CHALAZION/INTERNAL HORDEOLUM

PATHOGENESIS

It is lipogranulomatous inflammation of meibomian glands in the tarsal plate. It is caused by blockade of openings in gland ducts. 

CLINICAL FEATURES

It presents as painless lump more common in upper lid because meibomian glands are more in number in  upper lid. A secondarily infected chalazion is called internal hordeolum.

differences from stye

• Stye 

  • Painful

  • History of days

  • Location is lid margin

• Chalazion

  • Painless

  • History of months

  • Location usually away from lid margin

COMPLICATION

If enlarged it may cause

• Cosmetic disfigurement, 

• Mechanical ptosis and

•  Astigmatism. 

Treatment options 

1. conservative with 

   1. Hot compresses 

   2. Lid massage

2.  Intralesional steroid (triamcinolone acetonide) 

3. Surgical incision and curettage in unresolved cases. 

4. 
   

Question: What kind of inflammation is present in chalazion