A chalazion, often mistaken for a stye, is a benign, painless swelling that occurs when a meibomian gland in the eyelid becomes blocked. While small chalazia typically resolve on their own, large chalazia can be persistent, uncomfortable, and cosmetically concerning. In such cases, surgical removal is the most effective treatment, and this procedure is commonly performed under local anaesthesia.
Why Surgery for Large Chalazion?
A large chalazion can cause significant discomfort, impaired vision, and swelling that interferes with daily activities. If conservative treatments such as warm compresses, massage, and corticosteroid injections fail, surgery is recommended. Surgical excision involves the careful removal of the cyst, ensuring that the blockage is entirely cleared to prevent recurrence.
The Surgical Procedure
The procedure to remove a large chalazion is straightforward and performed in an outpatient setting. Under local anaesthesia, the affected eyelid is numbed, and the surgeon makes a small incision on the inner surface of the eyelid. This technique ensures that any scarring remains hidden. The chalazion is then drained and the cystic material removed. The procedure is typically quick, lasting around 20-30 minutes.
Benefits of Local Anaesthesia
Surgical removal under local anaesthesia is preferred because it allows the patient to remain awake and comfortable throughout the procedure. Local anaesthesia numbs only the targeted area, ensuring that there is no pain during the operation. Recovery is also faster, with most patients experiencing minimal discomfort and a quicker return to their daily activities.
Post-Surgery Care
After the procedure, patients may experience some swelling and mild discomfort. It is important to follow the surgeon’s instructions for wound care, such as applying prescribed eye drops and avoiding rubbing the eyes. Most patients heal fully within a week, with the chalazion’s symptoms completely resolved.
In conclusion, surgical removal of a large chalazion under local anaesthesia is a safe, effective solution for those struggling with persistent chalazia. It offers quick recovery with minimal downtime, making it a preferred choice for patients seeking relief.
