𝘊𝘩𝘢𝘭𝘢𝘻𝘪𝘰𝘯 ● Painless swelling on the eyelid ● Occurs due to a blocked meibomian gland in the upper or lower lid ● Meibomian gland secretions → blocked → retained oily secretions → breakdown of lipid possibly from bacterial enzymes or retained meibomian secretions → leak into adjacent tissue (surrounding tarsal plate stroma) → Chronic granulomatous inflammation of multinucleated giant cells and epithelioid cells surrounding a lipid globule (Lipogranuloma) 𝘙𝘪𝘴𝘬 𝘍𝘢𝘤𝘵𝘰𝘳𝘴: ● Blepharitis ● Rosacea ● Seborrheic dermatitis ● Demodex mite infestation ● Low serum Vitamin A ● GI inflammation ● Smoking ● Diabetes
𝘈𝘵𝘺𝘱𝘪𝘤𝘢𝘭 𝘊𝘩𝘢𝘭𝘢𝘻𝘪𝘢: Rule out neoplasms, infection (leishmaniasis/ TB masses), immune disorders (hyper IgE syndrome) 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭: ● Warm compresses and lid massage and maintaining good lid hygiene, antibiotics ● Intralesional injection of triamcinolone ● Incision and curettage www.ophthalmobytes.com Image from Rajan Eye Care Hospital #ophthalmology #ophthal #eyelidlesion #chalazion #lid #stye #meibomiangland #eyelid #doctor #health #medical #vision #education #optometry #medicalstudent #optometrist #medicine #eye #ophtho #ophthalmologist #ophthalmo #med #medicaleducation #ophthalmologyresident #ophthalmologyresidency