In layman's terms, the four eyelids all have many glands which are arranged perpendicular to the eye lid margin. These glands open on the edge of the eyelids just inside of the lash line. There are about 28 glands in each normal lid. These glands produce oil which is a component of our tear film. The oil in these glands is released on to the edge of the eyelid and mix with water and mucus to form the normal tear.
At times these openings may become blocked and the oil secretions accumulate in the gland and cause a swelling in the upper lid. Very quickly these swellings can become acutely inflamed and very tender. The body actually attacks these blocked up secretions in an attempt to treat the problem and that produces a red inflamed lid. The amount of swelling and redness can vary and in some cases there may be multiple chalazions on one lid.
The most common treatment is to use a combination antibiotic-steroid drop four time a day and frequent hot compresses applied to the lid at least four or five times a day. The more frequent compresses the better. In most cases, this causes the Chalazion to drain and the swelling and inflammation subsides. The secretions gradually get absorbed and the bump goes away. In many patients the bump may remain for weeks or months after the inflammation subsides.
In my experience, if the patient does apply this non-surgical treatment, the problem resolves itself 95% of the time without surgery. Some patients do not like the appearance and may not be willing to try the non-surgical approach.
Surgery performed with a local injection into the lid will also solve the problem but most people choose the non-surgical intervention. In 5% of the cases, surgery is necessary anyway. Chalazions can be treated successfully and usually do not cause further problems. People who have repeated multiple chalazions probably need to scrub their lids on a regular basis and perhaps they need antibiotics to treat the chronic underlying condition that causes them to repeatedly develop chalazions. If you have this problem you should seek medical advice.
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Published by S. A. Knight
Born and raised in New Orleans, Dr. Dapremont has practiced Ophthalmology on the Mississippi Gulf Coast since 1982. Dr. Dapremont completed his residency in Ophthalmology at Walter Reed Army Medical Cente... View profile
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- The most common treatment is to use a combination antibiotic-steroid drop four time a day
- Frequent hot compresses are necessary
- Surgical intervention is not usually necessary



