Eyelid still not back to normal after chalazion surgery. Is there any chance that all the inflammation will eventually go away?

Question

I had chalazion surgery 6 months ago but there is still some residual inflammation there. It is not noticeable unless I look very closely but it makes my eyelids uneven and I still can't wear contacts. I already saw an oculoplastic specialist who told me to wait a few months before doing anything. I am willing to wait another 6 months-a year. Is there any chance that all the inflammation will eventually go away completely and my eyelid will return to normal?

Kenneth D. Steinsapir, MD · Answer

I personally have not needed to perform chalazia surgery in years.  Most of these respond very nicely to injection with a depot steroid.  You have had chalazia surgery without resolution.  For this reason, I recommend the second opinion by some one not invested in the service you have already had.  Below is the web address for the American Society for Ophthalamic Plastic and Reconstructive Surgery.  They have a regional directory on their site that can help you identify a highly qualified surgeon close to home.

John J. Martin, Jr., MD · Answer

At this point most of the inflammation from a surgical excision should be gone.  I would have someone try an injection of steroid which should help eliminate any residual inflammation.

Pierre Guibor, MD · Answer

You should compare old  photos prior to the chalazian to see if you had the ptosis prior to the surgery.  The chalazian itself has weight and the scar tissue / inflammation may result in some 1-2 mm of ptosis of the upper lid. You may want to try warm compresses, steroid injection in the residual chalazian and possible additional surgery. I would suggest you return to your original surgeon for best opinion. Tincture of time may be best answer. Also, be on the look out for dry eye.Dr.Pierre Guibor

Eyelid still not back to normal after chalazion surgery. Is there any chance that all the inflammation will eventually go away?

Answers (3)

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