Chalazia: When to Consult an Eye or Skin Specialist

Q: Chalazia: When to Consult an Eye or Skin Specialist

Hello： <br>Q1. <br>Is the removal of a chalazion not typically handled by ophthalmology, and should it be treated by dermatology instead? Chalazia are usually located at the eyelash line rather than on the skin. <br>Therefore, in general, eye-related issues (including chalazia) a

Follow-up question #201319 Inquiry about Meibomian glands?

Dear Dr.
Gao,
Thank you very much for your response and detailed explanation regarding the inquiry about meibomian glands in the article "#201319".
I have a clear understanding of Q1 and Q2.
Regarding Q3, I have developed a chalazion at the eyelash line on the anterior margin of my right meibomian gland.
I mentioned this to the ophthalmologist during my visit on October 6, but at that time, I did not consider whether the chalazion would affect the function of the meibomian gland or cause any blockage.
I simply informed the doctor that there was a lump at the front of my right eyelid and asked if it could be treated in the outpatient clinic.
The doctor mentioned that treating this lump would be quite painful and that it would expel something similar to a comedone, so I was advised to see a dermatologist.
I would like to ask Dr.
Gao the following questions:
Q1.
Is the removal of a chalazion not typically handled by ophthalmology? Is it necessary to see a dermatologist for this procedure?
Q2.
Currently, after applying warm compresses and getting sufficient sleep, it seems that the foreign body sensation in my right eye has diminished.
Should I observe the chalazion on my right eyelid for now, or would it be better to have it removed as soon as possible?
Thank you, Dr.
Gao.

Kris, 40~49 year old female. Ask Date: 2023/10/09

Dr. Gao Pilin reply Ophthalmology

Hello:
Q1.
Is the removal of a chalazion not typically handled by ophthalmology, and should it be treated by dermatology instead? Chalazia are usually located at the eyelash line rather than on the skin.
Therefore, in general, eye-related issues (including chalazia) are typically managed by ophthalmologists rather than dermatologists.
Q2.
Currently, after applying warm compresses and getting sufficient sleep, it seems that the foreign body sensation in my right eye has diminished.
Should I observe the chalazion on my right eyelid for now, or is it better to have it removed promptly? If your foreign body sensation has lessened and is not causing significant discomfort, you may choose to observe the situation for the time being.
Sometimes, chalazia can resolve on their own, especially after warm compresses and adequate rest.
However, if the foreign body sensation persists, or if the chalazion increases in size or causes discomfort, it is advisable to have it evaluated by an ophthalmologist.

Reply Date: 2023/10/09

More Info

Chalazia, commonly referred to as meibomian cysts, are localized swellings on the eyelid caused by the obstruction of the meibomian glands, which are responsible for producing the oily layer of the tear film. Understanding when to consult an eye or skin specialist regarding chalazia is crucial for effective management and treatment.

Q1: Is the removal of chalazia not typically handled by ophthalmologists, necessitating a visit to a dermatologist?
Chalazia can indeed be treated by both ophthalmologists and dermatologists. Ophthalmologists are specialized in eye care and are well-equipped to diagnose and manage conditions affecting the eyelids, including chalazia. They can perform procedures such as incision and drainage if necessary. However, dermatologists also have the expertise to handle skin-related issues, including chalazia, especially if they are recurrent or complicated by other skin conditions. The choice of specialist may depend on the specific circumstances, such as the size of the chalazion, the presence of other skin issues, or patient preference. In some cases, a collaborative approach may be beneficial, where both specialists work together to provide comprehensive care.

Q2: Given that my right eyelid chalazion has shown improvement with warm compresses and sufficient sleep, should I continue to monitor it, or is it advisable to have it removed promptly?
If the chalazion is not causing significant discomfort, vision impairment, or recurrent infections, it may be reasonable to continue monitoring it, especially if you notice improvement with conservative measures like warm compresses. Warm compresses can help to soften the contents of the chalazion and promote drainage, which may lead to resolution over time. Adequate sleep and reducing eye strain can also contribute to overall eye health.

However, if the chalazion persists for an extended period (typically more than a few weeks), becomes painful, or starts to affect your vision, it would be prudent to consult a specialist for further evaluation. In some cases, if the chalazion does not respond to conservative treatment, surgical intervention may be necessary to prevent complications such as recurrent inflammation or infection.

In summary, while chalazia can often be managed with conservative measures, it is essential to remain vigilant. If there are any changes in symptoms or if the chalazion does not improve, seeking professional advice is recommended. Regular follow-ups with an eye care professional can help ensure that any potential complications are addressed promptly.

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