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Encyclopedia > Chalazion
Chalazion
ICD-10 code: H00.1
ICD-9 code: 373.2

A chalazion, also known as a Meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of the meibomian gland, usually on the upper eyelid. Chalazions differ from hordeolums in that they are usually painless apart from the tenderness caused when they swell up. A chalazion may eventually disappear on its own after a few months, though more often than not, some treatment is necessary. The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... This is an article about cysts in the body. ... An eyelid is a thin membrane of skin with the purpose of covering and protecting an eye. ... Inflammation is the first response of the immune system to infection or irritation and may be referred to as the innate cascade. ... The Meibomian glands (Glandulae tarsales) are a special kind of sebaceous glands at the rim of the eyelids, where they are responsible for to supply sebum, an oily substance that prevents evaporation of the eyes tear film. ... A stye (also spelled sty) is an inflammation of the sebaceous glands at the base of the eyelashes. ...

Contents


Signs and symptoms

  • Painful swelling on the eyelid
  • Eyelid tenderness
  • Sensitivity to light
  • Increased tearing

Treatment

The primary treatment is application of warm compresses for 10 - 20 minutes at least 4 times a day. This may soften the hardened oils blocking the duct and promote drainage and healing.


Topical antibiotic eye drops or ointment (eg chloramphenicol or fusidic acid) are sometimes used for the initial acute infection, but are otherwise of little value in treating a chalazion. Chalazia will often disappear without further treatment within a month or so. An antibiotic is a drug that kills or slows the growth of bacteria. ... Chloramphenicol is an antibiotic that was derived from the bacterium Streptomyces venezuelae and is now produced synthetically. ... Fusidic acid is an antibacterial antibiotic used particularly for eye infections. ...


If they continue to enlarge or fail to settle within a few months, they may be surgically removed using local anesthesia. This is usually done from underneath the eyelid to avoid a scar on the skin. Rarely chalazia may reoccur and these will be biopsied to help rule out tumors.


Complications

A large chalazion can cause astigmatism due to pressure on the cornea. This will resolve with resolution of the chalazion. Astigmatism is a refraction error of the eye in which there is a difference in degree of refraction in different meridians. ...


Prevention

Proper cleansing of the eyelid may prevent recurrences in people prone to chalazia. Cleaning the eyelash area with diluted baby shampoo will help reduce clogging of the ducts.[1]


References

  1. ^  Moorfields eye hospital (UK) Patient information leaflet: Blepharitis - Lid Hygiene Advice For Patients
  2. Source: http://www.nlm.nih.gov/medlineplus/ency/article/001006.htm
  3. The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease, J.B. Lippincott, 1994.

External Links

  • Chalazion

  Results from FactBites:
 
Chalazion (With Pictures) - Causes, Symptoms And Treatment (612 words)
A common eye disorder, a chalazion is a granulomatous inflammation of a meibomian gland in the upper or lower eyelid.
A chalazion may become large enough to press on the eyeball, producing astigmatism; a large chalazion seldom subsides spontaneously and may have to be incised and curetted surgically.
Chalazions tend to occur farther from the edge of the eyelid than styes (although a gradual swelling can be felt near the edge of the lid), and tend to "point" toward the inside or nose side of the eyelid.
Chalazion (321 words)
A chalazion is sometimes confused with a stye, which also appears as a lump in the eyelid.
A stye is an infection of a lash follicle that forms a red, sore lump near the edge of the eyelid.
Chalazions tend to occur farther from the edge of the eyelid than styes and tend to "point" toward the inside of the eyelid.
  More results at FactBites »


 

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