Chalazion: Difference between revisions
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==Background== | ==Background== | ||
*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland | *Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland | ||
*Also known as meibomian gland lipogranuloma | *Also known as meibomian gland lipogranuloma | ||
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==Clinical Features== | ==Clinical Features== | ||
[[File:Chalazion.jpg|thumb|Chalazion of right eye]] | |||
*Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion | *Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion | ||
*More commonly seen on upper eyelid where density of Meibomian glands is greatest | *More commonly seen on upper eyelid where density of Meibomian glands is greatest | ||
Revision as of 21:21, 26 September 2020
Background
- Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland
- Also known as meibomian gland lipogranuloma
- Often results from healing hordeolum
Clinical Features
- Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion
- More commonly seen on upper eyelid where density of Meibomian glands is greatest
Differential Diagnosis
Periorbital swelling
Proptosis
- Normal IOP
- Orbital cellulitis
- Orbital pseudotumor
- Orbital tumor
- Increased IOP
- Retrobulbar abscess
- Retrobulbar emphysema
- Retrobulbar hemorrhage
- Ocular compartment syndrome
- Orbital tumor
No proptosis
- Periorbital cellulitis/erysipelas
- Dacryocystitis (lacrimal duct)
- Dacryocele/Dacryocystocele
- Dacryostenosis
- Dacryoadenitis (lacrimal gland)
- Allergic reaction
- Nephrotic Syndrome (pediatrics)
Lid Complications
- Blepharitis (crusts)
- Chalazion (meibomian gland)
- Stye (hordeolum) (eyelash folicle)
Other
- Subperiosteal abscess
- Orbital abscess
- Cavernous sinus thrombosis
- Conjunctivitis
- Contact dermatitis
- Herpes zoster
- Herpes simplex
- Sarcoidosis
- Granulomatosis with polyangiitis
Management
- Hot compresses x15min QID
- Antibiotics not indicated: this is a granulomatous condition
- Most resolve without intervention in weeks-months
Disposition
- Refer to ophthalmology if persistent or recurring