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What is Chalazium?

The term “chalazion” refers to a lump or bump of the eyelid that is caused by obstruction and inflammation of a sebaceous (oil) gland within the upper or lower eyelid. This lump may increase in size over days to weeks and may occasionally become red, warm, or painful.

lump or bump

A chalazion is often confused with a sty, which also appears as a lesion in the lid. A stye, however, is a red and painful infection that tends to occur near the hair follicle, while a chalazion occurs further from the lid margin.



Chalazia are inflammatory reactions within sebaceous material. There is usually no infection, although it can occur.

How is a chalazion treated?

It can disappear spontaneously or with medical treatment such as:

Warm compresses A clean cloth can be wet in warm water and then applied to closed lids for 5 to 10 minutes several times a day.

Medication: Use of anti-inflammatory drugs for several days will usually achieve a satisfactory result.

Steroid Injections: A steroid injection can help resolve a chalazion. Your ophthalmologist will recommend this treatment if appropriate.

Surgery

A chalazion that does not respond to treatment will usually requires a minor surgical procedure that takes 15 minutes under local anesthesia.

A chalazion usually responds well to treatment. Some patients may have recurrences in the same or a different location. If a chalazion occurs in the same place, a biopsy is usually recommended to rule out a malignant lesion.

Key Points Summary
  • A chalazion is a lump or bump on the eyelid caused by an obstructed and inflamed oil gland
  • It can grow over days to weeks and may become red, warm, or painful
  • Chalazia differ from styes:
    • Chalazia occur further from the lid margin
    • Chalazia are inflammatory reactions, usually without infection
  • Treatment options include:
    • Warm compresses applied to closed lids for 5-10 minutes several times daily
    • Anti-inflammatory medications for several days
    • Steroid injections when recommended by an ophthalmologist
    • Minor surgery for persistent chalazia, performed under local anesthesia
  • Chalazia usually respond well to treatment, but may recur
  • Recurring chalazia in the same location may require a biopsy to rule out malignancy
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