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Surgical treatment for your chalazion (eyelid lump)

Now that we have decided that you need surgical treatment for your chalazion you need to know what to expect. I will have examined your eyelid under the slit lamp and looked at its undersurface, where I see a grey swelling, or perhaps a small, inflamed fleshy lump called a granuloma. I will then agree to carry out the incision and curettage to remove your chalazion, and this will take place under local anaesthetic. First I will place some eye drops in your eye to numb the surface. Then I clean the skin and infiltrate a small amount of local anaesthetic around the lump. This will make your eyelid and the chalazion completely numb.
While I am performing the procedure, you will not feel anything other than a little bit of stretch and pressure and my hands on your forehead, nose, eyelids and cheeks. I will have washed my hands first, put on clean gloves and I will be using sterile instruments prepared by the nurse throughout the procedure. The whole process is often known as chalazion drainage or chalazion surgery. Chalazion surgery is a very effective procedure with a success rate of more than 80%. If the lump is identified and operated on at the right stage of its development, after it has been around for at least two weeks, say, and it is not showing any signs of disappearing of its own accord and is not too inflamed, it is highly likely it will not recur. However, it is also important that you understand why the chalazion developed. It is usually due to underlying blepharitis and meibomian gland dysfunction – something you will tend to suffer from and which you are going to need to manage at home. Part of your visit to Clinica London will involve us explaining the underlying cause of chalazia and making sure that you receive the right information to maintain good eyelid hygiene at home.

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