Should You Consider Surgery for a Chalazion? Expert Insights

Q: Should You Consider Surgery for a Chalazion? Expert Insights

Hello Mr. <br>Chuang： Chalazion and hordeolum are different conditions. <br>If there is swelling that leads to rupture and pus drainage, it is likely a hordeolum. <br>A chalazion is a type of granulomatous tissue. <br>You can refer to the detailed information at http：//bit.ly/2Zi

Chalazion: To operate or not to operate?

I would like to ask the doctor, I have been experiencing chalazia for several years, and most of the time they burst on their own.
After I clean them out, they disappear, but then they reappear.
I had surgery on my left eye by an ophthalmologist before, and now there is another area forming on the same eye.
However, I am still afraid of the discomfort from anesthesia.
If I continue with warm compresses and maintain cleanliness, and if the chalazion does not disappear but does not significantly affect my vision, is surgery still necessary? Thank you.

Zhuang Jiawei, 20~29 year old female. Ask Date: 2019/07/29

Dr. Gao Pilin reply Ophthalmology

Hello Mr.
Chuang: Chalazion and hordeolum are different conditions.
If there is swelling that leads to rupture and pus drainage, it is likely a hordeolum.
A chalazion is a type of granulomatous tissue.
You can refer to the detailed information at http://bit.ly/2Zinvrt.
If the chalazion is small and asymptomatic, no treatment is necessary.
However, if the chalazion is large, it may cause distortion of the eye and lead to blurred vision, in which case surgical intervention is required.
The Ophthalmology Department at Puzi Hospital in Taiwan is open: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek care at a medical facility if needed.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2019/07/29

More Info

When considering whether to undergo surgery for a chalazion, it's essential to weigh the benefits and risks, as well as to understand the nature of the condition itself. A chalazion is a cyst that forms when a meibomian gland in the eyelid becomes blocked, leading to swelling and discomfort. While many chalazia can resolve on their own, persistent or bothersome cases may require surgical intervention.

Factors to Consider:
1. Duration and Symptoms: If your chalazion has been present for several years and has not responded to conservative treatments such as warm compresses and maintaining eyelid hygiene, it may be time to consider surgery. While you mentioned that your previous chalazia often resolved on their own, if the current one is causing discomfort or affecting your vision, surgical removal could be beneficial.

2. Effectiveness of Conservative Treatments: Continuing with warm compresses is a good first-line approach. This method helps to soften the hardened oil and may promote drainage. However, if after several weeks of consistent treatment there is no improvement, surgery might be warranted.
3. Impact on Daily Life: If the chalazion is not causing significant discomfort or affecting your daily activities, you might choose to monitor it. However, if it becomes bothersome or affects your appearance, surgical removal can provide a more permanent solution.

4. Surgical Considerations: The surgery for a chalazion is typically performed under local anesthesia, which means you will be awake but the area will be numbed. Many patients express anxiety about the discomfort associated with anesthesia, but the procedure itself is usually quick and can be done in an outpatient setting. The recovery time is generally short, and most people can return to their normal activities within a day or two.

5. Risks of Surgery: As with any surgical procedure, there are risks involved, including infection, bleeding, and scarring. However, these risks are relatively low, especially when the procedure is performed by an experienced ophthalmologist.
6. Consultation with an Eye Specialist: Given your history and concerns, it would be beneficial to consult with an ophthalmologist. They can evaluate the chalazion, discuss your symptoms in detail, and help you weigh the pros and cons of surgical intervention versus continued conservative management.

Conclusion:
In summary, if your chalazion is persistent, causing discomfort, or affecting your vision, surgery may be a reasonable option to consider. On the other hand, if it remains asymptomatic and manageable with conservative treatments, you might choose to continue monitoring it. Ultimately, a thorough discussion with your eye care provider will help you make an informed decision tailored to your specific situation. Remember, the goal is to ensure your comfort and maintain your eye health.

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