What is a chalazion?
A chalazion is a lump in the middle of the eyelid. The lump
slowly gets bigger until it is about 1/2 inch wide. The skin overlying the
lump is a normal color or pink. The lump is usually not tender.
Your health care provider needs to confirm the diagnosis.
What is the cause?
A chalazion is caused by a blockage of a special oil gland
called the meibomian gland. The oil gland normally lubricates the inner
surface of the eyelid. When the gland is blocked, the oily material builds up
and causes a lump in the eyelid. The gland can become blocked by infection,
dust, a foreign body, or an injury.
How long does it last?
If a chalazion is treated within the first month or so, the
warm compresses and eyelid massage may reduce the swelling. After the first
month, treatment is of little benefit, but the lump may gradually disappear on
its own. Occasionally, the blocked gland opens through the inner lining of the
eyelid and drains a little pus for a day or so before it heals over.
If the chalazion is large and lasts more than 2 months, it
usually needs to be opened and drained by an eye surgeon (an ophthalmologist).
How can I take care of my
child?
- Warm compresses and eyelid massage
The purpose of eyelid massage is to help open the blocked
gland. First put a warm wet cloth on the eyelid for 2 or 3 minutes. Then,
using your finger or a cotton swab, gently massage the swollen area downward
towards the edge of the eyelid. Do this for about 1 minute. Repeat this
process 4 times a day. Continue this treatment for 1 month.
When should I call my child's
health care provider?
Call during office hours if:
- The chalazion doesn't get smaller after you have treated
it for 1 month with warm compresses and massage.
- The swelling becomes larger.
- Your child still has the lump more than 2 months from now.
- The eyelid becomes red and swollen.
- You have other questions or concerns.
