Chalazion (cyst in the eyelid)

Each eyelid has a few dozens of these glands. Chalazion is the swelling of a sebaceous gland (Meibomian gland) in the eyelid. This can create a cyst.

Cause

Because of an blockage the tallow cannot come out of the eye anymore and blocks the gland. It is a sterile inflammation, which can sometimes be accompanied by a bacterial inflammation (infection).

Symptoms

It can either be a painless or painful swelling, just above or below the edge of the eyelid. The entire eyelid may become red and swollen fairly quickly.

oorzaak en gevolg van cyste in de oog

Treatment

A cyst in the eyelid is best treated with a warm compress. Put a clean wash cloth or that has been drenched in hot water (test the temperature on elbow skin) on the swollen eyelid for 15 minutes, at least twice a day.

Additional infections can be treated with antibiotics and possibly corticosteroid-containing eye drops.

If the cyst lasts too long, it will be removed under local anesthesia by making a small incision in the eyelid. This incision is usually made on the inside of the eyelid so there is no scarification after the wound has healed. Then a pressure bandage with a type of eye ointment is applied for a period of 2 – 12 hours. After the treatment, the patient cannot drive a vehicle. We suggest that a relative or friend brings you to your appointment and drives you back home.

In some cases, the ophthalmologist may choose to inject anti-inflammatory drugs (corticosteroids) into the swelling.

A chalazion can be a one-off, but another chalazion may also occur in another spot in the eyelid. This will be treated as described above.

Any questions? Please contact OMC Amstelland.

Source: NOG patient information  – www.oogheelkunde.org

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