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A chronic non-infective granulamatous inflammation of the meibomian gland is called chalazion. It is also called a tarsal or meibomian cyst.

Predisposing Faactors
1. Common in children and young adult
2. Habitual rubbing of the eye
3. Diabetes Mellitus

4. Metabolic factors

5. Excessive intake of carbohydrate & alcohol

Clinical Features

1. Painless swelling of the lid

2. Swelling away from lid mmargin

On Examination :-

A. Small, firm to hard swelling

B. Away from lid margin

C. Non-tender

D. red, purple, grayish or yellowish spot seen on conjunctival side.

Clinical Course & Complications

1. Spontaneous resolution

2. Slowly increase in size

3. May burst on conjunctival lids

4. Secondary infection

5. Calcification

6. Malignant change - rare in elderly

Treatment

1. Conservative :-

- Hot formentation

- Topical antibiotic Drugs

- NSAIDs

2. Intralesional injection of long standing steroid (triamcinolone)

3. Incision & Curettage