Eyelid: Chalazion incision and drainage (I&D)

Abstract

A chalazion is a common lesion of the eyelid that results from obstruction of the Meibomian glands within the tarsal plate. Obstruction of the gland can lead to accumulation of sebaceous material within the interstitium of the eyelid causing an inflammatory response. A fibrous capsule often forms around the sebaceous material resulting in a palpable bump in the eyelid. Occasionally cellulitis and abscess formation can occur simultaneously, which requires antibiotic therapy and abscess drainage. In rare instances, and particularly in older patients, chalazia can masquerade as more sinister conditions, the most serious of them being sebaceous cell carcinoma. Conservative measures include warm compresses to the eyelids, eyelid hygiene, and topical ophthalmic antibiotic ointment. Failure of conservative management should be documented prior to performing the procedure.