Chalazion

Chalazion - Acute

Definition  

An acute or chronic inflammatory lipogranuloma on the eyelid

 

Findings  

* Lump in eyelid

* Swelling of eyelid

 

Differential Diagnosis  

* Stye

* Preseptal cellulitis

* Viral conjunctivitis - Acute

* Pyogenic granuloma

* Neoplasm of skin of eyelid

 

Treatment  

 

Drug Therapy  

 

 

Treatment of infected chalazion to follow incision and drainage  

 

SULFACETAMIDE SODIUM  

Adults: 1-2 drops into lower conjunctival sac every 2-4 hours OR small amount of ointment applied topically to affected area 3 times daily and at bedtime for 3-4 days following incision and drainage

 

Alternative therapy or adjunct to incision and drainage of chalazion  

TRIAMCINOLONE ACETONIDE  

Adults: Up to 1 mg per injection site infiltrated within lesion, repeated at 1-week or less frequent intervals as needed

 

Topical anesthesia prior to lidocaine infiltration for surgical treatment of chalazion  

 

LIDOCAINE/PRILOCAINE  

 

Local anesthesia prior to surgical treatment of chalazia  

 

LIDOCAINE HYDROCHLORIDE  

 

Procedural Therapy  

 

CHALAZION  

* Local anesthetic infiltration of eyelid: Applying lidocaine/prilocaine cream 1 hour prior to the infiltration of warmed lidocaine reduces the pain of incision and drainage of a chalazion .

 

CHALAZION  

* Incision AND drainage: A chalazion should be incised and drained when it is fluctuant, suppurative, and pointing.

 

Non-Procedural Therapy  

 

Acute or chronic chalazia  

* Warm compresses