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Chalazion

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  3. Chalazion

Overview of Chalazion

A chalazion is a lump on either the upper or lower eyelid. It is not a serious condition and can be treated at home. It usually presents as a painless swelling and goes away on its own.

The bumps that are fluid-filled or an abscess can form anywhere on the body. Usually, they are filled with dead white blood cells and pus and they go away on their own within a few days or weeks. Sometimes drainage is done by making an incision in the area.
A chalazion (Oola /  اولا ) is a small lump or bump on the eyelid due to a blocked gland. If more than one lump is formed, they are called chalazia. They can form on both eyes simultaneously.
It is not a serious medical condition and does not require immediate attention. A chalazion may disappear on its own and then come back again.  There is little to no pain if you have a chalazion. A large chalazion can press on the eye and cause blurry vision.

Prevalence of Chalazion

The exact prevalence of a chalazion is not known but it is a very common condition. It affects adults more than children. Both men and women are equally affected by it.

Signs and Symptoms of Chalazion

Signs and symptoms of a chalazion include:

  • Red, swollen eye
  • Pain in the eyelids
  • A bump or lump in the swollen area
  • Watery eyes
  • Mild eye irritation
  • Blurry vision

Types of Chalazion

Chalazia, also known as meibomian gland cysts, can be classified into two types based on their location within the eyelid:

  1. Internal chalazion: This type of chalazion develops on the inner side of the eyelid, specifically within the meibomian glands that secrete oils to lubricate the eye.
  2. External chalazion: External chalazia develop on the outer side of the eyelid, usually near the eyelash follicles. They are often the result of inflammation or blockage of the sebaceous glands that produce oil to keep the eyelid moist.

Both internal and external chalazia are typically benign and can often be treated with home remedies such as warm compresses, but in some cases, medical intervention may be necessary.

Causes of Chalazion

A  chalazion is caused by the blockage of meibomian glands in the upper and lower eyelids. These glands make oil that mixes with tears to moisten and protect the eye. Thick oil and blockage cause inflammation around the eyelids.

In very rare cases, a chalazion is caused by an infection.

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Risk Factors of Chalazion

Given below are the risk factors associated with chalazion:

  • Chronic blepharitis
  • Leishmaniasis
  • Viral infection
  • Carcinoma
  • Stress
  • Trachoma
  • Eyelid trauma
  • Bortezomib
  • Eyelid surgery
  • Immunodeficiency
  • Rosacea
  • High concentration of blood lipid

Health Complications of Chalazion

It is often considered a harmless condition but it can cause the following complications:

  • Astigmatism

A large chalazion can pressure the cornea. This can lead to poor vision.

  • Recurrence

Most of the time these infections do not resurface after treatment. But in other cases, they can.

  • Loss of Lash

Progressive and prolonged as well as untreated chalazion may lead to the severe loss of lashes.

  • Cosmetic Issues

A significant lump on the eyes can lead to cosmetic disfigurement. This also affects the physical appearance of the person. Furthermore, an untreated chalazion can lead to a disfigurement of eyelids.

  • Dry Eye

 

Chalazion blocks oil production in the eyes. This leads to the issue of dry eyes.

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Prevention

Following are some of the effective preventive measures for chalazion:

  • Make sure to clean your eyelids daily to remove any bacteria
  • Pay special attention to personal hygiene
  • Keep your eyes clean all the time
  • Maintain a good immune system
  • Protect your eyes against dirt, pollution, and smoke
  • Make sure to use quality eye products
  • Do not touch your eyes with unclean hands
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Diagnosis

No tests are required to diagnose a chalazion. Doctors may ask about the symptoms and general health history. A doctor would want to rule out other eye conditions during the exam.

Treatment of Chalazion | When to Consult a Doctor

Surgical or medical treatment is not usually required for this condition as it clears up on its own. In case of a persistent chalazion, steroid injections can be given or the chalazion is drained by cutting it open. 

Not squeezing and popping the bump is important, as it can increase the risk of further eye infection. 

  1. Home Remedy

Home remedies can be done to treat chalazion and promote the healing process. 

  • Warm Compresses

Warm compresses can soften the oil ducts leading to an effective drain of the chalazion and can also relieve irritation. Warm compresses are used several times a day until the swelling is lessened.

  • Massage

Massaging the eyelids gently daily can help the drainage of the chalazion. Keeping the area clean can reduce the risk of infection.

  1. Medications

Certain ointments, solutions, and medicated eye pads can be used to treat chalazion.

However, if you feel, consult an opthalmologist about your condition. 

 

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