H00.12

Clinical Causes: Blockage of a Meibomian gland (oil-producing glands in the eyelids) Inflammation or infection of the gland tissue Poor eyelid hygiene or disrupted tear film Blepharitis (inflammation of eyelid margins) Chronic skin conditions such as rosacea Trauma or injury to the eyelid

Key Symptoms: A painless, firm lump on the eyelid, often appearing gradually Swelling localized on the eyelid, especially in the area of the affected gland Occasional tenderness or mild discomfort Possible redness or inflammation around the bump Tightening or thickening of the eyelid skin In rare cases, if the chalazion becomes infected, it may cause pain and pus formation

Diagnosis Path: Diagnosis is typically based on physical examination of the eyelid, where a healthcare provider observes the lump's characteristics and location. They may assess for signs of infection or other eyelid conditions. In some cases, additional eye examinations or eyelid measurements are performed to rule out other issues. No special laboratory tests are usually necessary unless infection or other complications are suspected.

Treatment Protocols: Most chalazions resolve spontaneously over time; however, some may require intervention. Common management options include: - **Warm compresses** applied regularly to promote drainage and reduce inflammation. - **Lid hygiene**, including gentle eyelid cleaning to prevent further blockages. - **Massage** of the eyelid to facilitate gland drainage. - **Medications** such as antibiotic ointments or steroid drops may be prescribed if there is associated infection or significant inflammation. - **In-office procedures**, including drainage or corticosteroid injections, might be necessary if the chalazion persists or causes significant discomfort. - **Surgical removal** as a last resort for persistent or problematic chalazions that do not respond to other treatments. Preventive measures, such as good eyelid hygiene and managing skin conditions, can help reduce recurrence.