Ophthalmologist & oculoplastic surgeon — Boulogne-Billancourt · Saint-Maur-des-Fossés

Chalazion that won't go away: when is surgery needed?

A chalazion is a small inflammatory cyst of the eyelid, caused by a blocked Meibomian gland. Benign and common, it usually resolves with properly followed medical treatment — but not always.

Medical treatment first

For 2 to 4 weeks: heat (warm compresses for several minutes, several times a day) to loosen the secretions, combined with an anti-inflammatory and antibiotic ointment prescribed at the consultation. Most chalazions resolve with this treatment.

When is a chalazion considered "encysted"?

If a firm, painless lump persists beyond 4 to 6 weeks despite well-followed treatment, the chalazion is probably encysted: the shell will no longer empty with heat.

Incision: a simple procedure

Removal is usually done from the inside of the eyelid, with no visible scar, under local anaesthesia, in a few minutes. This procedure is covered by French health insurance.

Book an appointment

Consultations in Boulogne-Billancourt (Ophtalife) and Saint-Maur-des-Fossés (Beaurepaire).

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