What is a conjunctival hypertrophic scar. How can it present as an eyelid mass. What are the symptoms and treatment options for this rare complication after chalazion surgery. How is it diagnosed and managed clinically.

Understanding Conjunctival Hypertrophic Scars: A Rare Post-Chalazion Surgery Complication

Conjunctival hypertrophic scars are an uncommon complication following ocular surgeries, particularly after chalazion removal. These scars can present as eyelid masses, causing significant discomfort and visual disturbances. This article explores a rare case of a conjunctival hypertrophic scar that developed after chalazion surgery, highlighting its clinical presentation, diagnosis, and management.

What is a Conjunctival Hypertrophic Scar?

A conjunctival hypertrophic scar is an excessive growth of fibrous tissue on the conjunctiva, the clear membrane covering the white part of the eye and the inner surface of the eyelids. Unlike normal healing, hypertrophic scars involve an overproduction of collagen, resulting in a raised, thickened area of tissue.

How Does It Develop After Chalazion Surgery?

While rare, hypertrophic scars can occur as a complication of chalazion surgery. Factors contributing to their development may include:

• Individual healing tendencies
• Surgical technique
• Post-operative care
• Underlying health conditions

Clinical Presentation: Recognizing the Signs and Symptoms

The case study presents a 74-year-old man who developed a conjunctival hypertrophic scar four months after chalazion surgery. His symptoms included:

• Severe ocular discomfort
• Excessive lacrimation (tearing)
• Itching of the upper eyelid

Physical Examination Findings

Upon examination, the following was observed:

• A 6 mm × 8 mm round, immobile, hard mass on the tarsal conjunctiva
• Mushroom-shaped protrusion
• No associated pigmentation, ulceration, or tenderness

Diagnostic Approach: Confirming Conjunctival Hypertrophic Scar

Diagnosing a conjunctival hypertrophic scar involves a combination of clinical examination and histopathological analysis. How is this condition definitively diagnosed?

Clinical Examination

A thorough ocular examination is crucial, including:

1. Visual inspection of the eyelid and conjunctiva
2. Assessment of the mass’s size, shape, and consistency
3. Evaluation of associated symptoms

Histopathological Analysis

Excisional biopsy and subsequent histopathological examination are essential for confirming the diagnosis. Key findings include:

• Thick interlacing collagenous fibrous bundles
• Fibroblastic proliferation
• Positive CD34 staining of spindle-shaped fibroblasts
• Negative smooth muscle actin staining
• Blue staining of excessive collagenous tissue with Masson trichrome stain

Treatment Options: Managing Conjunctival Hypertrophic Scars

What are the effective treatment options for conjunctival hypertrophic scars? The primary approach is surgical excision, as demonstrated in this case study.

Surgical Excision

The procedure involves:

1. Excisional biopsy of the benign conjunctival tumor
2. Use of radiofrequency electrosurgical systems
3. Performance under local anesthesia

Post-operative Care and Monitoring

Following surgery, it’s crucial to:

• Monitor the healing process
• Assess for any signs of recurrence
• Conduct follow-up examinations

Prognosis and Long-term Outcomes

What can patients expect after treatment of a conjunctival hypertrophic scar? In the presented case:

• The excised conjunctiva healed well by postoperative day 14
• No recurrence was observed up to 1 year post-surgery

This suggests that with proper surgical management, the prognosis for conjunctival hypertrophic scars is generally favorable.

Differential Diagnosis: Distinguishing from Other Eyelid Masses

When evaluating an eyelid mass, it’s important to consider various differential diagnoses. How can clinicians differentiate a conjunctival hypertrophic scar from other conditions?

Potential Differential Diagnoses

• Chalazion recurrence
• Benign eyelid tumors (e.g., papilloma, nevus)
• Malignant eyelid tumors (e.g., basal cell carcinoma, squamous cell carcinoma)
• Inflammatory lesions

Key Distinguishing Features

Factors that help differentiate conjunctival hypertrophic scars include:

1. History of recent chalazion surgery
2. Characteristic appearance on clinical examination
3. Absence of typical features of malignancy (e.g., ulceration, pigmentation)
4. Histopathological findings consistent with hypertrophic scar tissue

Prevention Strategies: Minimizing Risk of Hypertrophic Scar Formation

While conjunctival hypertrophic scars are rare complications, there are strategies to potentially reduce their occurrence. What preventive measures can be implemented?

Surgical Technique Optimization

• Meticulous surgical planning
• Minimizing tissue trauma during chalazion removal
• Proper wound closure techniques

Post-operative Care

Emphasizing proper post-operative care, including:

1. Adherence to prescribed medications (e.g., topical antibiotics, steroids)
2. Regular follow-up appointments
3. Early identification and management of any healing abnormalities

Future Research Directions: Enhancing Understanding and Management

Given the rarity of conjunctival hypertrophic scars, further research is needed to improve our understanding and management of this condition. What areas warrant further investigation?

Potential Research Topics

• Genetic factors predisposing individuals to hypertrophic scar formation
• Novel surgical techniques to minimize scar formation
• Advanced imaging modalities for early detection of abnormal healing
• Development of targeted therapies to prevent or treat hypertrophic scars

Collaborative Efforts

Encouraging collaborative research between:

1. Ophthalmologists
2. Dermatologists specializing in scar management
3. Molecular biologists studying wound healing processes

Patient Education: Empowering Individuals for Better Outcomes

Educating patients about the potential complications of chalazion surgery and the importance of proper follow-up care is crucial. How can healthcare providers effectively communicate this information?

Key Points for Patient Education

• Explanation of normal healing process after chalazion surgery
• Signs and symptoms that warrant immediate medical attention
• Importance of attending all scheduled follow-up appointments
• Proper eyelid hygiene and care techniques

Communication Strategies

Effective patient education may involve:

1. Clear, jargon-free explanations
2. Written information leaflets
3. Visual aids demonstrating normal vs. abnormal healing
4. Encouraging patients to ask questions and voice concerns

By implementing comprehensive patient education strategies, healthcare providers can empower individuals to actively participate in their post-operative care and potentially reduce the risk of complications such as conjunctival hypertrophic scars.

Interdisciplinary Approach: Optimizing Care for Complex Cases

Managing rare complications like conjunctival hypertrophic scars often benefits from an interdisciplinary approach. How can collaboration between different specialties enhance patient care?

Potential Collaborating Specialties

• Ophthalmology
• Oculoplastic surgery
• Dermatology
• Pathology
• Plastic surgery

Benefits of Interdisciplinary Care

An interdisciplinary approach can offer:

1. Comprehensive evaluation of complex cases
2. Access to diverse treatment modalities
3. Shared expertise in managing rare complications
4. Improved patient outcomes through collaborative decision-making

By fostering collaboration between different medical specialties, healthcare providers can ensure that patients with conjunctival hypertrophic scars receive optimal, personalized care tailored to their specific needs.

Technological Advancements: Improving Diagnosis and Treatment

As medical technology continues to evolve, new tools and techniques may enhance the diagnosis and treatment of conjunctival hypertrophic scars. What emerging technologies show promise in this field?

Advanced Imaging Techniques

• High-resolution optical coherence tomography (OCT) for detailed tissue imaging
• Confocal microscopy for in vivo cellular analysis
• Artificial intelligence-assisted image analysis for early detection of abnormal healing

Innovative Treatment Modalities

Emerging treatment options may include:

1. Targeted drug delivery systems for localized scar treatment
2. Novel biomaterials for tissue engineering and regeneration
3. Photodynamic therapy for non-invasive scar reduction
4. Gene therapy approaches to modulate wound healing responses

By staying abreast of technological advancements, clinicians can leverage these innovations to improve the diagnosis, treatment, and overall management of conjunctival hypertrophic scars.

Long-term Follow-up: Ensuring Sustained Positive Outcomes

While the case study reported no recurrence at one year post-surgery, long-term follow-up is crucial for patients who have undergone treatment for conjunctival hypertrophic scars. What should be included in a comprehensive long-term follow-up plan?

Key Components of Long-term Follow-up

• Regular ophthalmological examinations
• Monitoring for signs of recurrence or new scar formation
• Assessment of visual function and ocular comfort
• Evaluation of overall eyelid health and function

Recommended Follow-up Schedule

A typical long-term follow-up schedule might include:

1. Monthly visits for the first 3-6 months post-surgery
2. Quarterly visits for the remainder of the first year
3. Bi-annual visits for the second year
4. Annual visits thereafter, or as clinically indicated

By implementing a structured long-term follow-up plan, clinicians can ensure the sustained positive outcomes for patients who have undergone treatment for conjunctival hypertrophic scars, allowing for early detection and management of any potential complications or recurrences.

Psychological Impact: Addressing the Emotional Aspects of Eyelid Masses

The presence of an eyelid mass, even if benign, can have significant psychological impacts on patients. How can healthcare providers address the emotional aspects of this condition?

Potential Psychological Concerns

• Anxiety about appearance and social interactions
• Fear of malignancy or vision loss
• Frustration with persistent symptoms or treatment process
• Impact on self-esteem and body image

Strategies for Emotional Support

Healthcare providers can offer support by:

1. Providing clear, reassuring information about the benign nature of the condition
2. Offering referrals to mental health professionals when needed
3. Encouraging participation in support groups or patient forums
4. Addressing cosmetic concerns and discussing potential solutions

By acknowledging and addressing the psychological impact of conjunctival hypertrophic scars, healthcare providers can offer more comprehensive, patient-centered care that addresses both the physical and emotional aspects of the condition.

Hypertrophic scar of the conjunctiva presenting as an eyelid mass: an unusual complication after surgical treatment of a chalazion

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Published online 2016 Sep 30. doi: 10.1186/s40064-016-3368-x

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Purpose

To present a rare case of a conjunctival hypertrophic scar presenting as eyelid mass after surgical treatment of a chalazion.

Case presentation

A 74-year-old man visited our clinic with severe ocular discomfort and excessive lacrimation since several months in his left eye accompanied by itching of the upper eyelid. Examination of the anterior segment revealed a 6 mm (horizontal) × 8 mm (vertical) round, immobile, hard, mushroom-shaped protruding mass on the tarsal conjunctiva of his left eye. There was no associated pigmentation, ulceration, or tenderness. Excisional biopsy of the benign conjunctival tumor was performed using radiofrequency electrosurgical systems. The region of the excised conjunctiva was well-healed on postoperative day 14, and there was no recurrence until 1 year post-surgery. Histopathological examination demonstrated thick interlacing collagenous fibrous bundles oriented in random directions and fibroblastic proliferation. Immunohistochemical staining revealed that spindle-shaped fibroblasts were positive for CD34 and negative for smooth muscle actin. The excessive collagenous tissue was stained blue by Masson trichrome stain. These findings were consistent with a hypertrophic scar of the conjunctiva.

Conclusion

This short report demonstrates that a hypertrophic scar of the conjunctiva can develop after surgery of a chalazion and cause severe ocular discomfort and excessive lacrimation. These lesions can be easily removed using simple excision.

Keywords: Chalazion, Hypertrophic scar, Eyelid mass

Hypertrophic scars of conjunctival tissues following ocular surgery do not develop commonly (Lyu et al. 2013; Urban and Kaufman 1994; D’Hermies et al. 2003). To date, there have been few reports of hypertrophic scars after chalazion surgery (D’Hermies et al. 2003).

A 74-year-old man visited our clinic with severe ocular discomfort and excessive lacrimation since several months in his left eye accompanied by itching of the upper eyelid. Four months prior, he underwent surgery for a chalazion secondary to posterior blepharitis.

Examination of the anterior segment revealed a 6 mm (horizontal) × 8 mm (vertical) round, immobile, hard, mushroom-shaped protruding mass on the tarsal conjunctiva of his left eye. There was no associated pigmentation, ulceration, or tenderness (Fig. a). Excisional biopsy of the benign conjunctival tumor was performed using radiofrequency electrosurgical systems (Ellman International Inc., Oceanside, NY) under local anesthesia (Fig. b). The region of the excised conjunctiva was well-healed on postoperative day 14 (Fig. c), and there was no recurrence until 1 year post-surgery.

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Anterior segment photography of a conjunctival hypertrophic scar at preoperative (a), immediate postoperative (b), and 14 days postoperative (c)

On microscopic examination, the lesion was composed of spindle-shaped fibroblasts and collagenous stroma (hematoxylin & eosin stain, 40×, Fig. a). A section of the specimen showed thick, interlacing, collagenous fibrous bundles oriented in random directions and fibroblastic proliferation (Fig. b, c). Immunohistochemical staining revealed that spindle-shaped fibroblasts were positive for CD34 and negative for smooth muscle actin. The excessive collagenous tissue was stained blue by Masson trichrome stain (Fig. d–f). These findings were consistent with a hypertrophic scar of conjunctiva. And there was no evidence of the malignancy.

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Histopathological examinations (a–c) demonstrated the diffuse proliferation and infiltration of collagenous fibrous bundles (hematoxylin and eosin, ×40, ×100, ×400). Spindle-shaped fibroblasts are positive for CD34 (d; immunohistochemical staining, ×400) and negative for smooth muscle actin (e; immunohistochemical staining, ×400). The excessive collagenous tissue is stained blue (f; Masson’s trichrome staining, ×200)

Conjunctival hypertrophic scars following ophthalmic surgery are rare (Lyu et al. 2013; Urban and Kaufman 1994; D’Hermies et al. 2003). In previous studies, cryotherapy for retinopathy of prematurity (Lyu et al. 2013), strabismus surgery including peritomy (Urban and Kaufman 1994), or surgical treatment for chalazion (D’Hermies et al. 2003) were shown to cause scarring of the conjunctiva or Tenon’s capsule. As in our case, D’Hermies et al. (2003) reported a whitish mass that gradually developed on the conjunctival face of the eyelid disturbing the use of contact lens, which was diagnosed as a “hypertrophic eyelid conjunctival scar”. A hard and fibrous lesion was resected under local anesthesia in their report. In our case, we performed a similar simple resection using radio frequency electrosurgery.

Differential diagnosis includes keloid and angiofibroma. Keloid is less cellular and has thicker collagen fibers. Angiofibroma is characterized by small vessel dilatation and concentric perifollicular fibrosis. The histologic features of the present case are compatible with hypertrophic scar.

The eyelids are dynamic and complex structures. The primary function of eyelid is to protect the ocular surface via cleansing and lubrication of eyes. They serve as both a physical and immunological barrier, which constitutes a crucial defense mechanism (Lin et al. 2011). In these contexts, a hypertrophic scar on the tarsal side of the conjunctival tissue presenting as an eyelid mass could cause tear film instability and secondary ocular surface disease.

This case report demonstrated that a hypertrophic scar of the conjunctiva can develop after surgical treatment for a chalazion and cause severe ocular discomfort and excessive lacrimation. These lesions can be easily removed using simple excision.

Study design, literature search, data analysis, drafting, and final approval of manuscript (SJH, CJH, LSH). All authors read and approved the final manuscript.

Acknowledgements

All study procedures adhered to the Declaration of Helsinki.

Competing interests

The authors declare that they have no competing interests.

Consent to publish

Consent to publish was obtained from participants to report individual patient data.

Jun Hyuk Son, Email: rk.ca.uny@hjnos.

Joon Hyuk Choi, Email: rk.ca.uny@iohckuyhnooj.

Su-Ho Lim, Phone: 82-53-630-7572, Email: moc.liamg@milhsdm.

• D’Hermies F, Dollé C, Verola O, Meyer A, Morel X, Dighiero P, Than Trong T, Behar Cohen F, Halhal M, Vu TA, Elmaleh C, Renard G. Hypertrophic eyelid conjunctival scar. A tarsal keloid. J Fr Ophthalmol. 2003;26(3):315–318. [PubMed] [Google Scholar]
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Chalazion Information | Mount Sinai

Meibomian gland lipogranuloma

A chalazion is a small bump in the eyelid caused by a blockage of a tiny oil gland.

The eye is the organ of sight, a nearly spherical hollow globe filled with fluids (humors). The outer layer or tunic (sclera, or white, and cornea) is fibrous and protective. The middle layer (choroid, ciliary body and the iris) is vascular. The innermost layer (the retina) is nervous or sensory. The fluids in the eye are divided by the lens into the vitreous humor (behind the lens) and the aqueous humor (in front of the lens). The lens itself is flexible and suspended by ligaments which allow it to change shape to focus light on the retina, which is composed of sensory neurons.

Causes

A chalazion is caused by a blocked duct in one of the meibomian glands. These glands are located in the eyelid directly behind the eyelashes. They produce a thin, oily fluid that lubricates the eye.

Symptoms

A chalazion often develops following an internal hordeolum (also called a stye). The eyelid most often becomes tender, red, swollen and warm. Sometimes, the blocked gland causing the stye will not drain even though the redness and swelling go away. The gland will form a firm nodule in the eyelid that is not tender. This is called a chalazion.

Exams and Tests

An exam of the eyelid confirms the diagnosis.

Rarely, skin cancer of the eyelid may look like a chalazion. If this is suspected, you may need a biopsy.

Treatment

A chalazion will often go away without treatment in a month or so.

• The first treatment is to place warm compresses over the eyelid for 10 to 15 minutes at least four times a day. Use lukewarm water (no hotter than you can leave your hand in comfortably). This may soften the hardened oils blocking the duct, and lead to drainage and healing.
• DO NOT push or squeeze the chalazion.

If the chalazion continues to get bigger, it may need to be removed with surgery. This is most often done from the inside of the eyelid to avoid a scar on the skin.

Steroid injection is another treatment option.

Outlook (Prognosis)

Chalazia most often heal on their own. The outcome with treatment is excellent in most cases, but they may return after they have initially healed.

Possible Complications

You may lose some eyelashes or you may end up with a small notch in the edge of the eyelid. Rarely, a healed chalazion will leave a small scar on the skin of the eyelid. These problems are more common if you’ve had surgery for the chalazion.

When to Contact a Medical Professional

Contact your health care provider if lumps on the eyelid continue to get bigger despite treatment, or you have an area of eyelash loss.

Prevention

Applying warm compresses daily, then scrubbing the lid at the eyelash line may help prevent chalazia and styes. Use eye cleansing pads or diluted baby shampoo for this.

If your provider has prescribed antibiotic ointment, apply it to the lash line after using warm compresses and scrubs.

American Academy of Ophthalmology website. What are chalazia and styes? www.aao.org/eye-health/diseases/what-are-chalazia-styes. Updated September 9, 2022. Accessed January 23, 2023.

Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.

Durand ML. Periocular infections. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 116.

Neff AG, Chahal HS, Carter KD. Benign eyelid lesions. In: Yanoff M, Duker JS, eds. Ophthalmology. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 12.7.

Last reviewed on: 11/10/2022

Reviewed by: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

Treatment and removal of chalazion of the upper or lower eyelid [causes, symptoms, diagnosis] – GKDB

Chalazion – what is it?

Chalazion (translated as nodule, hailstone) – chronic aseptic inflammation of the eyelids. Ocular chalazion develops on the eyelids due to obstruction and obstruction of the outflow of the fatty secretion of the meibomian or other sebaceous glands of the conjunctiva of the eyelids. The cause of blockage of the excretory ducts of these glands may be chronic inflammation of the conjunctiva – conjunctivitis, eye injuries, metabolic disorders.

Meibomian glands are located just behind the eyelashes on the upper and lower eyelids. Accordingly, a person may develop a chalazion of the upper or lower eyelid. However, in the treatment of chalazion, it does not matter if the upper or lower eyelid is inflamed – the technique is universal and consists of three main stages.

Treatment of chalazion

• In the initial stages of the disease and in children, you can start with anti-inflammatory drops and ointments.
• If there is no effect, in some cases, to eliminate inflammation, injections into the chalazion are indicated, in which a steroid drug is injected into the thickness of the chalazion to dissolve the formed seal (nodule) – only a doctor can perform the injection.
• If these treatments fail, surgical removal of the chalazion is recommended. The operation to excise the capsule and chalazion formed under the skin is performed in the operating room. First, an anesthetic injection is injected into the eyelid – local anesthesia that blocks sensitivity in the area of ​​​​operation. Within 10-15 minutes, the chalazion is removed along with the capsule. If necessary, 1 – 2 small temporary sutures are applied, scars do not remain afterwards. The operation to remove the chalazion is performed on an outpatient basis. Mild soreness can only be felt with an anesthetic injection. Within 7 days, redness of the eyelid is possible.

How is the laser chalazion removal performed?

• Local anesthetization of the eyelid in progress

• Application of eyelid clamp

• Access to the surgical site

• Laser opening of superficial tissues

• Separation (isolation) of the chalazion capsule and removal

• Treatment of the surgical site with iodine

How is a chalazion surgically removed?

• Local anesthetization of the eyelid in progress

• Application of eyelid clamp

• Access to the surgical site

• Opening superficial tissues with a microblade

• Separation (isolation) of the chalazion capsule and removal

• Treatment of the operation site with iodine

Chalazion: danger of disease

Eyelid chalazion may not seem like such a dangerous disease, but it has its own pitfalls.

• If, with the appearance of edema and swelling on the eyelid, they are mistaken for barley, the disease may be neglected, then when contacting a doctor, you will need to immediately remove the chalazion. This is a common misconception due to the similarity of the initial symptoms of barley and chalazion. Remember that stye usually occurs closer to the surface of the eyelid and, unlike chalazion, is an infectious inflammation of the sebaceous gland with the formation of pus.
• The long chronic course of the disease and the lack of adequate treatment of the chalazion can lead to the appearance of calcifications or a complicated cyst of the meibomian gland, which will complicate the operation.
• Although most often the disease proceeds benignly, it should be remembered that in the first stages, cancer of the gland can “mask” as a chalazion. In this case, the timeliness of contacting a doctor and identifying the true cause of sealing on the eyelid is doubly important.

Chalazion in a child

Testimonials from parents of small patients in our eye clinic suggest that chalazion is not such a rare disease in children, although in general it is believed that older people are more susceptible to it.

Among the causes of chalazion in children, violation of personal hygiene (“disease of dirty hands”), hypothermia, violation of the protective functions of the body come first.

Treat chalazion in children in the same way as in adults. However, with the difference that the emphasis is still on conservative methods. Surgical treatment is resorted to in cases of untimely access to a doctor.

Treatment and removal of a chalazion in the Eye Clinic of Dr. Belikova

The price for the removal of a chalazion in different clinics may vary. In Moscow, a quick and non-traumatic removal of a chalazion is guaranteed by the Eye Clinic of Dr. Belikova. Do not try to treat chalazion yourself with folk remedies. Believe me, in the vast majority of cases, this is a waste of time and turns into further progression of a chronic disease. The sooner you see a doctor, the higher the chance that the problem can be solved without surgery. But even if it is required, we will carry it out in such a way that you will be convinced of the vain fear of treatment.

Chalazion Removal – “What the eyelid looks like 12 years after surgery”

Hello everyone.

Today I want to tell you about a disease called chalazion.

This is not a terrible disease, but in most cases it requires surgical intervention.

Halazion (other Greek χαλάζιον – hailstone, nodule, hardening) ( chalazion , hailstone ) – chronic (unlike barley) liferative inflammation of the eyelid margin around the meibomian gland and eyelid cartilage. The disease appears when the outlet channel of the gland is blocked and secretory fluid accumulates in it.

It all started a long time ago, when I was 17 years old. While still being treated in a children’s hospital, I noticed that some small ball came out on my right eyelid. My pediatrician, and even a children’s optometrist, advised me to go to some kind of warming up in the physical. cabinet and warm the eye.

I am an obedient person, I trust doctors very much, and therefore I unquestioningly followed all the recommendations. After a course of treatment for about 10 sessions, my eyelid swelled twice, and a small ball with a diameter of 3 mm turned into a huge ball with a diameter of about 10 mm. Even my friends and strangers began to notice my eyelid cap.

Being with him was already quite uncomfortable, although this ball did not give me any pain, but I already wanted to get rid of it.

While studying in the city of Zaporozhye (and I live in a smaller city) I went to the regional doctors for examination. The ophthalmologist immediately told me that this disease is called chalazion, and that it is absolutely impossible to heat it, and due to the fact that I underwent electrophoresis treatment (well, or whatever it is called) in my city on the recommendation of my doctors, I made myself even worse. And now my ball needs to be cut out surgically.

Before the operation, I passed a number of necessary tests. And after checking, it was decided to operate. I was sent to the children’s hospital and the day of the operation was scheduled. Doctors found a large chalazion on the upper eyelid and several small ones on the lower eyelid.

The anesthesiologist said that I need general anesthesia, thank God, because watching your eye being operated on is a very unpleasant sight.

There were four people in the ward with me, of which there were two babies, they were under two years old and a girl my age. My peer had an operation under local anesthesia and she saw the whole operation !!!!!. I saw how hysterical she was brought after the operation – it was a tin. She was scared, and I can’t imagine what is happening to her psyche after what she saw.

I, thank God, was lucky and the operation was performed under general anesthesia, and I did not see anything terrible. The team of doctors was professional, the operation was quick and successful, and after the operation, my mother already met me in the ward, who helped me smoothly come out of anesthesia.

The eye was covered with gauze, which was successfully removed after a few days. I specially bought cosmetic threads and they made a cosmetic seam for me so that after a while my scars would not be noticeable. The stitches were removed a week later, and for several days I even went to school with threads and green eyes from brilliant green. But it was my decision, I don’t blame the doctors for this.

I had my stitches removed in the hospital, everything went quickly and successfully, they said that the eyelid was healing well. And a month later, I could boldly paint with shadows without harming the seam. The first year the scar was noticeable, but it was easily disguised under the shadows.

suture on the upper eyelid

Now 12 years have passed since the operation and the sutures have turned into small folds, they can be confused with small wrinkles.

Lower eyelid suture

And my friends can’t find where the scar is at all.

Only if you look closely at the eyelid, sometimes two black dots form due to the use of cosmetics. That is, it is time to fill up with so-called dirt and become black. But again, this nuance is not visible behind professional cosmetics and it is absolutely not striking.

There was a girl with me in the group at the school who also had a similar problem, but she decided to solve the problem not by surgery, like me, but by injections in the eyelid. This is quite scary and dangerous, as for me, but everything was done successfully for her, the balls dissipated for several months, but returned again after a while. That is, injections are a temporary solution. If you want to get rid of the chalazion forever, then I recommend surgical removal of the chalazion.

Yes, it is painful, general anesthesia (which harms your memory, as in my case and the nervous system), but I solved the problem of chalazion, I hope, forever.