CHALAZION

• Chalazion, also called a tarsal or meibomian cyst, is a chronic non-infective (non-suppurative) lipogranulomatous inflammation of the meibomian gland primarily caused by obstruction of the glands
• A chalazion mimics a stye for the first few days and then turns into a painless hard, round bump later on

• Poor eyelid hygiene, stress or immunodeficiency
• Systemic conditions: Tuberculosis, rosacea, seborrheic dermatitis
• Anatomical abnormalities: complications of chronic blepharitis, mlaignancy

Predisposing factors

• Age: more common in children and young Adults
• Habitual rubbing of the eyes
• Metabolic factors
• Chronic debility
• Excessive intake of carbohydrates and alcohol

Symptoms

• Painless swelling (chronic, firm, rubbery nodule) in the eyelid, gradually increasing in size
• Mild heaviness in the lid may be felt with moderately large chalazion
• Blurred vision
• Watering (epiphora)

Signs

• The nodule is noted slightly away from the lid margin which is firm to hard and non-tender on palpation

• Usually a clinical diagnosis is made
• Local examination of eye -Painless swelling in the eyelid
• Biopsy : for a persistent or recurrent chalazion - may indicate an underlying carcinoma of the eyelid

• Conservative treatment ­- Hot fomentation, topical antibiotic eye drops and oral anti-inflammatory drugs
• Incision and curettage
• Diathermy

Ayurvedic Treatment

• Treatment for the cause to avoid recurrence – e.g. refractive error
• Advice to avoid frequent rubbing of eyes, intake of oily food etc

Internal medicines

• Guduchyadi kashaya
• Patoladi kashaya
• Avipathi choorna

Procedures

• Local mild Fomentation with Sigru leaves or Tamarind leaves
• Purambada (Bidalaka) - Mukkadi gulika +Honey/ milk – in swelling
• Incision and drainage- When Pus point is seen
• Kshalana with Triphala kashaya , Mridveekadi kashaya
• Aschotana - Durva gritha + honey
• Pad and Bandage 1 day