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Chalazion is a commonly encountered condition. A small lump develops in the eyelid, which may cause redness, swelling, heat and pain of the eyelid. There may be bacterial growth inside the lump.
The chalazion may rupture, patients can use hot compression to relieve the pus from the lump. The chalazion may be resolved in this way. A towel wrapped around warm rice or a hard boiled egg may be used to massage the eyelid. (Be careful, it should not be too hot to avoid burns.) Sometimes a minor operation may be necessary for treatment.
Minor operation (Incision and curettage of chalazion)
This minor operation usually takes place in the clinic treatment room. The doctor will apply some local anaesthetic and make a small cut wound over the chalazion. The “pus” from the lump will then be expressed. The cut wound is usually made on the inside of the eyelid, therefore there will be no external scar. Sometimes due to the position of the chalazion, the wound may have to be on the external skin, which may leave a scar. After the procedure, the doctor will prescribe antibiotic eye drops for the patient.
The chalazion may take a few weeks to resolve. It may also require few more minor operations. Sometimes, the wall of the chalazion may be quite thick, resulting in some residual lumpiness, requiring 1-2 weeks for it to become completely disappear. If there is surrounding skin infection, a course of antibiotics may be needed before the minor operation.
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