Chalazion - Revision history

Danbot: Expand with concise EM-focused content: hordeolum distinction, sebaceous carcinoma red flag, management

2026-03-21T01:25:14Z

Expand with concise EM-focused content: hordeolum distinction, sebaceous carcinoma red flag, management

← Older revision		Revision as of 01:25, 21 March 2026
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	==Background==		==Background==
	[[File:Gray896.png\|thumb\|Anterior view of the right eye, with ~~lacramal~~ duct shown medial~~.]]~~		[[File:Gray896.png\|thumb\|Anterior view of the right eye, with lacrimal duct shown medial.]]
	~~[[File:Gray894.png\|thumb\|The tarsi and their ligaments. Right eye; anterior view~~.]]
	[[File:eyelid glands.png\|thumb]]		[[File:eyelid glands.png\|thumb]]
	*Chronic inflammatory lesion ~~due to~~ blockage of Zeis ~~or meibomian tear~~ gland		*Chronic, sterile, granulomatous inflammatory lesion from blockage of a meibomian (or Zeis) gland
	*Also known as meibomian gland lipogranuloma		*Also known as meibomian gland lipogranuloma
	*Often ~~results~~ from healing hordeolum		*Often develops from a healing [[hordeolum]] (stye)
			*More common on upper eyelid (higher density of meibomian glands)
			*Risk factors: [[blepharitis]], [[rosacea]], seborrheic dermatitis

	==Clinical Features==		==Clinical Features==
	[[File:Chalazion.jpg\|thumb\|Chalazion of right eye]]		[[File:Chalazion.jpg\|thumb\|Chalazion of right eye]]
	*Eyelid swelling ~~and erythema that evolve~~ into a painless, rubbery, ~~nodular lesion~~		*Eyelid swelling initially may be tender, evolving into a '''painless, rubbery, well-circumscribed nodule'''
	*~~More commonly seen~~ on ~~upper eyelid where density of Meibomian glands~~ is ~~greatest~~		*Not erythematous or warm (unlike acute hordeolum)
			*Points toward conjunctival surface (can see on lid eversion)
			*May cause [[astigmatism]] or visual disturbance if large enough to compress the cornea
			*'''Key distinction from hordeolum:''' Chalazion is painless and chronic; hordeolum is acute, tender, and often has a pointing pustule

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Periorbital swelling DDX}}		{{Periorbital swelling DDX}}
			*'''Sebaceous gland carcinoma:''' Consider in recurrent chalazia in the same location, especially in elderly patients — refer for biopsy

			==Evaluation==
			*Clinical diagnosis — no imaging or labs needed
			*Evert eyelid to visualize the granuloma from the conjunctival side

	==Management==		==Management==
	*Discontinue eye makeup and ~~contacts~~ until resolved		*Discontinue eye makeup and contact lenses until resolved
	*~~Hot~~ compresses ~~x15min~~ QID		*Warm compresses × 15 minutes QID with gentle eyelid massage
	*Antibiotics ''~~not~~'~~' indicated:~~ this is a granulomatous condition		*'''Antibiotics are NOT indicated''' (this is a granulomatous condition, not an infection)
	*Most resolve ~~without intervention in~~ weeks-months		*Eyelid hygiene with dilute baby shampoo scrubs
			*Most resolve spontaneously over weeks to months
			*Persistent cases: ophthalmology referral for intralesional steroid injection or incision and curettage

	==Disposition==		==Disposition==
	*~~Refer to ophthalmology~~ if persistent or ~~recurring~~		*Discharge with warm compress instructions
			*Ophthalmology referral if persistent >6 weeks, recurrent, or concern for malignancy

	==See Also==		==See Also==
	*[[Hordeolum]]		*[[Hordeolum]]
			*[[Blepharitis]]
			*[[Preseptal cellulitis]]

	==References==		==References==
	<references/>		<references/>



	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Rossdonaldson1: /* Management */

2025-09-24T17:39:22Z

Management

← Older revision		Revision as of 17:39, 24 September 2025
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	==Management==		==Management==
			*Discontinue eye makeup and contacts until resolved
	*Hot compresses x15min QID		*Hot compresses x15min QID
	*Antibiotics ''not'' indicated: this is a granulomatous condition		*Antibiotics ''not'' indicated: this is a granulomatous condition

Rossdonaldson1: /* Background */

2024-10-23T21:50:33Z

Background

← Older revision		Revision as of 21:50, 23 October 2024
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Gray896.png\|thumb\|Anterior view of the right eye, with lacramal duct shown medial.]]
			[[File:Gray894.png\|thumb\|The tarsi and their ligaments. Right eye; anterior view.]]
			[[File:eyelid glands.png\|thumb]]
	*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland		*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland
	*Also known as meibomian gland lipogranuloma		*Also known as meibomian gland lipogranuloma

Rossdonaldson1 at 21:21, 26 September 2020

2020-09-26T21:21:29Z

← Older revision		Revision as of 21:21, 26 September 2020
Line 1:		Line 1:
	==Background==		==Background==
	~~[[File:Chalazion.jpg\|thumb\|]]~~
	*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland		*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland
	*Also known as meibomian gland lipogranuloma		*Also known as meibomian gland lipogranuloma
Line 6:		Line 5:

	==Clinical Features==		==Clinical Features==
			[[File:Chalazion.jpg\|thumb\|Chalazion of right eye]]
	*Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion		*Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion
	*More commonly seen on upper eyelid where density of Meibomian glands is greatest		*More commonly seen on upper eyelid where density of Meibomian glands is greatest

Spenceemmett: /* Clinical Features */

2020-01-15T05:27:34Z

Clinical Features

← Older revision		Revision as of 05:27, 15 January 2020
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	==Clinical Features==		==Clinical Features==
	*Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion		*Eyelid swelling and erythema that evolve into a painless, rubbery, nodular lesion
			*More commonly seen on upper eyelid where density of Meibomian glands is greatest

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis at 16:18, 5 October 2019

2019-10-05T16:18:22Z

← Older revision		Revision as of 16:18, 5 October 2019
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	==Background==		==Background==
			[[File:Chalazion.jpg\|thumb\|]]
	*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland		*Chronic inflammatory lesion due to blockage of Zeis or meibomian tear gland
	*Also known as meibomian gland lipogranuloma		*Also known as meibomian gland lipogranuloma
Line 12:		Line 13:
	==Management==		==Management==
	*Hot compresses x15min QID		*Hot compresses x15min QID
	*Antibiotics not indicated: this is a granulomatous condition		*Antibiotics ''not'' indicated: this is a granulomatous condition
	*Most resolve without intervention in weeks-months		*Most resolve without intervention in weeks-months

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-07T09:42:53Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 09:42, 7 July 2016
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	{{Periorbital swelling DDX}}		{{Periorbital swelling DDX}}

	==~~Treatment~~==		==Management==
	*Hot compresses x15min QID		*Hot compresses x15min QID
	*Antibiotics not indicated: this is a granulomatous condition		*Antibiotics not indicated: this is a granulomatous condition

Neil.m.young: Text replacement - "==Source==" to "==References== "

2016-06-26T16:59:56Z

Text replacement - "==Source==" to "==References== <references/>"

← Older revision		Revision as of 16:59, 26 June 2016
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	*[[Hordeolum]]		*[[Hordeolum]]

	==~~Source~~==		==References==
			<references/>



	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Neil.m.young: Text replacement - "*UpToDate" to ""

2016-06-26T01:47:49Z

Text replacement - "*UpToDate" to ""

← Older revision		Revision as of 01:47, 26 June 2016
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	==Source==		==Source==
	*UpToDate


	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]

Neil.m.young: Text replacement - "*Tintinalli" to ""

2016-06-25T19:46:06Z

Text replacement - "*Tintinalli" to ""

← Older revision		Revision as of 19:46, 25 June 2016
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	==Source==		==Source==
	*UpToDate		*UpToDate
	*Tintinalli

	[[Category:Ophthalmology]]		[[Category:Ophthalmology]]