Chalazion has been recurrent?
Hello, doctor.
I would like to ask you about chalazion.
Last year, I developed a chalazion on my left eye, and despite seeing an ophthalmologist and using medications, it did not improve.
In March of this year, I underwent a minor surgery to remove the chalazion, but it reappeared in the same location a month later.
I have had three surgeries in three consecutive months.
I would like to know how to effectively treat chalazion.
I rarely consume fried or spicy foods and generally maintain a light diet.
My eyes tend to get fatigued easily, and I also have dry eye syndrome.
I would like to ask how I can improve or prevent the recurrence of chalazion.
Last week, I visited a traditional Chinese medicine practitioner, and the doctor prescribed a formula that includes Ren Shen (ginseng), Cang Zhu (Atractylodes), Yi Yi Ren (Job's tears), Lian Qiao (Forsythia), and Tuo Li Xiao Du Yin.
Can this formula help improve my condition? Thank you.
Sin, 40~49 year old female. Ask Date: 2020/06/08
Dr. Yan Sumei reply Traditional Chinese Medicine
Hello, Sin: The herbal remedies such as Zhenren Huo Ming Yin, Atractylodes, Coix seed, Forsythia, and Tori Disinfectant Decoction can help reduce inflammation, clear heat, and detoxify, which should improve your chalazion.
For daily care, in addition to avoiding fried and spicy foods and maintaining a light diet, it is also important to stay away from electronic devices.
Prolonged use of electronic devices can lead to eye congestion and heat, which may trigger chalazion.
Wishing you health and safety.
Best regards, Su-Mei Yen, Department of Traditional Chinese Medicine, Nantou Hospital.
Reply Date: 2020/06/08
More Info
Chalazion, a common eyelid condition, occurs when a meibomian gland becomes blocked, leading to inflammation and the formation of a cyst. Your experience with recurrent chalazia, despite surgical interventions, can be frustrating and concerning. Here are some effective strategies to prevent recurrence and manage your condition.
1. Understanding Chalazion Formation
Chalazia can develop due to various factors, including poor eyelid hygiene, underlying skin conditions (like seborrheic dermatitis), and even systemic conditions such as rosacea. Understanding the underlying causes in your case is crucial for effective management.
2. Eyelid Hygiene
Maintaining proper eyelid hygiene is one of the most effective strategies to prevent chalazion recurrence. This includes:
- Daily Cleaning: Use a gentle eyelid scrub or diluted baby shampoo to clean your eyelids daily. This helps remove debris, oil, and bacteria that can contribute to gland blockage.
- Warm Compresses: Applying a warm compress to your eyelids for 10-15 minutes, several times a day, can help to soften any hardened oil and promote drainage from the meibomian glands. This can be particularly beneficial if you have dry eyes, as it can also help stimulate tear production.
3. Managing Dry Eyes
Since you mentioned having dry eyes, addressing this condition is essential. Dry eyes can exacerbate chalazion formation. Consider:
- Artificial Tears: Regular use of preservative-free artificial tears can help keep your eyes lubricated.
- Omega-3 Fatty Acids: Incorporating omega-3 fatty acids into your diet (through supplements or foods like fish) may improve meibomian gland function and overall eye health.
4. Diet and Lifestyle
While you mentioned maintaining a light diet, consider further adjustments:
- Hydration: Ensure you are drinking enough water daily to maintain overall hydration, which can affect tear production.
- Avoiding Irritants: Limit exposure to smoke, dust, and other environmental irritants that can exacerbate eye conditions.
5. Medical Management
If chalazia continue to recur despite these measures, further medical evaluation may be necessary:
- Consult an Ophthalmologist: A specialist can assess for any underlying conditions that may predispose you to chalazia and recommend appropriate treatments.
- Topical Medications: In some cases, topical antibiotics or corticosteroids may be prescribed to reduce inflammation and prevent infection.
6. Traditional Chinese Medicine (TCM)
Regarding the herbal remedies prescribed by your TCM practitioner, such as "真人活命飲" and "托裏消毒飲," these may help improve overall health and reduce inflammation. However, the efficacy of herbal treatments can vary, and it’s essential to discuss these with your ophthalmologist to ensure they do not interfere with any other treatments you may be undergoing.
7. Regular Follow-Up
Regular follow-ups with your healthcare provider are crucial. If you notice any changes in your symptoms or if chalazia recur, seek medical advice promptly.
Conclusion
Preventing the recurrence of chalazia involves a multifaceted approach, including diligent eyelid hygiene, managing dry eyes, dietary adjustments, and possibly integrating traditional remedies. While your current treatment plan is a step in the right direction, ongoing communication with your healthcare providers will be key to finding a long-term solution. If symptoms persist, do not hesitate to seek further evaluation to explore additional treatment options.
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