Chalazion

The chalazion is defined by the Inflammation and the enkystement of one or more glands of Meibomius in the level of the Paupière. The chalazion forms a small rather hard ball located under the Peau and which does not make very badly. It can be formed when the small channel which drains a Glande of Meibomius stops.

Chronic chalazions

It can happen that the chalazions become chronic. They can be the consequence of a Blépharite due to a lack of ocular hygiene.

In very rare cases, it is possible that the chronic chalazions mask a Carcinome.

Its origin is rather fuzzy, and few doctors manage to identify the origin of a chalazion.

One suspects sometimes the allergy, or atmospheric pollution (in Paris region in France for example) to be at the origin of ocular irritation.

Others suspectent a Acarien, the Demodex folliculorum parasite of sébacées glands and follicules pilous to be about it in the beginning (a taking away of lash and an analysis can reveal the presence of it). Research is also interested in the bond between Demodex folliculorum and Rosacée, which also seems to cause ocular dysfunctions.

Some also think that it is the ocular Sécheresse of the eye which causes the chalazion.

Possible residence treatments

First of all it is very important to treat the chalazion as soon as possible, before it enkyste.

Heat seems to be the best method to cure the chalazions.

To apply hot compresses, during 15 to 20 minutes morning and evening, to allow to liquefy the contents of blocked glands. A small yellow point of liquid seeking to leave should appear on the edge of the eyelid. Then it is necessary to mass the eyelid in order to make leave this liquid.

Some recommend the use of an outgoing hard-boiled egg of the ebullient water pan by recovering it of a sterile fabric, for the application of heat directly on the chalazion. (by paying of course attention not to be burned). The egg acts for a longer conservation of the source of heat.

Then it is a question of massing the eyelid gently in order to make leave the liquid locked up in gland.

To prevent that the chalazion reappears, it is important to change cloths of the bed, or at least the pillowcase, absolutely every week, and to wash the hands several times per day, in order not to be tried to rub the eyes with dirty hands. A rigorous and constant hygiene often makes it possible to regulate the problem.

Medical regulation

To apply the antibiotic pomade prescribed by your doctor (capsules of STERDEX generally, 4 times per day), so that the chalazion is not infected.

Your doctor will be able to also prescribe you doxycycline with low dose (20 Mg 2 times per day)

Surgical operation

Handling in residence can appear unfruitful, and the ophthalmologist can decide to incise the eyelid to extract gland undergoing the ignition, in an ambulatory service.

Indeed, taken too late, the chalzion enkyste (see Cyst) and becomes impossible to drain manually.

For questions of esthetics, this incision generally takes place inside the eyelid.

The incision must be carried out in the direction of the blocked channel, so that the surgeon does not cut other channels, which would cause to create other chalazions.

Recommended ocular hygiene

It is possible to prevent the infections to have a particular daily hygiene. Certain ophthalmologists advise the daily cleaning of the eyelid and the lashes with products such as the bléphagel (without ordinance), morning and evening.

See too

External bonds

  • Of the practical informations on the chalazion
  • Treatment of chalazions by Chinese medicine (in English)
  • Demodex Folliculorum
  • Keratos - European Association on pathologies of ocular surface & the dysfunctions of the lachrymal system

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