A chalazion is a bump on the eyelid that occurs when an oil gland becomes blocked by debris or excess oils. At first, the bump will appear red and swollen and may be tender to the touch. The pain will disappear, and the chalazion may resolve or continue to grow into a firm lump. In most cases, the lump will disappear in a few days but can take a month to completely resolve.
How Are They Treated?
These bumps usually will clear up on their own within a couple of weeks and may take up to a month to completely resolve. However, if they persist, a conservative medical treatment would include warm, moist compresses (5 minutes, 2x daily) to help the gland to open. Dr. Connor also recommends massaging the bump right after the warm compress to help the oil dissipate and absorb. Do not attempt to pop or squeeze the chalazion, as this can incite more inflammation.
A chalazion that fails to respond to warm compresses and massage may be managed by injecting it directly with a steroid. These injections prove to be a successful first-line treatment for patients who prefer a more efficient, less invasive method before considering an incision and drainage. Incision and drainage involve a minor, in-office surgical procedure in which an incision is made on the back of the eyelid, and the contents are then removed. Many factors affect the course of treatment and should be discussed with Dr. Michael Connor during your consultation.