Name of the Procedure:

Excision of chalazion; multiple, same lid
Common Names: Chalazion removal, Eyelid cyst excision

Summary

Excision of chalazion involves the surgical removal of multiple chalazia (small lumps) from the same eyelid. A chalazion is a localized swelling on the eyelid that typically results from blocked meibomian glands.

Purpose

Medical Condition or Problem Addressed: Chalazion (blocked eyelid glands causing lumps) Goals or Expected Outcomes: Reduce discomfort and swelling, improve eyelid appearance, and prevent potential infection.

Indications

Symptoms or Conditions: Persistent eyelid lumps, swelling, discomfort, and visual impairment caused by multiple chalazia. Patient Criteria: Patients who do not respond to conservative treatments like warm compresses or medication.

Preparation

Pre-procedure Instructions:

• Follow fasting guidelines if general anesthesia is required (typically, no food/drink after midnight before the procedure).
• Adjust medications as directed by your doctor (may need to stop blood thinners or anti-inflammatory drugs). Diagnostic Tests or Assessments: Eye examination and possibly imaging studies.

Procedure Description

1. The patient is positioned comfortably, and the eyelid is cleaned.
2. Local anesthesia is administered to numb the eyelid, or general anesthesia is given if necessary.
3. A small incision is made on the inside or outside of the eyelid.
4. The chalazia are carefully excised using surgical instruments.
5. The incision may be closed with small sutures or left to heal naturally.
6. Antibiotic ointment is applied to prevent infection.

Tools, Equipment, Technology: Sterilized surgical instruments, local or general anesthesia. Anesthesia: Local anesthesia for numbing the eyelid; general anesthesia in specific cases.

Duration

Typically takes about 15 to 30 minutes.

Setting

Performed in an outpatient clinic, surgical center, or hospital.

Personnel

Healthcare Professionals Involved: Ophthalmologist or oculoplastic surgeon, nurses, and anesthesiologist (if general anesthesia is used).

Risks and Complications

Common Risks: Swelling, bruising, tenderness at the surgical site. Rare Complications: Infection, scarring, bleeding, changes in eyelid shape.

Management: Most complications are managed with medications and follow-up visits.

Benefits

Expected Benefits: Relief from discomfort, improved eyelid appearance and function, reduced risk of secondary infection. Realization: Benefits are typically noticed within a few days to weeks post-procedure.

Recovery

Post-Procedure Care:

• Apply prescribed antibiotic ointment.
• Use warm compresses to aid healing.
• Avoid rubbing or touching the area.

Expected Recovery Time: 1 to 2 weeks. Restrictions: Avoid strenuous activities, swimming, and eye makeup until advised by your doctor. Follow-up Appointments: Usually within a week to monitor healing.

Alternatives

Other Treatment Options: Warm compresses, steroid injections, oral antibiotics. Pros and Cons:

• Warm Compresses: Non-invasive but slower and less effective.
• Steroid Injections: Minimally invasive but may require multiple treatments.
• Oral Antibiotics: Non-invasive but often less effective alone.

Patient Experience

During Procedure: Minimal pain due to local anesthesia; slight pressure or tugging may be felt. After Procedure: Some discomfort, swelling, and bruising; managed with pain relievers and cold compresses. Pain Management: Over-the-counter pain relievers, prescribed medications.

This concise description provides a comprehensive overview of the excision of a chalazion procedure tailored for patients and their caregivers.