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Chalazion (Lump in Eyelid) (cont.)

Exams and Tests for Chalazia

A doctor will take a medical history and perform a physical examination. The examination includes vision testing of each eye and an inspection of the face, eyelids, and the eye itself. In addition to examining the skin of the eyelids, an ophthalmologist may look inside the upper eyelid if the lump is in the upper lid.

Chalazion Home Remedies

Patient Comments
  • Warm compresses may be helpful. Hold a warm, wet towel on the eyelid for five to 10 minutes, four times a day, to reduce swelling and promote drainage of the gland. Although the towel and the water should be clean, they need not be sterile.
  • Lightly massage the area several times a day.
  • Do not "pop" or scratch the chalazion.

Chalazion Treatment and Surgery

Treatment of the chalazion may include the following:

  • Application of warm compresses for five to 10 minutes, four times a day, to reduce swelling and promote drainage of the gland
  • A prescription for antibiotic eyedrops or ointments if a bacterial infection is suspected to be present
  • Injection of a steroid medicine in the area of the lump to help decrease the inflammation
  • If a chalazion creates significant symptoms or lasts for weeks, it may need to be surgically removed. If the swelling has lasted more than a few weeks or creates symptoms of mild blurring of the vision, an ophthalmologist may recommend surgery to remove the chalazion. If the appearance of the chalazion if bothersome, surgical removal may also be indicated.

With multiple chalazia or recurrent chalazia, a generalized abnormality in the oil glands should be considered. One such condition is acne rosacea. This can be treated with long-term oral tetracycline (Ala-Tet, Sumycin, Doxycycline) to alter the consistency of the oils produced by the glands. The use of warm compresses prior to sleep and cleaning the lid margins with baby shampoo can also decrease the chance of getting chalazia in the future.

Medically Reviewed by a Doctor on 4/2/2015

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Patient Comments & Reviews

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Read What Your Physician is Reading on Medscape

Chalazion »

A chalazion (Greek for hailstone) is a lipogranuloma of either a meibomian gland or a Zeis gland.

Read More on Medscape Reference »


Medical Dictionary