CHALAZION AND STYE

CHALAZION, also known as a meibomian gland lipogranuloma, is a cyst in the eyelid that is caused by inflammation of a blocked meibomian gland, usually on the upper eyelid. Chalazions differ from styes (hordeolums) in that they are more painful than styes, and in size (chalazia tend to be larger than styes). A chalazion or meibomian cyst could take months to fully heal with treatment and could take years to heal without any.

Signs and symptoms:

1. Swelling on the eyelid
2. Eyelid tenderness
3. Sensitivity to light
4. Increased tearing
5. Heaviness of the eyelid

TREATMENT: The main treatment at the moment is a cream that should be applied to the inside of the lower eyelid four times a day. The duration of this treatment is set by your doctor usually for a couple of weeks .If they continue to enlarge or fail to settle within a few months, then smaller lesions may be injected with a corticosteroid or larger ones may be surgically removed using local anesthesia.[1][2] This is usually done from underneath the eyelid to avoid a scar on the skin. If the chalazion is located directly under the eyelid's outer tissue, however, an excision from above may be more advisable so as not to inflict any unnecessary damage on the lid itself.

COMPLICATIONS: A large chalazion can cause astigmatism due to pressure on the cornea. If a chalazion is left untreated and does not heal it could eventually lead to blindness.

STYE, is an infection of the sebaceous glands of Zeis at the base of the eyelashes, or an infection of the apocrine sweat glands of Moll.

CAUSES: Styes are commonly caused by a Staphylococcus aureus bacterial infection and by outdated mascara. They are also caused by a blocking of the oil glands at the base of the eyelash. Although they are particularly common in infants, styes are experienced by people of all ages. Styes can be triggered by stress, poor nutrition or sleep deprivation. Using the same razor to shave hair near both the eyes and a mustache can also spread staphylococcus bacteria, potentially leading to styes or other eye infections. Styes are contagious, and proper hygiene should be observed. Do not share washcloths or face towels.[2] [3] Styes will last from up to 3 weeks to 2 years without treatment, and only up to 1 week if treated properly.

TREATMENT: While most styes will drain on their own, this process can be accelerated by the application of a warm compress. There is also a specialized Polysporin topical ointment for styes. With treatment, styes typically resolve within one week. Lancing of a stye is not recommended without technical expertise[6] given its proximity to the eye.

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