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2035 Lyndell Terrace Davis, CA 95616 (530) 757-6000 www.lasikbymiller.com CHALAZION or HORDEOLUM What is a Chalazion? The term chalazion comes from a Greek word meaning a “small lump”. It refers to a swelling in the eyelid caused by chronic inflammation of one of the small oil producing glands (meibomian glands) located in the upper and lower eyelids. A chalazion is sometimes confused with a stye, which also appears as a lump in the eyelid. A stye is an acute inflammatory infection of an eyelash follicle and forms a red, sore lump near the edge of the eyelid. A chalazion is usually a reaction to trapped oil secretions and is not caused by bacteria. It is possible, however, to develop a secondary infection with bacteria. How is a Chalazion treated? When a chalazion is small and without symptoms, it may disappear without any treatment. If the chalazion is large, it may cause blurred vision by distorting the shape of the eye. A chalazion may be treated by any one (or more) of the following methods: 1. Antibiotic or steroid drops or injections. 2. Warm compresses: these may be applied in a variety of ways. The simplest way is to hold a clean washcloth, soaked in hot water, against the closed eyelid for 5-10 minutes, 3-4 times per day. Repeatedly soak the washcloth in hot water to maintain adequate heat. 3. Oral antibiotics (either short or long-term) 4. Surgical excision of the chalazion itself. Chalazia (pleural!) usually respond well to treatment, although some people are prone to recurrences and may require continuing medication. If a chalazion continues to recur in the same place, your ophthalmologist may suggest a biopsy to rule out more serious problems. Overall, while chalazia and hordeola are a nuisance, they rarely lead to vision or eyethreatening disease. Please talk to Dr. Miller if you have any questions or concerns.