All About Chalazion

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A chalazion is a gradually developing semi-solid lump formed due to blockage and swelling of the oil gland in your eyelid.

It starts as a tiny, reddish, tender, swollen area with mild eyelid pain. A chalazion is not an eye infection. But slowly, it changes to a painless, pea-sized lump which is often confused and assumed a stye. A chalazion is not common in children. It occurs in adults.

Symptoms:

  • Painless lump in the eyelid (upper lid)
  •  Irritation, watery eyes
  • Blurred vision if chalazion is large

Causes:

Chalazia may develop when something blocks a tiny oil gland in the eyelid, mostly upper eyelids. These glands function by keeping the eye moist. A blocked gland begins retaining the oil and swells abnormally. The fluid drains and piles up, and you may develop a hard lump on your eyelid.

Other causes of chalazia include:

  • Rosacea (a common skin condition that causes redness)
  • Chronic blepharitis, eyelid inflammation (redness, swelling)
  • Seborrheic dermatitis (dry, red, flaky, and itchy skin)
  • Tuberculosis 
  • Other viral infections

Diagnosis:

  • Health history
  • External eye exam
  • Eyelid exam: Your doctor uses a bright light and magnification to look at the base of your eyelashes. They also check the oil glands’ openings.

Treatment:

Mostly, a chalazion is self-resolved by following home remedies. Most chalazia resolve in a few weeks.

Avoid popping the chalazion. You can injure your eye. Instead, for home treatment, try the following:

  • Warm compresses: use a warm wet cloth. Hold it on the affected eyelid for 15 minutes. Repeat this thrice daily to help the blocked oil gland clear up.
  • Massage: Massage the eyelid gently for a few minutes each day, using slight pressure. Gentle massage can help clear up the blocked oil gland.
  • Good hygiene: Avoid wearing eye makeup if you have an active chalazion. 

If the chalazion is not self-limiting, then seek medical help. Your doctor would make a small incision to drain the fluid. Also, the injection of steroids helps to reduce swelling and inflammation.

Prevention:

You can avoid getting a chalazion by following good hygiene. Some essential elements of good hygiene include:

  • Handwashing
  • Contact lens care
  • Face-washing
  • Makeup Hygiene

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