What is a chalazion (eyelid cyst)?
This is one of the commonest benign lumps in the upper or lower eyelids. A chalazion occurs when a meibomian gland opening blocks, resulting in an inflammation and occasionally infection in the meibomian gland – hence the other name for a chalazion is a meibomian gland cyst.
Treatment of a chalazion
Initial treatment should be hot compresses to the affected eyelid and topical antibiotic ointment. Often the swelling and tenderness improve but a firm “pea-sized” lump remains. This requires surgical removal under local anaesthetic as an out-patient. The lump is often excised from the inside surface of the eyelid.
Management
The management of other benign lesions varies considerably. Some lumps or bumps cause no symptoms, and once reassured that the problem is harmless, many people are happy not to have anything done. In other situations, the lesion may be symptomatic, e.g. itchy, irritating, crusty, or cosmetically unsightly, and the preferred option would be to remove it surgically.
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