FAQs on Chalazions

Written by: Mr Colin Vize
Published: | Updated: 17/10/2023
Edited by: Robert Smith

A chalazion is a cyst-like bump that can appear on the eyelid. We spoke to Mr Colin Vize, a highly-experienced ophthalmologist, to discuss the answers to your frequently asked questions about this condition.
 

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Find out whether chalazions are dangerous, the ways in which they should be treated and how effective surgery is for treating them.
 

What is a chalazion?

A chalazion is a fairly common condition in which a small lump or cyst develops in your eyelid due to a blocked oil gland.
 

What causes a chalazion?

The meibomian glands are found in the upper and lower eyelids, these secrete an oily layer that mix with the tears to moisten and protect the eyes. If the oil gets too thick or if the glands become blocked due to inflammation, a chalazion may appear.
 

Are chalazions dangerous?

In general, they're not. However, if you have a child with a chalazion, it’s important to make sure that you seek medical advice to make sure that there is not concurrent cellulitis, an infection that could potentially be dangerous if not treated.
 

How should chalazions be treated?

The first step would be to obtain some antibiotic ointment such as chloramphenicol. This would work for any infection within the eyelid. A chalazion often gets better without further treatment. You will be encouraged to use a heat treatment such as a hot compress (a cotton wool pad, soaked in hot water).
 

When is surgery the best treatment for a chalazion?

Surgery is indicated when the swelling has been present for several months and shows no sign of spontaneous regression or recovery.
 

Is chalazion surgery painful?

Chalazion surgery is performed under local anaesthetic, which can initially sting upon infiltration. Once the eyelid is numb, the procedure is normally performed without discomfort. Once the anaesthetic has worn off, there may be an ache that requires simple analgesia such as paracetamol.
 

What happens during surgery for a chalazion?

Normally you will be admitted by the nursing team and some simple observations performed. You will then be taken into the operating theatre, where the surgery shall be performed. The whole operation usually takes no more than 15 minutes.
 

When can I return to work and activities after chalazion surgery?

The recovery from surgery varies between individuals; most patients require a few days to recover, especially if their occupation requires good vision.

 


 

If you require treatment for a chalazion, you may like to get in contact with an expert such as Mr Colin Vize, a highly experienced ophthalmologist who is based in Hull. Click here to visit his profile today.

By Mr Colin Vize
Ophthalmology

Mr Colin Vize is a highly experienced ophthalmologist who is based in East Yorkshire. He sees patients at Spire Hesslewood Clinic and specialises in general ophthalmologycataract surgery, lacrimal disorders and oculoplastic surgery. He is also available for emergency consultations.

Mr Vize's surgical caseload is enjoyably varied, ranging from lids to orbital decompression for thyroid eye disease. He also performs a weekly high volume refractive cataract surgery list. Teaching is an important part of Mr Vize's role and encompasses both undergraduate and postgraduate roles. In addition, he lectures local GPs and optometrists.

Mr Vize is a senior lecturer for Hull York Medical School and has published and lectured widely. He is a member of the medical advisory committee at Spire Hull and East Riding Hospital. He is also the Medical Director for Family and Women's Health Group at Hull University Teaching Hospitals NHS Trust.

Mr Vize developed the oculoplastic and adnexal service in Hull from scratch. He has forged links with colleagues throughout the hospital and takes an active role in a multi-disciplinary approach to patient management. Mr Vize maintains an active practice in microincision cataract surgery and conducts a weekly high volume service list. He is considered a ‘key opinion leader’ in the field and serves on the advisory boards of Abbvie, Zeiss and Bausch & Lomb.

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