Chalazia: Risks of Fibrosis and Treatment Options - Ophthalmology

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Stye (hordeolum) and granuloma?


My stye was previously examined by a doctor, who mentioned that it has started to become fibrotic (does this mean it's turning into granulation tissue?).
Over the past few days, I've been applying medication, and it has reduced a bit.
The doctor said that to completely eliminate it, surgery is necessary.
I would like to ask if there will be any negative effects if I choose not to have surgery, or if it's just a small granulation tissue that won't cause any harm? I have double eyelids, which conveniently cover the granulation tissue, so it's actually not very noticeable right now...
Thank you for your response.

yu, 20~29 year old female. Ask Date: 2014/07/31

Dr. Gao Pilin reply Ophthalmology


Hello, based on your situation, it appears to be a chalazion rather than a stye.
Since it is granulation tissue, it cannot resolve on its own.
If it is not too large, you can try warm compresses to soften the tissue.
However, if it affects your appearance or vision, surgical removal of the granulation tissue will be necessary.
If it is not too large and does not significantly affect your appearance, surgery can be postponed.
The ophthalmology department at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2014/07/31

More Info


Chalazia, commonly referred to as "styes," are localized swellings in the eyelid caused by the blockage of the meibomian glands, which are responsible for producing the oily layer of tears. When these glands become obstructed, the oil builds up, leading to inflammation and the formation of a cyst. In some cases, if left untreated, chalazia can lead to fibrosis, which is the thickening and scarring of connective tissue. This can occur as the body attempts to heal the area, resulting in a fibrous tissue formation that may not resolve on its own.

The risks associated with a fibrotic chalazion can vary. While a chalazion itself is generally not harmful and often resolves with conservative treatment, the presence of fibrosis can lead to a few potential complications. Firstly, if the chalazion becomes chronic, it may cause discomfort or irritation, especially if it presses against the eye or eyelid. Additionally, if the fibrotic tissue continues to grow, it could potentially affect the eyelid's function or appearance, leading to cosmetic concerns.

In your case, since the chalazion has shown some improvement with topical medication, it suggests that the inflammation may be reducing. However, if the chalazion persists or continues to cause discomfort, surgical intervention may be recommended. Surgical removal of a chalazion is typically a minor procedure performed under local anesthesia, and it can provide immediate relief and resolution of the cyst.
If you choose not to undergo surgery, it's important to monitor the chalazion closely. In many cases, chalazia can resolve on their own, especially with warm compresses and proper eyelid hygiene. However, if the chalazion does not improve or worsens, it may lead to further complications, such as recurrent infections or the development of more significant fibrosis.

Regarding your concern about the appearance of the chalazion, if it is currently obscured by your eyelid fold and does not cause any symptoms, it may not pose a significant issue. However, if you notice any changes in size, color, or if it becomes painful, it would be prudent to consult with your ophthalmologist for further evaluation.

In summary, while a chalazion is generally benign, the development of fibrosis can lead to complications if left untreated. Surgical removal is an effective treatment option if conservative measures fail. It is essential to maintain regular follow-ups with your healthcare provider to monitor the condition and determine the best course of action based on your symptoms and the chalazion's progression.

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