The treatment of chalazion normally depends on the severity of the lump. Although in maximum cases the chalazion disappears on its own, it sometimes requires antibiotic and other medications to control the condition. It may also be necessary to treat the chalazion by conducting a minor surgical operation.
Certain drugs can be administered only by a practicing opthalmologist and hence it is recommended to visit an opthalmologist if the chalazion becomes more than two months old or leads to some problems or uneasiness.
Best Treatment Options For Chalazion
Acute infection which may occur during the initial stages of chalazion can be treated with the application of topical antibiotic ointments or eye drops. These antibiotic eye drops or ointments help to treat the initial infection which may be aggravating the problems of chalazion.
However other than that, antibiotic ointments or eye drops do nothing to treat chalazion. Common examples of topical antibiotics are fusidic acid and chloramphenicol.
A steroid (Corticosteroid) injection may be administered in the chalazion to reduce inflammation and further growth of the chalazion. Usually chalazion disappears on its own after a few weeks of its appearence. However, if that doesn’t happen, it may be dealt with a corticosteroid injection. The injection is normally administered by an opthalmologist as it needs to be injected directly over the chalazion. Although this is a very effective treatment option for treating chalazion, it is rarely used.
Chalazion which does not get healed on its own may have to be treated by a surgery. Chalazion surgery normally depends on the size of the chalazion. The surgery is carried out by an opthalmologist under local anasthesia to minimize the pain that may be felt by the patient during the surgery.
Chalazion surgery involves the creation of a small incision on the inner or outer layer of the eyelid to extract out the components of the lump. The opthalmologist administers a local anasthesia to numb the area before carrying out the operation. Smaller chalazion can be removed by creating a small incison of about 3 mm directly above the chalazion. The opthalmologist slits the top of the chalazion by turning the eyelid slightly to create the slit on the inner side.
This technique reduces the chances of scar formation on the eyelid. In this technique, the doctor flips the eyelid slightly and creates a small slit over the chalazion. He or she then applies pressure around the lump to extract out the components of the lump. Once done, the opthalmologist applies pressure over the area from where the lump is extracted out to prevent excessive blood from oozing out. Finally, the doctor secures the area with an eye bandage to prevent the area from getting exposed to infections.
Although a small chalazion can be extracted out by creating a small incision, the opthalmologist creates a larger incision to extract out larger or older chalazia which may have turned hard. Other than that, chalazion which is situated on the upper layer of the eyelid is normally removed by creating the incision on the outer side of the eyelid. However, the doctor secures the area by stitching up the incision if it is created on the outer side of the eyelid. It is not necessary to stitch the incision if it is created on the inner side of the eyelid.
The doctor may prescribe some painkillers to the patient to ease out the pain and discomfort which may occur after the surgery.
Antibiotics are prescribed to reduce the chances of secondary infections.