I've had multiple chalazions on my eyelids due to chronic blepharitis, 3 of them had to be surgically removed after the home treatment (warm compresses + eye drops + antibiotic) failed. 1 of the surgically removed chalazions was also after the injection treatment failed.
I have a chalazion problem due to chronic blepharitis. Currently I have a small one on the upper eyelid of my left eye, I already applied the treatment of warm compresses + eye drops + antibiotic when it first showed up and it was bigger, however it's been 2 months and it doesn't shrink or disappear anymore.
It will take awhile before I'm able to get an appointment with an ophthalmologist and I'm worried. I've had chalazions before and they were surgically removed, but this one is smaller than all of those, while still being uncomfortable when I wake up and creating an unappealing red area the eyelid.
All I want to know is:
1 - If a chalazion is too small can it not be removed surgically? I know about the injection method, but that was tried on me on a different bigger chalazion and it didn't work, so it had to be surgically removed. I've heard that if they are too small they can't be surgically removed, is that true?
2 - Can a chalazion be removed if it's too old? Or will it be unremovable or leave a permanent redness if it's too old? It will be awhile before my next appointment as I said, so I'm really worried waiting too long will affect it.
My mind cannot rest, I don't want to have a red dot on my eyelid visible to everyone for the rest of my life.
Please, I would deeply appreciate any information possible.
Thanks for your Question
Small and old chalazion can be removed surgically either in outpatient clinic or in surgical theater with the aid of surgical microscope. Steroid injection for the treatment of chalazion has many complication and i don't recommend to go through this route.
You can use lubricant eye drops such as systane to reduce any discomfort or foreign body sensation associated with chalazion.
Asymptomatic small chalazion maybe left without any surgical interference as it has no long term complication.
Lid hygiene for chronic blepharitis is very helpful to reduce the recurrence of chalazion.