H00.15

Clinical Causes: Blockage of an oil gland in the eyelid (Meibomian gland) Inflammation or infection of the eyelid tissue Poor eyelid hygiene or incomplete removal of eye makeup Chronic blepharitis (inflammation of the eyelid margins) Existing skin conditions like rosacea or seborrheic dermatitis Trauma or injury to the eyelid

Key Symptoms: A painless lump or swelling in the affected eyelid Gradual development of the swelling over weeks Possible mild tenderness or soreness if inflamed Occasional redness around the lump Temporary blurred vision if the lesion presses on the eye surface Discomfort or feeling of heaviness in the eyelid in some cases

Diagnosis Path: Diagnosis is typically made through a physical examination by an eye care professional. The doctor will inspect the eyelid for a characteristic lump, assess for signs of inflammation or infection, and evaluate the impact on vision. In uncertain cases, additional tests like eyelid imaging or biopsy may be performed, but these are rarely needed. The primary goal is to differentiate a chalazion from other eyelid conditions such as more infected lesions like hordeolum (stye).

Treatment Protocols: Treatment approaches aim to reduce the size and discomfort of the chalazion. Common options include: - **Home care:** Applying warm compresses to the affected eyelid multiple times daily helps soften the blockage and promote drainage. - **Lid hygiene:** Regular cleaning of eyelid margins and avoiding eye makeup until resolution. - **Medical intervention:** If the chalazion persists or enlarges, an eye doctor may administer corticosteroid injections to decrease inflammation. - **Surgical removal:** In stubborn cases, a minor in-office procedure to excise the lesion may be performed, usually under local anesthesia. While antibiotics are generally not effective unless infection is present, close follow-up with an eye care provider is advisable if symptoms worsen or do not improve within a few weeks.