Chalazion

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

Chalazion of right eye
  • 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

No proptosis

Lid Complications

Other

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

See Also

References