What is a Meibomian Cyst or Chalazion?

  • The term chalazion refers to a cystic swelling on the margin of either the upper or lower part of the eyelid.
  • The cyst forms because there is a blockage in one of the glands in the eyelid which helps to lubricate the eyes.
  • When the chalazion is small, it may disappear on its own. More often it remains and increases in size which may cause blurred vision.

How Are Chalazions Treated?

Treatment may involve any one or combinations of the following:

  • Antibiotic and /or steroid drops.
  • Warm compresses. Apply a cloth soaked in hand-hot water to the affected eye twice a day. This helps the blocked duct to open and release the fluid.
  • Lid Rubs Cleaning the eyelid margin by applying diluted baby shampoo with a cotton bud and carry out a rubbing action across the eyelid margin. This helps to clean out secretions blocked in the gland.
  • Occassionally the chalazion needs to be removed.This is performed in the Minor Ops Department as a minor procedure.

What happens in the Minor Ops Department?

  • You may eat and drink normally on the day.
  • Do not drive yourself to the hospital
  • You will be asked to sign a consent form allowing the procedure to be carried out.
  • A small injection of local anaesthetic will be given into the eyelid to numb it. This may sting.
  • During the procedure you will feel some pressure on the eyelid from the lid clamp.
  • A small incision is made on the inside of the eyelid so there will be no visible scar.
  • The contents of the cyst is removed. No stitching is required.
  • Ointment will be put into the eye and a firm pad applied.
  • The procedure should take no more than 10 minutes.