Source: Leivo T. Näärännäppy ja luomirakkula [Hordeolum and chalazion]. In: Silmätautien käsikirja [Handbook of eye diseases]. Duodecim Publishing Company Ltd 2020. | |
Indications | Should be considered, if the symptom gets prolonged. In practice, it should first be seen if in over 3 months the chalazion gets better. |
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Preparation | Anaesthesia with lidocaine + adrenaline Tarsus should be anaesthetised as well. |
Course of the procedure | Chalazion forceps should be used; the side with the hole is placed against the eye. Tarsus is everted. Vertical incision is done with a knife after which the gland is emptied with a scoop. The forceps is removed in the end. |
Aftercare | Plenty of chloramphenicol ointment should be applied on the eye, and folded dressings are used as protection. The patient may have a seat and apply pressure on the eyelid with his/her palm for 15 min. Chloramphenicol ointment 3 times daily for 3-7 days to be carried home |
Note | If the change is recurrent or atypical, a sample for histopathological diagnosis, including some tarsus tissue, is taken. In differential diagnosis, sebaceous gland carcinoma is to be considered. A request to exclude sebaceous gland carcinoma should be included in the referral form for histopathological diagnosis. |