Treatment of Chalazion: Combination Surgical and Intralesional Approach

Chalazion is a common eyelid condition requiring procedural intervention when conservative measures are insufficient. Certain presentations — particularly large or multiloculated lesions — call for a more structured combination approach to achieve resolution.

Clinical scenario: Chalazion presenting in a form that is unlikely to resolve with simpler single-modality intervention — where a combined procedural strategy is indicated.

Treatment approach (partial overview)

Management involves a combination of incision and curettage (I&C) together with an intralesional steroid, administered in a single procedural setting. The specific sequence and technique of this combined approach, including when each element is applied, is detailed in the full protocol.

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References

Large or multiloculated chalazia may respond best to a combination of I&C followed by intralesional steroid, injected while the chalazion clamp is still in situ.

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