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Chalazion

A chalazion, also known as a meibomian gland lipogranuloma , is a cyst in the eyelid that is caused by inflammation of the meibomian gland , usually on the upper eyelid. Chalazia may occur in the upper or lower lids, causing redness, swelling and soreness in some cases. It's the name given to a small cyst or lump in the eyelid which is caused by a blocked gland. A chalazion is usually a reaction to trapped oil secretions and not caused by bacteria, although the site can become secondarily infected by bacteria. This lump, which may feel like a small smooth pea in the eyelid, is usually just a little further back from the edge of the eyelid. If the lesion is large, vision in the involved eye may be blurred or distorted. Inflammation and pointing may sometimes occur, and the tiny associated abscess may spontaneously drain. In many cases, however, the chalazion becomes chronic , and the patient presents desiring removal.  Treatment initially involves application of warm compresses in attempt to cause spontaneous drainage. Antibiotics , both topically and orally, are of little use. If the patient desires, the chalazion can usually be surgically opened and drained as a minor in-office procedure. Some patients, especially those with rosacea, are prone to recurrences. 

Causes of Chalazion

The common Causes of Chalazion :

  • A chalazion develops when blockage in an oil gland causes it to swell.
  • Immunodeficiency.
  • Viral infection.
  • High blood lipid concentrations (possible risk from increased blockage of sebaceous glands) .
  • Acne rosacea

Symptoms of Chalazion

Some Symptoms of Chalazion :

  • Sensitivity to light
  • Blurred vision
  • Eyelid tenderness
  • Painful swelling on the eyelid
  • Increased tearing

Treatment of Chalazion

  • Applying warm, wet compresses to your child's eyes for a period of approximately 15 minutes, several times throughout the day
  • Antibiotic drops for the eye
  • Instructing your child not to squeeze or rub the chalazion
  • Having your child wash his/her hands frequently
  • Injection of a corticosteroid into the chalazion. This is done by an eye doctor (ophthalmologist), but is rarely required. Topical antibiotics can be used if a secondary infection of the chalazion develops.
  • Surgical incision and draining of a chalazion. This is usually performed in the office with a local injection of numbing medicine by an eye doctor. Surgery may be done when the chalazion.

 

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