A chalazion is a bump on the eyelid that occurs when an oil gland in the eyelid 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 it may 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.
A Chalazion is the most common inflammatory lesion on the eyelids. These growths, pluralized as chalazia, typically appear due to blocked meibomian or oil glands. A chalazion can form on either the upper or lower eyelid, and may disappear without treatment. These are not transmittable. These growths are sometimes confused with an internal or external stye. However, styes develop due to infection and are accompanied by pain. After a stye heals, a chalazion may develop.
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 no 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 involves 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. Connor during your consultation.
Chalazion removal surgery can be performed as an in-office procedure at our Palm Beach Gardens office. Before the surgery, you’ll be given local anesthesia via a small injection to prevent pain and discomfort. Certain over-the-counter, prescription, and herbal medications may affect preparation for your surgery. We encourage you to discuss your health history with Dr. Connor before committing to chalazion removal. The incision is made on the back of the eyelid to avoid an external scar. The procedure takes approximately 20 minutes. For patients that are nervous or anxious we offer Nitronox, a blend of nitrous and oxygen, to help you relax during your procedure.
A chalazion surgery will effectively remove the growth and allow us to take preventative measures to stop it from growing back. These surgical procedures are usually followed by a biopsy analysis in order to determine the cause of the chalazion. An eye drop medication will be prescribed to treat the underlying condition and help with healing.
During a chalazion surgery, the doctor will begin by providing you with a local anesthetic. A typical surgery lasts about 10 minutes, but the entire process (including preparation and anesthesia) may take around 45 minutes. During this procedure, a clamp will be used to keep your eye open. A small incision will be made on your inside of the eyelid and the chalazion will be excised completely. Afterward, a pressure patch is applied that can be removed the next morning. We recommend bringing another driver with you because you cannot drive with one eye patched.
After your surgery, you will be prescribed antibiotic drops. In some cases, you might also be provided with an oral antibiotic. Some swelling and leaking of red fluid may happen over the course of the next two days. This is completely normal. To reduce swelling and promote faster healing, applying a cool compress to your eyelid may be beneficial. While the wound heals, it is recommended that you avoid touching your eyes, wearing contact lenses, and applying makeup.
A chalazion surgery may vary in price depending on the size, location, and quantity of chalazion. Many of our reconstructive procedures are covered by insurance. A chalazion can cause irritation and visual disturbance therefore, it is a covered procedure with most insurance companies. For those who are self-pay, we will determine the cost during your consultation with Dr. Connor.
Most insurance providers cover chalazion incision and drainage. If you have insurance, we encourage you to review your policy and discuss the necessary procedure with Dr. Connor. In some cases, a deductible and co-insurance may be required for the procedure. Dr. Connor’s staff is very knowledgable regarding all types of insurance plans and can help determine your out of pocket expenses.
Love Dr. Connor and all his staff! Everyone is so friendly and I never have to wait! My surgery went perfect!
– Betsy M.
Palm Beach Gardens oculoplastic surgeon, Michael Connor, MD is considered one of the top eyelid surgeons in South Florida. His years of experience in helping people with chalazion removal surgery is known to yield exceptional results. For more information on what this procedure entails, we invite you to contact Oculoplastic & Orbital Consultants today by calling (561) 845-6500 or filling out the form below.REQUEST CONSULTATION
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