Clinical Scenario

Chalazion is a common benign eyelid lesion. When active clinical management is warranted, procedural intervention is the focus of the evidence-based approach. The choice between available techniques is guided by the specific presentation.

Treatment Approach

The first-line protocol for chalazion centres on a procedural intervention — either an intralesional approach or a minor in-office surgical technique. The full protocol details the selection criteria, procedural steps, and follow-up guidance.

The complete regimen, including which procedure to use and how, is available via the full protocol below.

Clinical Goal

The primary target is chalazion resolution, assessed at three weeks following intervention.

References

Procedural interventions for chalazia include intralesional steroid injection and incision and curettage (I&C).
A prospective randomized study by Goawalla and Lee compared 3 methods of chalazion treatment: intralesional triamcinolone acetonide (TA) injections (0.2 mL of 10 mg/mL), I&C, and the use of hot compresses.
They found that after 3 weeks, a single TA injection followed by lid massage resulted in chalazion resolution in 84% of patients, compared with 87% resolution in the I&C group; 46% of the hot compress group reported resolution at 3 weeks.

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What Is the Procedural Treatment for Chalazion?

References