Chalazion (Stye)

Definition

Chalazion is a small lump and refers to a swelling in the eyelid caused by chronic inflammation of one of the small oil producing glands (meibomian glands) located in the upper and lower eyelids. A chalazion is usually a reaction to trapped oil secretions and not caused by bacteria, although the site can become secondarily infected by bacteria. When a chalazion is small and without symptoms, it may disappear without treatment. If the chalazion is large, it may cause blurred vision by distorting the shape of the eye. A chalazion is sometimes confused with a stye which also appears as a lump in the eyelid. Chalazions usually occur farther from the edge of the eyelid than styes, and tend to "point" toward the nose side of the eyelid. A stye is an acute inflammatory infection of an eyelash follicle and forms a red, sore lump near the edge of the lid margin.

Symptoms

  • Lump and/or swelling in the eyelid
  • Blurred vision
  • Tenderness in the area of swelling

The symptoms described above may not necessarily mean that you have a chalazion. However, if you experience one or more of these symptoms, contact your eye doctor for a complete exam.

Treatment

Chalazions may be treated with any one or a combination of antibiotic or steroid drops or injections; warm compresses for 5 to 10 minutes, 3 or 4 times a day; gentle massage to express the glandular secretions; or surgical drainage. Chalazions usually respond well to treatment, although some people are prone to recurrences and may require continuing medication. If a chalazion recurs in the same place, your ophthalmologist may suggest a biopsy to rule out a more serious problem. Occasionally, a chalazion can cause the entire eyelid to swell suddenly.

Podcast

Ask the podcast doctor logo How can I get rid of my stye and prevent it from happening again? How serious is it?

Christine Nelson, M.D. | 18 Dec 2008 | MP3 06:10

Listen to the podcast on styes by Christine Nelson, M.D.

Clinic Information

For more information, see the Comprehensive Ophthalmology and Cataract Sugery Clinic and the complete Clinic Services listing of the U-M Kellogg Eye Center.

Last Modified: Friday, 01-Mar-2013 11:44:41 EST