and styes. Use eye cleansing pads or diluted baby shampoo for this.

If your provider has prescribed antibiotic ointment, apply it to the lash line after using warm compresses and scrubs.

What are the latest Chalazion Clinical Trials?
Therapeutic Efficacy of Intense Pulsed Light in the Treatment of Chalazion

Summary: Study method: This test screened the subjects first, and proposed to include 50 subjects with primary or recurrent eyelid plate gland cysts without obvious surgical indications. All subjects underwent three strong pulsed light therapy combined with eyelid plate gland massage, treatment of local anesthesia eye drops, and metal pads were placed in conjunctival sac protection. Eye protection, using t...

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Efficacy of Intense Pulsed Light in the Treatment of Recurrent Chalazia

Summary: The purpose of the present study was to investigate the efficacy of intense pulse light and meibomian glands expression in cases of recurrent chalazion after surgery.

What are the Latest Advances for Chalazion?
Randomized Prospective Evaluation of Microblepharoexfoliation BlephEx as Adjunctive Therapy in the Treatment of Chalazia.
The effect of thermo-mechanical device (Tixel) treatment on evaporative dry eye disease - A pilot prospective clinical trial.
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Intense pulsed light combined with meibomian gland expression for chalazion management.
Who are the sources who wrote this article ?

Published Date: December 14, 2020
Published By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.

Durand ML. Periocular infections. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 116.

Neff AG, Chahal HS, Carter KD. Benign eyelid lesions. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 12.7.