1. Chalazion:
Answer A chronic sterile, lipogranulomatous inflammation lesion of the mibomian gland.
2. What causes a Chalazion:
Answer
meibomian glandssecrete the oil layer ofthe tearfilmin the eye.
NOT AN INFECTION. More common in adults.
3. What are the risk factors of a Chalazion:
Answer Chronic Blepharitis, Seborrhea, Viralinfection, rosacea
4. Clinical presentation of Chalazion:
Answer
Chronic swelling at the inner eye lid.
(NOTON THE LASH LINE)
Swollen, palpable nodule in lid margin of the eye.
NONTENDER.
Discomfort or irritation due to swelling, feeling of foreign body in the eye, swelling ofthe
eyelid.
5. Treatment of Chalazion:
Answer
Small lesions may not need any treatment.
Usually absorbs spontaneously in 2-8 weeks
Drains through the inner surface of the eyelid
May need intralesion steroid injection
Warm compress 3-5 times per day
Gentle massage of eyelid (do not try and pop it)
Abx not indicated unless lesion is associated with
Blepharitis
Optho referral if develops cellulitis or does not respond to treatment.
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