Common Eye Diseases and Disorders - Chalazion

A chalazion is an enlargement of an oil-producing gland in the eyelid. It forms when the gland opening becomes clogged with oil secretions.  It can occur after an infection from bacteria ( a hordeolum) runs its course and becomes a lippogranuloma and is not cancerous.

Is a chalazion a sty?

A chalazion is sometimes confused with a sty (hordeolum).  However, a sty is a red, sore lump near the edge of the eyelid caused by an infected eyelash follicle.  A chalazion may initially resemble a sty, however it usually grows larger.  They also tend to develop farther from the edge of the eyelid than styes.

What are the symptoms of a chalazion?

Sometimes a chalazion may become red, swollen, and tender.  A larger chalazion may also cause blurred vision.  Occasionally, a chalazion can cause the entire eyelid to swell.

What is the treatment for a chalazion?

Treatment is with one or more of the following methods:

  • Warm Compress:  A warm compress can help clear the clogged gland.  Soak a clean cloth in warm water and apply the cloth to the lid for 10-15 minutes, three or four times a day until the chalazion is gone. 
  • Antibiotic ointments:  An antibiotic ointment may be prescribed if the chalazion is infected with bacteria.
  • Steroid injections:  A steroid injection is sometimes used to reduce inflammation.
  • Surgical removal:  If a large chalazion does not respond to treatment and/or affects your vision, an eye care professional (eye surgeon) may drain it surgically.  The procedure is usually performed under local anesthesia in an ophthalmologist's office.

Will the chalazion recur?

A chalazion usually responds well to treatment.  However, some people are prone to recurrences.  If a chalazion recurs in the same place, your eye doctor may suggest a biopsy to rule out more serious problems.

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