What is chalazion? Fates of chalazion?

 Chalazion/Hailstone/ Internal hordeolum/ Meibomian cyst/ Tarsal cyst:

A chalazion is a chronic, sterile, granulomatous inflammatory lesion caused by retained sebaceous secretion leaking from the meibomian glands or other sebaceous glands into adjacent stroma.


Chronic granulomatous inflammation of the meibomian gland.


Fate of Chalazion:

  1. Spontaneous resolution.
  2. Complications:
    • Increased size and causing mechanical ptosis.
    • Secondary infection-internal hordeolum (painful chalazion).
    • Burst either through skin/conjunctiva.
    • Malignant change- Meibomian carcinoma.

[Ref: Basak/4th/124-126]

Removal of Chalazion

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