Chalazion

A chalazion is a lump or swelling on the eyelid, which is caused by a blocked meibomian gland. Meibomian glands are tiny oil glands in the eyelids. They release oil which forms the outer layer of tears. Regular eye screening can get Chalazion diagnosed early to prevent further irritation which might affect your daily routine.

What are the common symptoms of Chalazion in Singapore?

A chalazion can be felt as a lump in the eyelid, and is often painless. However, if there is associated infection, it is called a hordeolum, and it may be red, swollen and painful. 

When the meibomian glands are blocked, resulting in a Chalazion, this changes the amount and composition of oil in the tears. Poor quality tears do not coat the eye surface well, leading to dry eye symptoms. Hence, you may also experience:

• Eye discomfort/irritation
• Watery eyes
• Intermittent blurry vision

What are the Risk Factors for Chalazion?

These conditions increase the risk of developing a chalazion: 

• Blepharitis: inflammation of the eyelids
• Skin conditions such as seborrhoeic dermatitis or acne rosacea
• Previous chalazia in the same or fellow eye
• Previous eyelid trauma or surgery
• Diabetes or other medical problems

Chalazion Treatments in Singapore

Some small chalazia can go away without treatment. If it persists, you can consider conservative/medical or surgical treatment. 

Medical Treatment

• Warm compress

Apply a warm compress to your eyelid a few times a day, for about 5 to 10 minutes at a time. This can soften the oil in the blocked meibomian gland.

• Eyelid massage

Gently massage the lump to push the oil out from the glands. Massage downwards for the upper eyelids and massage upwards for the lower eyelids. This will move the oily secretions to the gland openings.

• Eyelid hygiene

Clean the eyelids, especially the eyelid margins where the gland openings are

• Antibiotics

Topical or oral antibiotics may be prescribed

• Steroids

Topical steroids may be prescribed or a steroid injection may be administered

Surgical Treatment

If the chalazion does not resolve, a minor surgical procedure may be required to drain the chalazion. A steroid injection can be given to the affected eyelid at the same time to reduce inflammation. 

How Can I Prevent Chalazia from Developing?

Regular eyelid hygiene is important. A daily routine of warm compress, massage and cleansing at least twice a day is recommended. Without regular eyelid hygiene, it is possible for a chalazion to recur even after it has been surgically drained.