Recurrent Chalazion: Causes and Treatment Options

Q: Recurrent Chalazion: Causes and Treatment Options

Hello： Allow yourself to rest more and ensure you get enough sleep. <br>Apply warm compresses and massage the affected area four times a day for 15 minutes each time to promote blood circulation and enhance antibacterial effects. <br>Avoid applying pressure on the area, as doing

Recurrent chalazion

Hello, Doctor.
I would like to ask the following questions:
1.
Since March of this year, I have undergone surgery for recurrent chalazia in my right eye seven times and twice in my left eye.
I have had biopsies performed, and all results were normal.
The treating physician mentioned that it could be due to meibomian gland dysfunction causing gland obstruction and recurrent inflammation.
I have been following the doctor's advice regarding diet, hygiene, and lifestyle, but the issue keeps recurring.
Each time I have surgery and take antibiotics, I feel very distressed.
What can be done for a permanent solution?
2.
Additionally, can conjunctivitis cause meibomian gland dysfunction?
Thank you, Doctor.

Kai dao kai dao xiang ku., 30~39 year old female. Ask Date: 2020/10/27

Dr. Gao Pilin reply Ophthalmology

Hello: Allow yourself to rest more and ensure you get enough sleep.
Apply warm compresses and massage the affected area four times a day for 15 minutes each time to promote blood circulation and enhance antibacterial effects.
Avoid applying pressure on the area, as doing so during the acute phase can lead to the spread of bacteria and worsen the condition.
After three to four days of warm compresses, small lumps may disappear or improve.
However, if there is no improvement or if there is a trend of worsening, you should see a doctor immediately for localized or systemic antibiotic treatment.
After the acute phase and if there is already pus formation, incision and drainage may be necessary to expedite swelling reduction.

In terms of diet: avoid fried and spicy foods, and increase your intake of fruits and vegetables.
Ensure adequate sleep and follow your doctor's prescriptions.
If surgical outcomes are consistently poor, you should seek evaluation at a hospital with an oculoplastic surgery department.
This condition is likely unrelated to conjunctivitis.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/10/27

More Info

Recurrent chalazion can be a frustrating and painful condition, especially when it leads to multiple surgical interventions. A chalazion is a cyst that forms in the eyelid due to the blockage of the meibomian glands, which are responsible for producing the oily layer of tears. When these glands become obstructed, it can lead to inflammation and the formation of a chalazion.

Causes of Recurrent Chalazion
1. Meibomian Gland Dysfunction (MGD): As your doctor mentioned, dysfunction of the meibomian glands is a primary cause of chalazia. This dysfunction can be due to various factors, including hormonal changes, skin conditions like seborrheic dermatitis, or even environmental factors.

2. Poor Eyelid Hygiene: Inadequate cleaning of the eyelids can lead to the accumulation of debris and bacteria, which can exacerbate gland blockage.

3. Underlying Health Conditions: Conditions such as diabetes, rosacea, or other inflammatory skin diseases can predispose individuals to recurrent chalazia.

4. Diet and Lifestyle: While you mentioned following your doctor's advice regarding diet and hygiene, it’s worth noting that a diet high in refined sugars and low in omega-3 fatty acids can contribute to inflammation and gland dysfunction.

Treatment Options
1. Warm Compresses: Applying warm compresses to the affected eyelid can help to soften the hardened oil in the blocked gland, promoting drainage. This should be done several times a day for optimal results.

2. Eyelid Hygiene: Regular eyelid scrubs or using commercially available eyelid wipes can help maintain cleanliness and reduce the risk of blockage.

3. Topical Treatments: Your doctor may prescribe antibiotic ointments or steroid drops to reduce inflammation and prevent infection.

4. Oral Medications: In some cases, oral antibiotics may be prescribed to treat underlying infections or inflammation.

5. Surgical Intervention: If conservative measures fail, surgical drainage may be necessary. However, as you have experienced, this can lead to recurrence if the underlying cause is not addressed.

6. Addressing Underlying Conditions: If you have any underlying health issues, managing those can be crucial in preventing recurrence.

Regarding Conjunctivitis and Meibomian Gland Dysfunction
Conjunctivitis, or inflammation of the conjunctiva, can indeed affect the function of the meibomian glands. The inflammation can lead to changes in tear film stability and may contribute to gland dysfunction. If conjunctivitis is chronic or recurrent, it may exacerbate the issues with the meibomian glands, leading to further complications such as chalazia.

Conclusion
It is understandable to feel frustrated with the recurrence of chalazia despite following medical advice. It may be beneficial to have a thorough discussion with your ophthalmologist about your treatment plan and any additional steps you can take to manage your condition. Sometimes, referral to a specialist in ocular surface disease or a dermatologist may provide further insights into managing meibomian gland dysfunction effectively.
In summary, while recurrent chalazia can be challenging, a combination of proper eyelid hygiene, warm compresses, and possibly further medical intervention can help manage and reduce the frequency of these occurrences. If you continue to experience issues, don't hesitate to seek a second opinion or explore additional treatment options with your healthcare provider.

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