Chalazion

    Cards (7)

    • A chalazion is a granulomatous inflammatory lesion that forms in an obstructed meibomian gland.
    • Unlike hordeola, chalazion are non-infectious. Chalazion are often associated with blepharitis and acne rosacea.
    • Chalazia present as painless red eyelid cysts in the internal eyelid
    • If chalazia are infected, they become internal hordeolum.
    • A chalazion and external hordeolum can be easily distinguished as chalazia are not painful or tender to touch. In contrast, an external hordeolum is associated with pain
    • Chalazia often resolve spontaneously. Patients should be encouraged to perform warm compression of the eyelid (to loosen meibomian gland content) and eyelid massage (to express meibomian gland content) twice a day.
    • A persistent chalazion requires referral to ophthalmology for consideration of incision and curettage.