Treatment of Chalazion

Special Considerations

• The American Academy of Ophthalmology suggests that chalazia recurring in the same location should raise suspicion for sebaceous carcinoma, especially in elderly patients 1, 4
• Biopsy should be considered for recurrent chalazia in the same location, marked asymmetry or resistance to therapy, or atypical features such as eyelid margin distortion, lash loss, or ulceration 2, 4

Advanced Treatment Options

• Intense pulsed light (IPL) with meibomian gland expression has shown promise as a non-surgical treatment option for recurrent multiple chalazia 1, 3

Follow-up

• Patients should return for follow-up if symptoms worsen, and for patients treated with corticosteroids, re-evaluation within a few weeks is recommended to assess response and check intraocular pressure 1

Pediatric Considerations

• Children with chalazia may have chronic blepharokeratoconjunctivitis that is often unrecognized and should be evaluated by an ophthalmologist if there is visual loss, moderate/severe pain, or severe/chronic redness 5