Incision and curettage, getting rid of your chalazion once and for all

Have you had a chalazion that has waxed and waned, grown and then got smaller but just has not gone away entirely over weeks or months? If so, then you probably need to have that chalazion incised and curetted from beneath the eyelid under local anaesthetic to get rid of it once and for all.

Incision and curettage is known as I&C and is an outpatient procedure done by the ophthalmologists at Clinica London. We offer a one-stop treatment package for self-paying patients, where they come along on the day and see one of the consultants – either myself, Jane Olver, Mr Sajjad Ahmad, Ms Naz Raoof, Mr Jaheed Khan or Ms Laura Crawley – for assessment, then have I&C and go home. The assessment is to confirm that the lump is a chalazion and to make sure that you have good vision and can tolerate wearing an eye patch for 24 hours after the procedure.

In other words, we need to know that the vision in your other eye is good and we also want to check that the chalazion is at the right stage of its development to respond well to surgery.

Once we have decided to perform incision and curettage on your chalazion at the surgery, we ask you to sign a consent form. In the form, we explain the pros and cons of the procedure, and the possible side-effects, such as bruising and swelling for the first 48 hours afterwards. Then we go into the minor treatment room and, under a gentle local anaesthetic with drops and infiltration, we incise the chalazia from beneath the eyelid.

We do not use stitches and, although we evert the eyelid in order to remove the chalazion, it is quickly put back into its usual position. Then we put the eye pad on – and you have no chalazion; it is gone, usually forever. If the chalazion has drained fully, because it was at the right stage of development, then it is highly unlikely that you will get that chalazion back in the same place.

However, you may still be at risk of developing chalazia from other meibomian glands that may become blocked. So as part of the one-stop chalazia treatment, we ensure that you go away with lots of information about blepharitis, which is the underlying cause of the chalazia blocked duct.

We will advise you on how you can treat blepharitis at home and tell you about the additional treatments we can provide here at the clinic. These include BlephEx, which is a device that enables you to do a deep clean of your eyelashes, and MiBo ThermoFlo, which involves heating and cleaning the eyelids.

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Sajjad Ahmad-Resident expert-Clinica London

Sajjad Ahmad MBBS, FRCOphth, PhD

Consultant Ophthalmic Surgeon – Cornea & External Eye Diseases, Cataract & Refractive Surgery Specialist

Resident expert – Sajjad Ahmad

I am a Consultant Ophthalmic Surgeon with a special interest in managing diseases of the front of the eye: cornea, cataract and refractive, as well as external eye diseases (for example dry eye disease and allergic eye disease) here at Clinica London.

The ophthalmic community recognises me as a leader in the management and treatment of severe corneal and ocular surface diseases including inflammatory eye disease and corneal transplantation.

My mix of research and clinical experience have been vital to translate some of my laboratory research findings into the treatment of debilitating eye diseases of the cornea. I am is currently the UK Chief Investigator for a new European clinical trial of corneal stem cells.

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Laura Crawley-Resident expert-Clinica London

Laura Crawley BSc (Hons), MB ChB (Hons) MRCP, FRCOphth GMC

Consultant Ophthalmic Surgeon & Glaucoma Specialist

Resident expert – Laura Crawley

I am a Consultant Ophthalmologist at Clinica London with a special interest in treating patients with glaucoma and cataract.

I am very experienced in treating glaucoma and have published extensively in scientific journals and on medical education. I do many emergency operations at the Charing Cross and Western Eye Hospitals for the NHS.

I qualified at the University of Bristol in 1999, winning the Gold medal and Suple prize for medicine and surgery. Having completed my physician training in Bristol, I undertook Ophthalmology training in Oxford and continued training in London at Moorfields Eye Hospital and Imperial College NHS Trust, and at the Western Eye Hospital where I did a two-year fellowship specialising in Glaucoma.

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Jaheed Khan-Resident expert-Clinica London

Jaheed Khan BSc (Hons) MBBS MD FRCOphth

Ophthalmologist, Medical Retina & Cataract Surgeon

Resident expert – Jaheed Khan

I am a Consultant Ophthalmologist at Clinica London and at Moorfields Eye Hospital. My main expertise is in medical retina, including diabetic retinopathy and age-related macular degeneration, and cataract surgery.

I graduated from the Royal Free Hospital and University College London Medical School where I received a first class distinction for my Bachelor degrees.

I completed primary ophthalmic training at St Thomas’ Hospital and was later awarded a medical doctorate (MD) for my scientific research into new treatments for diabetic maculopathy at King’s College London.

I then completed higher ophthalmic training at Moorfields Eye Hospital, the Royal Free Hospital and the Western Eye Hospital, Imperial NHS Trust. I was then selected for advanced sub-speciality fellowship training at Moorfields Eye Hospital where I developed expertise in cataract surgery and management of conditions affecting the retina which include diabetic retinopathy and age-related macular degeneration.

I am renowned for my teaching excellence in eye surgery and am a clinical supervisor for the London School of Ophthalmology.

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Jane Olver BSc, MBBS, DO, FRCS, FRCOphth

Consultant Ophthalmic Surgeon
Eyelid & Lacrimal Specialist

Resident expert – Jane Olver

I am trained as an eye surgeon, and work both as a medical general ophthalmologist and oculoplastic (eyelid), lacrimal (tearduct) surgeon, and also do cosmetic rejuvenation and eyelid surgery.

In 2010, I founded Clinica London with the aim of providing a rapid access, high quality, Private Eye and Skin Clinic with several Consultant Specialists. Since 2014, I worked full time at Clinica London as both a Specialist Ophthalmologist and Medical Director.

I see many patients with general eye problems, dry eyes, eyelid and watering eye problems.

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Naz-Raoof-Resident-expert-clinica-london

Naz Raoof, BA, BM BCh, FRCOphth

Ophthalmologist specialising in Paediatrics, Strabismus & Neuro-ophthalmology

Resident expert – Naz Raoof

I am a Consultant Ophthalmologist at Moorfields Eye Hospital and the Royal London Hospital (appointed 2017).

At Clinica London, I am responsible for paediatric ophthalmology, strabismus treatment and neuro-ophthalmology. I also see adults and children with general and urgent eye problems and carry out routine and urgent procedures at Clinica London.

I trained as a doctor at the University of Oxford, qualifying in 2004. Following my training, the Royal Hallamshire Hospital (Sheffield) and the University of Sheffield employed me as a junior doctor in Ophthalmology.

I undertook two post-training specialist Fellowships in paediatrics, strabismus and neuro-ophthalmology, including 12 months at Moorfields Eye Hospital, London and in Auckland, New Zealand, before becoming a Consultant.

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MORE USEFUL INFORMATION

Read more about eye conditions

On this page, you’ll find thorough, non-promotional information booklets for patients with eye conditions. The College acts as the voice of the ophthalmic profession, they set the curriculum and examinations for trainee ophthalmologists, provide training in eye surgery, maintain standards in the practice of ophthalmology, and promote research and advance science in the speciality. Click here for more information

This handy page helps you look after your eyes when you should have regular eye tests, what you should do if you notice a change in your eyesight and risk factors for eye diseases. Click here for more information

NHS inform is Scotland’s national health information service. They aim to provide the people in Scotland with accurate and relevant information to help them make informed decisions about their own health and the health of the people they care for. Click here for more information
MedlinePlus is the National Institutes of Health’s Web site for patients and their families and friends. Produced by the National Library of Medicine, the world’s largest medical library, it brings you information about diseases, conditions, and wellness issues in language you can understand. MedlinePlus offers reliable, up-to-date health information, anytime, anywhere, for free. Click here for more information
The National Eye Institute (US) supports vision research through approximately 1600 research grants and training awards made to scientists at more than 250 medical centres, universities, and other institutions across the country and around the world. Click here for more information
Clinica London’s YouTube Channel features consultant eye doctors answering hundreds of eye-related questions on video – ranging from watering eyes and dry eyes, oculoplastics, retinal diseases, cataracts, glaucoma, squint and amblyopia. Click here for more information

BOPSS, the British Oculoplastic Surgery Society, was founded in 2000 (one of the founders was our very own Jane Olver) with the aim of bringing together surgeons in the United Kingdom and Ireland who share a significant interest in oculoplastic surgery (ophthalmic plastic and reconstructive surgery, orbital and lacrimal surgery, and aesthetic (cosmetic) eyelid and facial surgery). Oculoplastic surgery is also known as oculofacial surgery. Click here for more information

By |2018-12-14T12:19:18+00:00November 26th, 2018|Chalazion, General Eye Conditions, Jaheed Khan, Jane Olver, Laura Crawley, Naz Raoof, Sajjad Ahmad|Comments Off on Incision and curettage, getting rid of your chalazion once and for all