Chalazion surgery

Chalazion, or internal hordeolum (stye), is a localised chronic inflammation of the eyelid due to a blocked meibomian (oil) gland. This type of disorder is commonly associated with rosacea and posterior blepharitis (inflammation of the inner back side of the eyelid). In case of unilateral blepharitis and recurrent chalazia in the same location, meibomian gland carcinoma is suspected. The excised lesion is therefore always examined histologically.

An acute chalazion (pain, redness, lid swelling) is treated with eye drops and ointments, warm compresses to the affected eye and eyelid massage.
In many cases, however, this type of treatment proves ineffective and the chalazion becomes chronic (a hard, well-defined lump). If there are sufficient indications, chalazion surgery is performed.

Prior to scheduled surgery, patients are requested to:

• stop taking anticoagulant drugs but only in consultation with the family doctor, cardiologist or other specialist,
• present a medical health certificate issued by a specialist stating that the patient is fit for oculoplastic surgery.

During surgery a small cut is made usually at the inner side of the eyelid and the chalazion is removed. Post-operative swelling and bruising may persist for some time. Patients are requested to apply the recommended medication into the conjunctival sac for 7-10 days after surgery.