Chalazion - Altmeyers Encyclopedia - Department Dermatology

Synonym(s)

Hailstones

Definition
This section has been translated automatically.

Slowly progressive, mostly painless distension of the eyelid margin, caused by a chronic inflammation of the Meibom or Zeis glands.

Classification
This section has been translated automatically.

Deep chalazion: starting from a meibomian gland.
Superficial chalazion: from a Zeis gland.

You might also be interested in

Dermatology

Atrophodermia idiopathica et pro...

Very superficial, large-area, non-sclerosing variant of circumscript scleroderma; belonging to type I (plaq...

Advertisment

Etiopathogenesis
This section has been translated automatically.

Closure of the excretory duct of a Meibom or Zeis gland, often as a result of a hordeolum. Consecutive congestion of secretion leads to granulomatous inflammation with infiltration of fibroblasts, lymphocytes and plasma cells.

Localization
This section has been translated automatically.

Especially lower eyelids.

Clinical features
This section has been translated automatically.

Hard, indolent, to hazelnut-sized lump in the eyelid area. There is no loss of vision.

Histology
This section has been translated automatically.

Granulomatous inflammation with epithelial and giant cells, lymphocytes and plasma cells.

Differential diagnosis
This section has been translated automatically.

In contrast to the hordeolum a chalazion is usually not pressure dolent.

Therapy
This section has been translated automatically.

Mostly spontaneous healing. Application of warm compresses is beneficial. Good experiences are made with local antibiotic therapy. In case of chronic persistence of chalazion, local injection of glucocorticoids (e.g. triamcinolone). In case of therapy failure or strong increase in size, surgical removal(Cave! Lid margin injuries).