A chalazion is a painless inflammation characterised by a lump or nodule formed on the upper or lower eyelid. A chalazion is non-communicable and usually does not affect vision, but a large lump can put pressure on the eye. Chalazion is commonly seen in adults 30 to 50 years of age, and also in children.
Treatment approach
Assessment
Mild cases may be observed without immediate treatment.
Surgical Removal with Autograft
The growth is excised and the area is repaired using conjunctival tissue from the upper eyelid. This graft is secured via sutures or modern tissue adhesives.
No-Stitch Technique
Uses adhesive rather than fibres to hold the graft in place—speeds recovery, avoids suture irritation, and has shown excellent safety.
Adjunct Therapies
In selective cases, topical chemotherapy or low-dose radiation may be applied to reduce recurrence—though these carry a small risk of complications like ulceration.
Advanced Cases
Irregularities extending toward the corneal centre may benefit from laser reshaping with an excimer laser.
Recovery & risks
Temporary discomfort, redness, or irritation may occur post-surgery. Most patients return to normal activities within 1–2 weeks. Recurrence is possible, though adhesive techniques and grafting significantly reduce risk. Rare complications include infection or vision changes.
