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A chalazion (/ k ə ˈ l eɪ z i ə n /; plural chalazia or chalazions) or meibomian cyst [4] is not a cyst but a granuloma [5] in the eyelid that results from a blocked meibomian gland. [ 6 ] [ 7 ] It typically occurs in the middle of the eyelid, red, and not painful. [ 2 ]
A chalazion on the other hand is a blocked meibomian gland without infection. [4] A chalazion is typically in the middle of the eyelid and not painful. [5] Often a stye will go away without any specific treatment in a few days or weeks. [3] Recommendations to speed improvement include warm compresses. [5]
Routine washing of the eyelids helps subdue symptoms and prevent blepharitis. Washing each eyelid for 30 seconds, twice a day, with a single drop of hypoallergenic soap (e.g. baby shampoo) and ample water can help. The most effective treatment is over the counter lid scrubs used twice a day.
Systemic (oral) pain medication is given if discomfort is severe. Healing is usually rapid (24–72 hours) if the injury source is removed. Further injury should be avoided by isolation in a dark room, removing contact lenses, not rubbing the eyes, and wearing sunglasses until the symptoms improve. [5]
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Treatment can include warm compresses to thin the secretions and eyelid scrubs with a commercial eyelid cleanser or baby shampoo, [17] [13] or emptying ("expression") of the gland by a professional. Lifitegrast and ciclosporin are topical medication commonly used to control the inflammation and improve the oil quality.
Recently, central serous chorioretinopathy has been understood to be part of the pachychoroid spectrum. [5] [6] In pachychoroid spectrum disorders, of which CSR represents stage II, the choroid, the highly vascularized layer below the retina, is thickened and congested with increased blood vessel diameter, especially in the deep choroid (the so-called Haller's layer).
The main symptoms of styes include pain, redness of the eyelid and sometimes swollen eyelids. Styes usually disappear within a week without treatment. Otherwise, antibiotics may be prescribed and home remedies such as warm water compresses may be used to promote faster healing. Styes are normally harmless and do not cause long lasting damage.