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Chalazion
Aka: Chalazion, Chalazia
- See Also
- Hordeolum
- Epidemiology
- Occurs in all ages
- Pathophysiology
- Meibomian Gland affected
- Sebaceous Gland in lid tarsal plate
- Chronic granulomatous inflammation
- Signs
- Small non-tender Nodule ("English pea")
- Deep inside lid
- Adjacent to palpebral Conjunctiva
- Conjunctiva is red and elevated in affected area
- Differential Diagnosis
- Internal Hordeolum (painful as contrasted with the painless Chalazion)
- Lid malignancy
- Biopsy needed if Chalazia recur in same area
- Management
- Small chronic Chalazia need no treatment
- Larger chronic Chalazia
- Indications for treatment
- Cosmetic swelling
- Secondary Astigmatism from pressure on globe
- Refer to Ophthalmology for treatment
- Surgical Excision (preferred)
- Local steroid injection
- Infected Chalazia
- Same management as for Hordeolum