Post-operative issues after chalazion surgery?
After the fourth day post-sty surgery, I have been following the doctor's instructions to take antibiotics and apply ointment, but I still feel significant discomfort in my eye, including sensations of soreness, pain, dryness, and itching.
The surgery was performed near the base of my eyelashes, and the area that was swollen from the sty has not yet returned to normal; it still appears swollen.
Additionally, there is a small white spot about 0.3 to 0.4 cm away from the surgical site on the meibomian gland, which is painful when pressed and seems slightly swollen.
Is this normal? Could this be a result of the surgery? Thank you.
Weiwei, 20~29 year old female. Ask Date: 2024/05/21
Dr. Gao Pilin reply Ophthalmology
Hello: Generally speaking, after chalazion surgery, it is common to experience some discomfort in the eye, such as swelling, pain, soreness, and dryness, which are all normal phenomena.
Typically, these symptoms will gradually subside within about a week post-surgery.
The symptoms you described, including eye discomfort and the chalazion not resolving, are considered normal postoperative reactions.
If you are taking antibiotics and applying ointment as directed by your doctor, and your symptoms do not improve or worsen, please consult your physician promptly.
Here are the situations that require immediate medical attention: severe pain or blurred vision, redness and swelling of the eyelid or eyeball, purulent discharge, and fever.
Regarding the small white bump on the meibomian gland that you mentioned, it could be a meibomian cyst or a recurrence of the chalazion.
If you feel pain, you can gently press on the bump; however, if the pain worsens, seek medical attention immediately.
In summary, the symptoms you described are all part of normal postoperative reactions.
Please continue to follow your doctor's instructions, take the antibiotics, apply the ointment, and pay attention to eye rest and hygiene.
If you experience any situations that require immediate medical attention, do not hesitate to seek help right away.
Reply Date: 2024/05/21
More Info
After undergoing a procedure for a stye (chalazion) removal, it's common to experience discomfort, especially in the initial days following the surgery. The symptoms you describe—such as soreness, dryness, itching, and a feeling of pressure—are not unusual. However, let's break down your concerns and provide some insights into what you might be experiencing.
Post-Surgery Symptoms
1. Discomfort and Pain: It is typical to feel some discomfort after surgery, particularly if the procedure was performed near sensitive areas like the eyelids. The pain you are experiencing could be due to the surgical manipulation of tissues around the eyelid, which can lead to inflammation and irritation.
2. Swelling: Swelling is a normal part of the healing process. The area around the stye removal site may remain swollen for several days to weeks as the body heals. If the swelling persists or worsens, it may warrant further evaluation.
3. Dryness and Itching: These sensations can occur as the eyelid heals. The application of ointments or antibiotic creams can sometimes contribute to a feeling of dryness or irritation. It's important to follow your doctor's instructions regarding the use of these medications.
4. Presence of a White Bump: The small white bump you mentioned could be a few things. It might be a residual cystic structure from the stye or a new blockage in the meibomian gland (the glands that secrete oil to lubricate the eye). If it is painful and swollen, it could indicate that the gland is still inflamed or that there is an infection.
What to Expect
- Healing Timeline: Generally, the healing process after a stye removal can take anywhere from a few days to a couple of weeks. The initial discomfort should gradually decrease, and the swelling should subside. If you notice that your symptoms are not improving or are worsening after a week, it is advisable to contact your healthcare provider.
- Follow-Up Care: It is crucial to attend any follow-up appointments with your ophthalmologist. They can assess the healing process and determine if any further treatment is necessary. If the white bump persists or if you experience increased pain, redness, or discharge, these could be signs of a complication that needs to be addressed.
When to Seek Help
- If your symptoms do not improve within a few days or if they worsen, you should reach out to your doctor. Signs of infection, such as increased redness, warmth, or pus, should be evaluated promptly.
- If you experience significant pain that is not relieved by over-the-counter pain medications or if your vision changes, seek medical attention immediately.
Conclusion
In summary, while some discomfort and swelling are normal after stye surgery, persistent symptoms warrant further evaluation. It's essential to monitor your symptoms closely and maintain communication with your healthcare provider. They can provide the best guidance based on your specific situation and ensure that your recovery proceeds smoothly. Remember to avoid rubbing your eyes and to follow all post-operative care instructions to promote healing.
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