Is there any way to get rid of this chalazion/ scar tissue once and for all? (photo)
Doctor Answers 9
While there is a low likelihood for an eyelid tumor or cancer, I would suggest a biopsy to cover all bases. The abnormal area of eyelid/glands can be surgically removed altogether, but I would suggest seeing an oculoplastic surgeon who specializes in removal of lesions of the eyelid to ensure the best aesthetic result.
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Difficult to shift chalazia
Some large chalazion recur or partly persist as they are loculated and require a longer incision or repeat incision and curettage. Mostly there is a residual swelling with redness that can settle either with topical antibiotic steroid cream or small injection of kenalog.
An oculoplastic surgeon can look under the eyelid to see if there is the tell tale sign of a grey creamy swelling on the tarsal conjunctival aspect, which confirms a collection of fluid gel within the meibomian cyst, which is suitable for further incision.
5FU (5 fluorouracil) has been recommended as an injection for the treatment of chalazion, but it often requires more than one injection.
From Miss Jane Olver, Oculoplastic Surgeon, London UK
Though it is difficult to be sure without examining you, my first impression is part of the cyst still may be there. As the other doctor has mentioned, please see a surgeon specialising in eyelid surgery for an independent opinion. An eyedrop is unlikely to flatten a scar.
Consider seeing an actual oculoplastic surgeon.
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