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Meibomian gland lipogranuloma
A chalazion will often disappear without treatment in a month or so.
The primary treatment is to apply warm compresses for 10-15 minutes at least four times a day. This may soften the hardened oils blocking the duct, and promote drainage and healing.
If the chalazion continues to get bigger, it may need to be removed with surgery. This is usually done from underneath the eyelid to avoid a scar on the skin.
Antibiotic eye drops are usually used several days before and after the cyst is removed. However, they are not much use otherwise in treating a chalazion.
Steroid injection is another treatment option.
Chalazia usually heal on their own. The outcome with treatment is usually excellent.
A large chalazion can cause astigmatism due to pressure on the cornea. This will get better when the chalazion is treated.
Apply warm compresses and call your health care provider if the swelling gets worse or continues for longer than 1 month.
Call for an appointment with your health care provider if lumps on the eyelid continue to get bigger despite treatment, or you have an area of eyelash loss.
Papier A, Tuttle DJ, Mahar TJ. Differential diagnosis of the swollen red eyelid. Am Fam Physician. 2007;76:1815-1824.
Neff AG, Carter KD. Benign eyelid lesions. In: Yanoff M, Duker JS, eds. Ophthalmology. 3rd ed. St. Louis, MO:Mosby Elsevier; 2008:chap 12.9.
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