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Chalazion

A chalazion, also known as a Meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of the meibomian gland, usually on the upper eyelid. Chalazions differ from hordeolums in that they are usually painless apart from the tenderness caused when they swell up. A chalazion may eventually disappear on its own after a few months, though more often than not, some treatment is necessary. more...

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Signs and symptoms

  • Painful swelling on the eyelid
  • Eyelid tenderness
  • Sensitivity to light
  • Increased tearing

Treatment

The primary treatment is application of warm compresses for 10 - 20 minutes at least 4 times a day. This may soften the hardened oils blocking the duct and promote drainage and healing.

Topical antibiotic eye drops or ointment (eg chloramphenicol or fusidic acid) are sometimes used for the initial acute infection, but are otherwise of little value in treating a chalazion. Chalazia will often disappear without further treatment within a month or so.

If they continue to enlarge or fail to settle within a few months, they may be surgically removed using local anesthesia. This is usually done from underneath the eyelid to avoid a scar on the skin. Rarely chalazia may reoccur and these will be biopsied to help rule out tumors.

Complications

A large chalazion can cause astigmatism due to pressure on the cornea. This will resolve with resolution of the chalazion.

Prevention

Proper cleansing of the eyelid may prevent recurrences in people prone to chalazia. Cleaning the eyelash area with diluted baby shampoo will help reduce clogging of the ducts.

Read more at Wikipedia.org


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Eyelid Problems
From Gale Encyclopedia of Childhood and Adolescence, 4/6/01 by A. Woodward

There are a few common conditions that can affect a child's eyelids. A stye is a common problem that is easily treated. It appears as a red bump on the edge of the eyelid, and is caused by a bacterial infection in a hair follicle or sweat gland on the lid margin. Warm, moist compresses applied several times a day are a successful treatment. If the stye is stubborn, a pediatrician may prescribe an antibiotic ointment.

A chalazion is an inflammation of an oil gland in the underside of the eyelid. It appears as a small bump beneath the eyelid, accompanied by redness and mild discomfort. Like styes, chalazions can be treated with application of warm, moist compresses. Prescription antibiotic ointment or drops may also be necessary. Chalazions often recur, and if they are problematic, a pediatrician may recommend surgery to remove the affected gland.

Ptosis is a condition in which the eyelid or eyelids droop. In some cases it is present from birth, as the result of incomplete development of the muscles which hold up the lid. Rarely, it is the result of trauma to the cranial nerves at birth. Ptosis may also develop after birth because of some trauma to the eyelid, or because of an underlying disease such a myasthenia gravis. Ptosis may appear as a droopy, partially lowered lid, merely as a heavy or enlarged upper lid, or the lid may completely cover the eye. In the rare case of congenital ptosis in which the drooping lid covers the entire eye or pupil, the child may need immediate surgery to correct the condition, or else vision will not develop normally. In a milder case, surgery is also the advised treatment, but it is usually not done until the child is three or four years old.

Further Reading

For Your Information

Books

  • Collins, James F. Your Eyes: An Owner's Guide. Englewood Cliffs, NJ: Prentice-Hall, 1995.
  • Savage, Stephen. Eyes. New York: Thomson Learning, 1995.
  • Showers, Paul. Look at Your Eyes. New York: HarperCollins Publishers, 1992.
  • Zinn, Walter J., and Herbert Solomon. Complete Guide to Eyecare, Eyeglasses and Contact Lenses. Hollywood, FL: Lifetime Books, 1995.

Gale Encyclopedia of Childhood & Adolescence. Gale Research, 1998.

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