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Chalazion of the lower and upper eyelids: photos, symptoms, treatment and drugs

Chalazion - differences from barley and treatment depending on the stage

Various seals on the eyelids not only deliver cosmetic discomfort, but also can adversely affect vision. Unlike barley - purulent inflammation of the sebaceous gland or hair follicle, located on the edge of the eyelid - chalazion occurs in the deeper layers and requires surgical intervention for prolonged periods.

Halyazion does not disappear independently and without treatment constantly progresses. That is why it is necessary as soon as possible to begin the treatment of the chalazion. This approach will help avoid contact with an ophthalmologist.


Halyazion - what is it? A photo


Chalazion of the lower eyelid, a photo of the initial stage

Chalazion of the lower eyelid, photo

photo 2 cyst formation on the lower eyelid

Halyazion is a chronic inflammation of the meibomian gland caused by blockage of its orifice and accumulation of secretions in the thickness of a century. In the people of Chaliaz called hailstone on the eye. Pathology is formed on both the lower and upper eyelids at any age.

Most often, the disease is diagnosed in children and the elderly. The resulting round seal with the initial signs of inflammation (hyperemia, slight pain on palpation) slowly increases in size from millet seed to pea with a diameter of 6 mm. The hailstone is not soldered to the surrounding tissues, the skin above it is mobile.

Chalazion may indicate a lack of immune protection (frequent colds, chronic foci of infection) or malfunction of the sebaceous glands (often diagnosed in people with oily skin seborrhea).

The appearance of hailstones on the eyelid is often associated with hypothermia, stress, chronic pathology of the gastrointestinal tract: biliary dyskinesia, gastritis, dysbiosis, enterocolitis. Also, the formation of chalazion is possible on the background of the frequent appearance of barley on the eye and allergic conjunctivitis.

Failure to follow hygienic rules, especially when wearing contact lenses, excessive use of cosmetics, and frequent gluing of false eyelashes can also trigger the development of a meibomian gland cyst.

How to distinguish halias from barley?

Chalazion of the upper eyelid, photo

Chalazion of the upper eyelid, photo

Initially, the chalazion on the eyelid is similar to barley. However, during these diseases there are some differences:

  • Barley is an acute purulent process. Chalazion is a chronic accumulation of secretion of meibomian glands with possible (optional!) Addition of infection. Signs of inflammation at a degree less pronounced.
  • Barley is located directly on the edge of the century, the seal of the chalazion is in the thickness of the cartilage of the century.
  • With a chalazion, the initially occurring signs of inflammation are minimized, and only a gradually increasing pea remains on the eyelid.
  • Barley quickly passes into the stage of suppuration with the formation of a purulent head and its subsequent dissection. With the long development of hailstones, a capsule is formed, and even with the removal of the sebaceous secretion from the cyst, the process of its accumulation is repeated again.
  • In most cases, barley is allowed on its own within a few days. Effective treatment of the lower and upper eyelid chalazion requires medical intervention.

Symptoms of Chalazion - characteristic signs

Symptoms of Chalazion

The accumulation of sebaceous secretion in the thickness of a century for 2-3 weeks does not give any external changes and complaints from the patient. Only after this does hailstone form on the eyelid, and the disease goes through the following stages:

The accumulation of secretion meibomian glands

The swelling of the eyelid and its insignificant hyperemia gradually appear. Under the skin in the center of the puffiness, you can feel a small dense grain, it is possible the appearance of a non-intensive pain when probing it.

Hyperemia with a gray center is found on the inner side of the eyelid. At this stage, an effective drug treatment of the chalazion of the lower eyelid leads to the dissolution of the secret accumulation.

Cyst formation

Over time, the reddening almost disappears, some eyelid swelling may persist. Such extinction of signs of inflammation indicates the formation of a capsule around the accumulated secret. AT

In such a state, a chalazion can remain for quite a long time, only gradually increasing in size. Having reached a large diameter, the cyst lifts the eyelid and presses on the eyeball, causing astigmatism and deformation of the visual field.


When an infection gets into a cyst, a violent inflammatory reaction begins: pronounced swelling and redness, and quite severe pain. Sometimes body temperature rises.

Possible spontaneous breakthrough of the cyst with the release of festering secret, mixed with blood, and the formation of a fistula. Rupture of cystic formation does not mean recovery.

At this stage, it is impossible to completely cure the chalazion without surgery.

Halyazion at the child - features

Halyazion at the child, photo

Halyazion on an eye at the child, a photo

The prevalence of hailstones in the child’s eyelid is associated with poor immunity and lack of hygiene. Rubbing the eyes with unwashed hands leads to rapid suppuration of the cyst.

A remarkable fact: the chalazion of the century in a child often occurs with farsightedness. And although the recurrence of eye shadows in children is extremely rare, it is necessary to promptly treat the visual impairment by wearing glasses and special exercises.

! Self-treatment of chalazion on the eye of a child is strictly prohibited ! Compresses and other thermal procedures can only accelerate the suppuration and contribute to the spread of infection to the surrounding tissue. The inclusion of immunocomprehensive drugs and physiotherapy in the treatment scheme will prevent the re-emergence of hailstones on the eye.

Age-related features — narrow output ducts of the meibomian glands and insufficient tonus of the smooth muscles of the eyelid — are perfectly eliminated by a special massage.

Chalazion Treatment - Removal and Preparations

Only sometimes, at the initial stage of the chalazion, when the cyst has not yet formed, it is possible to eliminate the blockage of the excretory duct of the gland itself. In most cases, medical assistance is needed: drug treatment or surgery. The method of treatment of eye chalazion depends on the stage of the pathological process.

Medical tactics at an early stage:

  • Dry heat - herbal compresses with anti-inflammatory effects (for example, chamomile, calendula, marshmallow) are ideal. Heat contributes to the relaxation of the smooth muscles of the century and the outflow of the accumulated secret.
  • Massage - light circular movements upwards (with a hail on the lower eyelid) and downwards (when treating a chalazion on the upper eyelid) eliminate blockage of the excretory duct. Massage is best done after the heat treatment.
  • Home-made methods of treatment - it is permissible to warm the chalazion with folk remedies: attachment of a boiled egg or baked onion, boiled in milk of dried figs. Soothing and anti-inflammatory effect has aloe juice and Kalanchoe (home plant doctor). Do not apply too hot means, use dry heat for signs of inflammation!

Only these measures, without medicinal treatment, are able to eliminate only a small amount of small size that appears.

Treatment of chalazion with medication:

  • Antiseptic and anti-inflammatory drugs - drops (Sulfacyl-sodium, Ofloxacin) and ointment (Tetracycline) - prevent the hailstones from being infected and effectively fight against the already developed inflammation. Antibacterial treatment is mandatory before the opening of the festering chalazion.
  • Corticosteroids - Kenalog is used to prevent the formation of a fibrous capsule and leveling inflammation. A hormonal agent is inserted into the cystic cavity with a thin needle. Corticosteroids, even when used locally, are carefully prescribed to children!

Surgical treatment of the upper / lower eyelid chalazion is shown in the absence of a result of conservative treatment of large-sized chalazion and frequent recurrences accompanied by cyst suppuration. In clinics, there are two main methods of surgical removal of a hailstone in the eyelid:

Traditional operation

Consolidation together with the fibrous capsule is excised through a mini-incision on the skin or the inner surface of the eyelid. It is very important to complete curettage (curettage) of the capsule and excision of the fistulous passage in order to avoid re-formation of the cyst.

Surgery is performed on an outpatient basis, under local anesthesia and takes no more than 20 minutes.

After removal of the chalazion, a pressure bandage is applied to the patient, antibacterial eye preparations (ointment) are prescribed.

Observation at the doctor continues for another 4-5 days before removing the stitches (they are superimposed when the skin is cut and absent when the inner surface of the eyelid is dissected). During the recovery period, there may be a pronounced swelling and bruising that disappear within a week.

Laser chalazion removal

After instillation of anesthetic drops into the affected eye and subsequent injection of anesthetic (Ultracain) into the eyelid, a century is cut and the contents of the cyst are removed. The fibrous capsule itself is evaporated by a laser beam.

Laser surgery has many advantages over traditional surgical excision. Minimal trauma causes the absence of postoperative complications (bleeding from a wound, infection). At the same time there is no need for suturing and pressure bandages.

The patient returns to a normal rhythm of life the day after the operation. After treatment with chalazion laser crust formed, which should not be ripped off. It is also not recommended to wet the eyes after surgery.


In most cases, halyazion is a benign process, with qualified treatment a complete recovery is achieved. Self-treatment can lead to the development of a large-scale purulent process: an abscess, phlegmon .

  • The danger of malignancy (malignant cyst) occurs with frequent recurrence of the cyst.

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