Skip to content

Chalazion Cyst Removal – Important Facts to Consider

When is the surgical method of chalazion cyst removal necessary? There are actually a number of conditions that must be met before doctors will recommend that patients with chalazia go under the knife.

But before we go into that, let’s look at the manifestations of a chalazion. If you’re wondering what those nasty looking bumps in your eyelids are, read on…

Symptoms of a Chalazion Cyst

Chalazion Cyst RemovalA chalazion cyst is actually a swelling or hardened lump usually found in your upper eyelid. In some cases, it can also occur on the lower lid.
At first, a minor discomfort is felt in the area where the chalazion is slowly forming. This is followed by redness, inflammation and swelling of the eye.

Typically, the symptoms of a chalazion mimic those of a stye — and in fact, an eyelid cyst usually occurs after a stye. However, a chalazion will harden and become painless, unlike a stye that gets inflamed with pus in the form of an abscess and is painful.

There can be one or more chalazia in the eyelid and they can grow up to 8mm in size. A person with a chalazion might have problems seeing in bright light. In the event that a chalazion grows large enough to obstruct the eye and presses on the sensory nerves, pain may be felt. Blurriness of vision can also result when the chalazion presses on the cornea and causes induced astigmatism.

The Anatomy of Chalazion Development

Meibomian glands located behind the eyelids are responsible for lubricating the eyes. The oil that is used to accomplish this purpose is secreted via the numerous ducts of the meibomian glands. However, when these ducts get obstructed, the oil builds up behind the eyelids and forms the swelling that becomes the chalazion. This can happen gradually over the course of a matter of weeks or months.

While poor eyelid hygiene can be blamed for causing chalazia, there are also other predisposing factors that can lead to the formation of a meibomian cyst. These can include chronic blepharitis or the inflammation of eyelid margins, pregnancy, rosacea, seborrhoeic dermatitis and even diabetes mellitus. Neoplastic lesions or cancers of the eyelid can also incite the development of chalazion.

Chalazion Cyst Removal – Non-Surgical Methods

Conservative management is the most common method of chalazion cyst removal. Most doctors will recommend home care remedies that include applying warm compresses to the affected area and doing eyelid massages. Both of these methods are done in an attempt to loosen the secretions behind the eyelid and facilitate drainage.

Another non-surgical chalazion treatment, although it involves the use of needles, is the injection of a steroid medication into the chalazion. In some cases this works, while in others it does not. The application of antibiotic eye drops is usually only given if there are accompanying infections to the chalazion. However, these have not been proven to be effective in treating the chalazion itself.

Criteria for Surgical Chalazion Cyst Removal

Different doctors and hospitals have varying standards regarding when to refer a patient with meibomian gland lipogranuloma for surgical intervention. Normally, there is a certain time period wherein an ophthalmologist will simply require a patient to conservatively manage the cyst at home with eyelid massages and the application of warm compresses. When the lipogranuloma fails to resolve, then the patient is usually recommended to go under the knife.

In other cases, the worsening of symptoms can become grounds for surgical chalazion cyst removal. For example, when vision is already affected — such as when a patient experiences blurred or double vision — then surgery may need to be scheduled right away. Excessive pain and tearing are both grounds for surgery. Recurrent infection of the eye affected with the chalazion may also be another reason to go under the knife. In some cases, patients can ask doctors for surgery if the latter feels that the nodule is affecting his or her life negatively and the patient is fit enough to undergo the procedure.

The best way to determine if you should opt for surgical removal of your cyst is to have a talk with your doctor. Learn about the pros and cons and the complications that might accompany such procedures should you decide to push through with it. Ask about costs as well, since having this cyst removed could put a heavy dent in your wallet, especially if you have no health insurance or if your insurance doesn’t cover the procedure. Only when you’re convinced that there is no other method to cure your condition should you make the final decision to go for the surgical method of chalazion cyst removal.

Leave a comment