Intro
A chalazion is a lipogranulomatous inflammation of a meibomian gland in the eyelid that presents as a painless eyelid nodule or swelling. This pediatric patient presented with a chalazion that caused symptoms of eye irritation. The lesion had persisted for many months without improvement in response to warm compresses and eyelid scrubs with baby shampoo. Therefore, she underwent chalazion incision and curettage under sedation.
Methods
This video highlights the steps of chalazion incision and curettage. With a chalazion clamp tightened over the lesion, the eyelid is everted and an incision is made into the tarsus. A curette is used to scrape the walls of the cyst to remove the chalazion contents. At the conclusion of the procedure, the clamp is removed and pressure is applied to the area of the lesion for hemostasis.
Conclusion
Incision and curettage is a safe, relatively quick, and effective procedure for the management of persistent chalazia.
Authors
Michelle L. Huynh, BA
College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Muhammad Shamim, MD
Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Christian Ponder, MD
Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
A. Paula Grigorian, MD
Arkansas Children’s Hospital – Department of Ophthalmology, Little Rock, Arkansas, USA
The procedure was performed at Arkansas Children’s Hospital, Little Rock, AR, USA.
Music by bensound.com.