Chalazion

Along the upper and lower lids are located a number of glands that manufacture part of the tear film that protects and lubricates the eyeball.  If one of these glands becomes blocked, a small lump forms.  This is called a CHALAZION (chalazia, plural).

Chalazia may vary in size from small, almost invisible lumps to rather large masses as big as a little fingernail.  Sometimes tender in their early stages, they are later painless and frequently will form a firm swelling in the lid.  This lump can distort the eyeball, causing blurred vision if left untreated.

Chalazia are NOT caused by infection.  However, they may become a site for infection once they have become established.

Their exact CAUSE remains unknown.  Several conditions are associated with chalazia: seborrhea, chronic lid inflammation, dry eyes, and acne.  Once a chalazion has formed, the chances of getting another one in the next two years are very high.

Most chalazia will disappear in a few weeks without any special therapy.  To help them go away, frequent hot packs with lid massage throughout the day are helpful, especially in the early stages..  Antibiotic and/or steroid drops or injections may also be used if a chalazion persists.

If a chalazion persists, a simple in-office surgical procedure can be performed to remove it.  The chalazion is drained from the inside of the lid after a small injection of a local anesthetic.  There is no visible scar and healing is rapid and painless. Often the eye is patched overnight to ensure proper healing.

Prevention: