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chalazion; chalasia

Pathology: -occurs when a meibomian gland is blocked - chronic sterile granulomatous meibomian gland inflammation. Clinical manifestations: 1) subacute tender or painless eyelid lesion 2) conjunctival irritation may occur 3) minimally erythematous, may appear orange-red in color Differential diagnosis: - internal hordeolum (red, tender bump, may leak purulent discharge) Management: 1) warm/hot compresses 2) treat concomitant blepharitis 3) referral to ophthalmologist for incision & curettage for persistent chalazion

Related

blepharitis internal hordeolum tarsal gland; Meibomian gland

General

eyelid disease

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
  2. NEJM Knowledge+ Ophthalmology