Chalazion in Children: Treatment and Concerns

Q: Chalazion in Children: Treatment and Concerns

Hello, Ami： 1. <br>If used according to the physician's instructions, it should not cause any issues. <br>If you haven't had a follow-up appointment in a long time, please schedule one for the physician to evaluate. <br>2. <br>If you experience itching, it may indicate an allergy

The stye has been present for over a month?

Hello, doctor: My child is 2 years old and has had noticeable granular red swelling near the eyelash roots on both eyelids (approximately 0.5 cm in size) for a month, starting from redness and swelling.
We have been using eye drops and ointments, and after a local anesthesia procedure on January 3rd to drain it, the eyelids are still red as of January 14th.
It seems that the left eye still has some residual granulation tissue, while the right eye appears to be swollen again.
I'm unsure if it wasn't cleaned properly or if it has recurred.
I would like to ask: 1.
Given that we have been using gentamicin + viscone 0.02%; chloramphenicol + gentamicin; and after surgery, Foxone 0.02% + gentamicin + betason-N, will the continuous use of these medications have any adverse effects on the eyes? 2.
The doctor later prescribed Morcasin, and my child feels very itchy after applying it.
Is this normal? 3.
Since the stye has not healed, should I continue using the medication or is frequent warm compress sufficient? Thank you for your help.

Ami, 30~39 year old female. Ask Date: 2022/01/17

Dr. Gao Pilin reply Ophthalmology

Hello, Ami: 1.
If used according to the physician's instructions, it should not cause any issues.
If you haven't had a follow-up appointment in a long time, please schedule one for the physician to evaluate.
2.
If you experience itching, it may indicate an allergy to the medication, so you should refrain from using it.
3.
Start using the medication and apply a warm compress, then return for a follow-up appointment as scheduled by your physician, who will determine the subsequent treatment based on your condition.

Reply Date: 2022/01/17

More Info

Chalazion, also known as meibomian cyst, is a common condition in children characterized by a localized swelling on the eyelid due to the blockage of the meibomian glands. These glands are responsible for producing the oily layer of the tear film, and when they become obstructed, it can lead to inflammation and the formation of a chalazion. In your case, it seems that your child has been experiencing symptoms for about a month, which can be concerning for parents.

1. Impact of Medications: The medications your child has been using, including gentamicin, chloramphenicol, and betamethasone, are typically prescribed to manage infections and inflammation. Gentamicin is an antibiotic that helps prevent bacterial infections, while chloramphenicol is another antibiotic that can be effective against a wide range of bacteria. Betamethasone is a corticosteroid that reduces inflammation. While these medications are generally safe when used as directed, prolonged use of topical antibiotics can sometimes lead to irritation or allergic reactions. It's essential to monitor for any signs of increased redness, swelling, or discomfort, as these could indicate a reaction to the medication. If your child continues to experience symptoms or if the condition worsens, it would be prudent to follow up with your healthcare provider for further evaluation.

2. Itching After Using Morcasin: The itching sensation your child experiences after using Morcasin could be a normal response, especially if the medication contains ingredients that may cause mild irritation. However, persistent itching or discomfort should not be ignored. It could indicate an allergic reaction or sensitivity to one of the components in the medication. If the itching continues or worsens, it is advisable to consult your child's doctor to determine whether an alternative treatment should be considered.

3. Management of Chalazion: In terms of treatment, continuing the prescribed medications is crucial, especially if the chalazion has not fully resolved. However, warm compresses can also be beneficial. Applying a warm compress to the affected eyelid for about 10-15 minutes several times a day can help promote drainage of the blocked gland and alleviate discomfort. If the chalazion persists despite these measures, or if there are signs of infection (such as increased redness, swelling, or discharge), further intervention may be necessary. In some cases, a healthcare provider may recommend a minor surgical procedure to drain the chalazion if it does not respond to conservative treatment.

In conclusion, managing a chalazion in children requires a combination of medication and supportive care. It is essential to maintain open communication with your healthcare provider, especially if you notice any changes in your child's condition or if you have concerns about the medications being used. Regular follow-ups can help ensure that your child receives appropriate care and that any potential complications are addressed promptly.

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