Chalazion - surgical removal?

Angelica - posted on 03/17/2012 ( 1 mom has responded )




Anyone been through chalazion surgical removal? Whats its like good/bad? Your experience? My 3yr old daughter will have a surgical removal but is there another way? Im more scared and wonder about the anesthesia and scar & etc. thanks for any feedback!


Brittney - posted on 03/17/2012




Sorry, I haven't had this done, but I found some info for you.

The operation can be done as a day surgery procedure, which means that you can go home on the same day of the operation.

The operation is performed under local anaesthetic, which is applied with a small injection into the eyelid that makes the area of the operation numb (exactly the same type of anaesthetic that the dentist uses to work on your teeth). You will feel that something is being done in the area of the operation, but you will not feel any pain.

Sometimes an anaesthetic cream is also applied locally to minimise the discomfort from the injection.

When the chalazion is relatively small, it can be removed through a small cut at the back of the eyelid. The eyelid is lifted so that the surgeon has access to the back surface of it and a small cut (about 3mm) is made just on top of the chalazion.

The lump is then removed and pressure is applied for a few minutes to stop any oozing of blood that may occur because of the operation.

There is no need for stitches and since the cut is at the back of the eyelid, it doesn’t show and the cosmetic result is excellent.

If the chalazion is large and pushes on the skin of the eyelid then it is usually removed via a small cut in front of the eyelid through the skin. The cut is again about 3mm and is on top of the chalazion.

After removal of the lump the application of pressure locally stops any oozing of blood in the area. The cut on the skin of the eyelid is closed with very fine (hardly visible) stitches which provide a very good cosmetic result when they are removed, usually five to seven days later.

The removed chalazion is usually sent to the laboratory to be examined under a microscope because very rarely it can harbour cancer.

Any alternatives?

The application of warm compresses on the eyelid (four to six times a day for 10 to 15 minutes each time) in combination with very gentle massage of the eyelid that has the chalazion, can lead many times to spontaneous opening of the blocked duct of the meibomian gland which allows the oily fluid to drain and cures the chalazion.

If there is infection in the area of the chalazion, the application of local antibiotic ointment for five to seven days can cure the infection, reduce the swelling in the area and subsequently allow the duct of the meibomian gland to open up and drain the accumulated oily fluid.

In some cases, the injection of anti-swelling medications (such as the steroids) in the area near the chalazion can reduce the local swelling caused by the presence of the chalazion and eventually helps the duct of the meibomian gland to open.

Those conservative treatments are effective in many cases. However, when the chalazion doesn’t respond to this kind of conservative treatment, or when it is too large, or when it comes back many times despite initial successful conservative treatment, surgery is the only appropriate treatment.

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