Management of marginal chalazia: a surgical approach

Conservative measures Hot compresses Topical corticosteroids in ointment form Invasive measures Incision and curettage 1 Corticosteroid injection 2 3 Surface diathermy, either alone 4 5 or in combination with incision and curettage 1 Curettage The fact that there are so many different treatment options described in the literature suggests that not one treatment option is perfect. [...]a combination of incision and drainage with intralesional steroid injection may be particularly useful in chronic non-marginal chalazia. 9 Steroid injection after chronic chalazion surgery must always be administered with the chalazion clamp still in situ to maximise access of the steroid to any residual granuloma 9 and to prevent the possibility of steroid embolisation with selected ocular ischaemia via anastomotic vessels. 6 7 10 Marginal chalazia pose a particular challenge in management, since aggressive surgical management with incision and curettage may result in lid margin deformity.