Surgical removal of chalazion is usually performed in case of ineffectiveness of conservative treatment. This means that the operation is performed when eye drops, ointments and injections of corticosteroids did not give the expected effect.
How is chalazion removed? This is done surgically under local anesthesia. The operation is performed on an outpatient basis, and after its completion, a person can go home almost immediately. The whole procedure lasts no more than 15–20 minutes, and postoperative wounds heal in only 1–1.5 weeks.
Indications
The operation is a radical method of treating chalazion, which is used in case of emergency. In the initial stages, the disease is treated with antibacterial and corticosteroid drugs. With a large chalazion or a long course of the disease, a person is injected with steroid hormones (Diprospan).
Surgical removal of chalazion is indicated in such cases:
- ineffectiveness of drug therapy;
- neglected chalazion;
- the diameter of the formation is more than 5 mm;
- the appearance of abscesses, cysts of the century;
- the formation of pterygium or other complications.
The need for surgical intervention is determined by an ophthalmologist after examination and examination of the patient.
Contraindications
The operation to remove the chalazion is contraindicated in acute infectious diseases (flu, ARVI). It cannot be done by people who are intoxicated. In both cases, surgery should be postponed.
Stages of the operation
First, the ophthalmologist examines the patient and decides whether he needs surgery. If the doctor decided that the chalazion needs to be treated surgically, he notifies the patient about this and gives him all the necessary information. Then he chooses the day and time when the patient should appear for the operation.
Surgical stages:
- Laying down the patient ... The medical staff takes the patient into the operating room and asks him to lie on his back. In parallel with this, the preparation of equipment and surgical instruments is being carried out.
- Surgical field treatment ... The patient's head is covered with a sterile tissue, leaving only the desired eye open. Then the eyelids and the periorbital area of \u200b\u200bthe face are treated with an alcohol solution or other disinfectant.
- Anesthesia ... The operation is performed under local anesthesia. In this case, an anesthetic (novocaine, lidocaine, dicaine, alkaine) is injected into the thickness of the eyelid using a thin needle. This is usually done using an insulin syringe.
- Fixation ... In order for the doctor to access the chalazion and safely remove it, he fixes the eyelid with a special clip. If the surgeon plans to remove the formation from the inner surface of the eyelid, he turns it inside out. Note that applying a clamp also helps to avoid heavy bleeding from the arteries during surgery.
- Removing the chalazion with the capsule ... Using a scalpel, the doctor dissects the chalazion and extracts pus from its cavity. As a rule, he uses a small paddle for this. After that, the surgeon carefully excises the chalazion capsule.
- Suturing the wound ... If the ophthalmologist made an incision with inside century, he may not sew it up. If the skin of the upper or lower eyelid is cut, sutures are usually applied to the wound.
- Aseptic dressing ... After removing the chalazion, a sterile pressure bandage is applied to the patient's eye. Then the doctor gives the patient the necessary recommendations and allows him to go home. In the next few days, a person needs to wear a bandage, removing it only before instilling drops and laying the ointment.
In some modern clinics, chalazion is removed using a diode laser. In this case, the incisions are made not with a scalpel, but with an ultra-thin laser beam. This method is less traumatic and much less likely to lead to relapses.
Removal of chalazion in children
Chalazion removal in children is usually performed under local anesthesia, but in some cases it can be performed under general anesthesia. The incision is always made from the inside of the eyelid, and the stitches are not impose. At the end of the operation, a sterile bandage is applied to the child's eye, which must be worn for 5-7 days.
Postoperative period
After removing the chalazion, special care is required for the operated eye. In this case, the patient should not only wear a bandage, but also use the drops prescribed by the doctor. Also, in the postoperative period, he should not wet his eyes. If a person does not follow these recommendations, the cured chalazion may appear again.
Drugs that can be prescribed in the postoperative period:
- Antibiotics (Floxal, Tobrex, Oftaquix, Normax). Essential for the prevention of inflammatory complications.
- Non-steroidal anti-inflammatory drugs (Indocollir, Nevanak). They help relieve pain, inflammation, swelling and other discomfort.
- Corticosteroids (hydrocortisone ointment, Dexamethasone, Maxitrol). Accelerate regeneration (tissue repair) and relieve inflammation.
In the first 4–5 days after surgery, the eye area may remain swollen and red. As a rule, they soon pass without any consequences. At the end of the postoperative period, the human eye becomes completely healthy.
Complications
After the operative removal of the chalazion, its relapse is possible, that is, the reappearance of the formation. The reason may be insufficient thorough revision of the wound or incomplete removal of the capsule. Failure to comply with medical recommendations or refusal to take antibiotics may cause purulent complications (eyelid abscess, blepharitis, keratitis).
The essence surgical treatment chalazion consists in opening it with the subsequent removal of purulent contents and a capsule. The operation is performed on an outpatient basis under local anesthesia. In surgery, a solution of novocaine, lidocaine or dicaine is used for this purpose. The anesthetic is injected using an insulin syringe with a fine needle.
After the end of the operation, a tight sterile bandage is applied to the eye, which the person must wear for 5-7 days. During this time, he should also use antibacterial drops and other medications prescribed by the doctor. In the first days after surgery, the skin around the operated eye may be edematous and hyperemic, but soon all unpleasant symptoms disappear. The recovery period lasts an average of a week. Upon completion, a person can return to their usual way of life.
Useful video about the treatment of chalazion
Chaliazion ("hailstone") is an ophthalmic disease characterized by a benign tumor-like induration located in the thickness of the eyelid. The disease develops against the background of blockage of the meibomian gland and chronic inflammation in it.
The main manifestation is a lump and swelling in the eyelid. Sometimes there is suppuration and spontaneous opening of this nodule.
Diagnosis of the disease, as a rule, does not require any instrumental studies, but is based only on an external examination.
Operation to remove chalazion on the eye (with video)
There are two main methods that are successfully used by doctors in the treatment this disease: operating (surgical) and non-surgical (conservative). The latter includes the use of various kinds of ointments, drops and injections, mainly antibacterial and corticosteroid drugs, as well as physiotherapy.
If conservative methods do not give any positive effect or the case of the disease is severe and neglected, then there is only one way to eliminate chalazion - surgery.
I must say that this is not a complicated procedure at all, and does not take much time. It is carried out most often on an outpatient basis and, of course, with full and strict adherence to the rules of asepsis and antiseptics.
However, surgery is a terrible word: many patients are frightened even at the slightest hint of such an intervention. Such anxiety is primarily associated with ignorance. Therefore, below we will tell, first of all, for those who have been diagnosed with chalazion, how the operation proceeds.
It all starts with the fact that the operating field, i.e. the area on which the intervention will be carried out is treated with an antiseptic (in this case, this field will be the part of the face where it appeared).
Then the doctor performs the so-called infiltration anesthesia, in other words, using a thin needle, he performs a subcutaneous layer-by-layer injection of a local anesthetic drug (most often it is Lidocaine or Novocaine).
After such preparatory actions, the operation to remove the chalazion begins directly. In order to prevent bleeding as much as possible, the doctor applies a special clamp and, depending on where the “hailstone” is located, he dissects (ie, incisions) the eyelid tissue either from the outside or from the inside of it. After that, the chalazion capsule, along with the contents in it, is removed by husking.
At the final stage, the operating doctor treats the resulting surgical wound with an antiseptic solution. If during the intervention it was nevertheless necessary to make a skin incision, then sutures are applied. Then the incision area is treated with an antiseptic again and a sterile eye patch is applied. This completes the operation. Everything takes about 20 minutes.
The video of the operation to remove the chalazion can be viewed below:
It should be noted that in the first time after the operation to remove the chalazion, there may be swelling and bruising on the eyelids, but after a few days everything goes away.
Also, after removing the chalazion, an antibiotic ointment is necessarily prescribed.
Laser removal of chalazion on the eye
An excellent alternative to a scalpel in the case of a "hail" is the laser. Laser removal manipulation begins with the introduction of special anesthetic drops. Then, using a laser beam, the chalazion capsule is cut and removed completely. It's still easier and faster.
Moreover, this technique has a lot of advantages and benefits. First of all, it is less traumatic, in addition to this it does not require any dressings at the end, because the laser operation is bloodless and there is no need to apply stitches. And only in very rare cases, when the contact of the scar zone with the cornea causes discomfort in the patient, a special lens is prescribed for him for several days.
After performing this manipulation, it is forbidden to wet your eyes for a while. In this case, patients are usually discharged immediately.
It should be noted that if the "hailstone" can nevertheless develop again with the usual intervention (ie there is a risk of relapse), then when using a laser, the problem is solved once and for all. That is why if a person has a chalazy eye, the operation using a laser is the most preferable.
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It happens that you wake up and feel some discomfort when you blink. Going to the mirror, you notice some swelling and redness of the area on the eyelid. Most often, in this case, a person assumes that barley has just jumped out, and does not do anything special. If this is actually the case, then after a couple of days the discomfort and swelling disappear without a trace. Sometimes the swelling does not disappear, but a round nodule ("hailstone") forms on the eyelid. And despite the fact that there are no painful sensations, outwardly this education gives aesthetic discomfort. This is followed by a person's trip to an ophthalmologist and the most frequent diagnosis of a specialist: "You have a chalazion."
What is the chalazion of the century
Chalazion on the right eyelid belowIt is a chronic (unlike barley) proliferative inflammation of the eyelid, noted around the meibomian gland (this is a modified sebaceous gland) and the cartilage of the eyelid.
Such inflammation occurs when the outlet channel of this gland becomes clogged and secretory fluid accumulates in it.
Proliferation - proliferation of body tissue by cell multiplication by division.
A person may experience chalazia of both the upper and lower eyelids. It happens that hailstones form on both eyes.
What does he look like
Outwardly, the chalazion on the eye looks like a dense small pea ("hailstone"). On the side of the conjunctiva, there is an area with redness, as well as a grayish area in the center. When feeling soreness, either it is not at all, or it is insignificant. The exception is when suppuration has occurred and inflammatory signs have joined - in this case, there is soreness and redness of the skin of the eyelids, perhaps even a spontaneous opening of the formation from the conjunctiva with the release of pus.
A photo
Chalazion: reasons
Chalazion can be caused by:
- hypothermia of the body;
- colds;
- violation of personal hygiene rules;
- decreased immunity (protective functions of the body);
- wearing contact lenses;
- too oily skin (sebum can cause blockage of the lacrimal outflow);
- diseases of the gastrointestinal tract (dysbiosis, enterocolitis, chronic gastritis, etc.).
The diagnosis is made by a doctor based on an examination.
Treatment can be both conservative and surgical. You can also search the Internet for recipes to get rid of chalazion folk remedies (warming up, massages, etc.).
Chalazion: treatment with drugs
In the initial stages, of course, drug therapy is most often used. For example, the doctor prescribes the use of bactericidal drops to the patient, rubbing the yellow-mercury ointment onto the skin, as well as into the conjunctival cavity. Dry heating, salt lotions, linseed oil are also recommended. In winter, steroid injections into the chalazion cavity often help.
It is also appropriate to use physiotherapy to dissolve the chalazion. For example, using the Bioptron apparatus, which uses polarizing light; another option is a helium-neon laser.
If surface medications and physiotherapy methods have not worked, corticosteroid injections, such as Kenalog, are indicated. It is injected into the chalazion cavity with a thin needle for removal inflammatory process and obstacles to the formation of a fibrous capsule around the focus of inflammation. Kenalog promotes gradual resorption of the hail. This treatment takes about two weeks.
If this method did not lead to the disappearance of the chalazion, then surgery is indicated. Despite the fact that for many people the word "operation" sounds intimidating, in fact, in this particular case, it belongs to the category of simple ones, it is performed in 10-15 minutes and does not require a stationary location.
Chalazion: operation
Removing a chalazion with an operation is a radical and at the same time uncomplicated method, which is carried out on an outpatient basis.
Indications for surgery:
- chalazion is not treated conservatively;
- pterygium (pterygoid hymen), causing discomfort;
- neglected chalazion;
- inflamed cyst, conjunctiva.
Surgical intervention is performed after the acute inflammatory process has been removed.
The operation time is from 10 to 15 minutes.
First, it is carried out, after which a special fenestrated clip is applied to the eyelid. The surgeon makes an incision in the conjunctiva or skin, through which the contents of the chalazion are removed along with the fibrous capsule.
After that, sutures and a tight pressing bandage (to avoid bruising) are applied to the eye area. In order to avoid complications, the doctor prescribes anti-inflammatory eye drops or ointment to the patient, which must be used for about a week.
Video
The prognosis after surgery is good, but relapses are possible.
As with any surgical intervention, possible side effects (infection, bleeding, etc.) are not excluded. The rehabilitation period takes from 4 to 5 days, during which you need to come to the doctor for examination.
Chalazion: laser
An alternative to the classical operative method is laser removal of the chalazion. The essence of the method is as follows:
1) anesthetic drops are buried, an anesthetic is found in the thickness of the eyelid;
2) using a laser, the chalazion capsule is cut;
3) the contents of the capsule are removed;
4) the capsule is exposed to laser radiation in order to remove it.
The operation is low-traumatic and bloodless. There is no need to remove stitches. The duration of laser removal is about 10 minutes.
With this method, fewer relapses are noted than with classical surgery.