Chalazion in Children
A chalazion presents as a “bump” on the eyelid, sometimes associated with swelling, redness, pain, or tenderness. If the lesion is large, vision in the involved eye may be blurred or distorted. The lesion is secondary to a blocked meibomian oil gland and sometimes evolves from a hordeolum (“stye”). Inflammation and pointing may sometimes occur, and the tiny associated abscess may spontaneously drain. In many cases, however, the chalazion becomes chronic, and the patient presents desiring removal.
Treatment initially involves application of warm compresses in attempt to cause spontaneous drainage. Antibiotics, both topically and orally, are of little use. If the patient desires, the chalazion can usually be surgically opened and drained as a minor in-office procedure (some patients).