Diagnosis:
Single, nontender, firm nodule and more common in upper eye lid located deep in the lid or the tarsal plate (Hordeolum is superficial and centered on an eye lash)
Treatment:
Medical:
-Asympatomatic chalazion:
1-Lid massage,moist heat,andtopical mild steroid drops.
2-Chronic therapy with low-dose tetracycline.
Sumycin(tetracycline):250 mg qwk PO for 180 d (6 mo).
Pediatric Dose:<8 years: Not recommended
>8 years: 25 mg/kg/d (10 mg/lb) PO qwk.
This frequently prevents recurrence
3-If tetracycline cannot be used(pregnancy,lactation,contraception,hepatic and renal impairment,teething, then metronidazole has been used in a similar fashion.
Flagyl(metronidazole)500 mg qd for a few wk.<12 years: Not established
- Early cases of symptomatic chalazion:
1-vigorous massage between 2 cotton wool buds at the slit lamp under local anesthesia.
2-A wet facecloth, as hot as can be tolerated, can be applied twice daily.
3-4 fingers times 10 massage.
- infected chalazia :
1- heat and topical and/or systemic antibiotics.
2-In select cases, incision and drainage may be beneficial(Evacuate only the pus)
3-Topical steroids are necessary to prevent the chronic inflammatory response
4-Once the acute inflammation has subsided, revision and definitive curettage or excision of the granulomatous mass may be required.
In most cases, surgery should be performed only after a few weeks of medical therapy.
Atlas of Chalazion:
A large chalazion ca. 20 minutes upon excision. This bipartite chalazion was removed via two separate incisions. Further along the lower eyelid, signs of chronic inflammation (Blepharitis) are visible.
A chalazion can occur on the outer angle of the eyelid
A cheese-like (sebaceous) discharge from the chalazion is often seen, especially after applying hot compresses.
Chalazion (Diagnosis and Treatment)
Linear Mode
