The chalazion, is a cyst on the eyelid, with a large influx of patients in ophthalmology consultations, especially for aesthetic reasons.
The cause is due to the obstruction of the Zeis and Meibomian glands, which flow directly into the eye. This produces the filling of the cyst with a chronic inflammatory material, which takes a long time to be eliminated. In fact less than half are spontaneously reabsorbed.
The classic treatment is as follows:
a.- Treatment with local massage; apply heat several times a day and antibiotic and corticoid ophthalmic ointment (anti-inflammatory), which eliminate a small percentage of chalazions. Apply heat, helps penetrate the anti-inflammatory better within the cystic lesion.
b.- When this is not enough, the intralesional injection of Trigon Depot (Triamcinolone Acetonide) is applied. This is a corticoid or anti-inflammatory sustance of first level and slow release, performs its action in a larval way and increases the percentage of cures by comparing the conservative treatment. It is injected in small amount and subcutaneously or subconjunctivally, it can be injected more than once, if the first time fails.
c.- Third, we resorted to surgery, what can be done by previous or later route. After the local anesthetic infiltration, the capsule of the cyst is opened, and if it is done subconjunctivally, stitches are not necessary. It is very important to remove the capsule, because if it is not done correctly it will recur.
According to a study by the University of Tel AVIV, which compares the efficacy of intralesional injection of corticosteroids against classical surgery, they conclude that there is a success of cures with surgery of 78% compared to 60.4% in relation to the injection.
The main reasons for this pathology include patients with immunosuppression or stress, blepharitis, hyperopia and skin diseases such as Rosacea Ocular.
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