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Infected Chalazion

14 replies

CeliaFate · 31/03/2011 16:44

Has anyone suffered with this this? It's gross, it looks like a massive spot under my eyelid, pushing through the skin. GP gave me anti-biotics and said it should calm down by Friday. It feels very gelatinous now whereas before it was a hard lump. Any tips?

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outofthefryingpan · 31/03/2011 21:23

Hi,

I had a few of these when I was in my 20's and younger. They're also called Meibomian cysts. And I feel for you because I found them really embarrassing.

It sounds like the infection is beginning to clear up which is why the lesion feels a bit softer. It might even discharge a little over the next few days.

I wanted to get in touch to say that mine did eventually clear up.

I had a couple of minor ops to remove two of them which is an option once the infection has gone but in the end I found it better to let them go of their own accord. The operation wasn't particularly pleasant and it left me with bruising for a while which was more bother than the cyst itself.

You could use a warm wet flannel over the eye to help the body to clear some of the gunk.

I would consider chucking out any mascara or eyeliners that you've been using that might harbour the infection in case you get the problem again. Keeping everything really clean seemed to help prevent any further recurrences for me. Not sure if it's related but I also had a course of Minocycline for acne at around the same time. maybe it helped clear the cause?

Best of luck.

CeliaFate · 31/03/2011 22:11

Thanks for your kind post, I'll have a go with the flannel!

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atthecarwash · 01/04/2011 10:00

Hi
I've had a few of those...nasty!
All you can do is tp place a hot compress over the eye a couple of times a day. It'll take up to 6 weeks for the whole thing to disappear I'm a afraid

FudgeGirl · 01/04/2011 10:06

I had one - even if other people said they couldn't see it I remember looking at mine in the mirror and thinking it was massive!

I removed mine myself. It worked and it's gone, but of course I wouldn't recommend it!

moosemama · 01/04/2011 16:16

My ds has suffered from chronic chalazion since he was three and a half (he is 7 in a couple of weeks now) and has never had one that didn't get infected. None of the frontline antibiotics work for him and he has to have prolonged and/or repeated courses of cephalexin. The worst one he ever had was the size of a big marble, badly infected and was complicated with cellulitis. He has scarring to both upper eyelids due to the amount they've been stretched at different times.

Standard guidance, as atthecarwash said, is hot compresses 2-3 times a day, plus gentle massaging of the lid.

Sorry, but again as atthecarwash said, it will take several weeks to clear up completely, even with antibiotics.

You need to be rigid about lid hygiene to prevent reoccurrence. Ds's consultant recommends daily use of lidcare wipes, which are ridiculously expensive, but we have found [http://www.expresschemist.co.uk/lid-care-complete-hygiene-system.html Lid-Care Eyelid Hygiene System]] which is much better value for money. Ds uses them twice a day.

Because they are caused by a blockage and are therefore basically encapsulated, topical antibiotics won't have any effect and it can't drain until either the blockage has been cleared, or it pops. Popping them deliberately is a really bad idea as it can lead to further infection and cellulitis.

In ds's case his are caused by a combination of blepharitis and a low immune system. We have pretty much sorted the blepharitis with the lid hygiene and have just got to the point where his immune system is starting to improve. He has a chalazion at the moment, but its barely noticeable which is unheard of for him. He had a standard course of cephalexin two weeks ago and it spontaneously popped while he was doing his homework the other day! Shock We are still compressing and massaging it though as it's not completely drained yet.

One thing to bear in mind is that large chalazion can put pressure on the eyeball and if present for a long time, cause problems with eyesight. Ds has a bad astigmatism in his left eye that they are 99.9% sure was caused by pressure from his worst chalazion.

In some cases, if they don't completely resolve and remain problematic, they can be removed by surgical excision.

peanuthead · 01/04/2011 19:34

moosemama - this is so useful. my dd has currently got 3, started when she was about 3 (she's now 3 1/2) and we're waiting to see a consultant but it's a 13 week wait. 12 now I suppose..

I suspect hers were initially caused by rubbing her dummy in her eyes (nice) but they won't shift. Two have been infected 1 isn't. Will stop bothering with the topical antibiotics now. And she's too young to let me do compresses - it's really frustrating - have tried everything to persuade her but no go.

Pretty sad to hear your ds has scarring from them

FudgeGirl · 01/04/2011 20:04

I always found that having a really hot bath and repeatedly soaking a facecloth and putting it against my eye would sooth mine and help it pop eventually.

I know you can't really put a child in a hot bath - but as warm as you can safely make it and shutting the doors might mean a bit of steam would help, even if only slightly?

The warm facecloth trick will also help if you get (gah, can't remember the name of them, but a tiny little lump on the eyelash line) which can lead to a chalazion. You can dislodge them if you use hit water and a cotton bud.

moosemama · 01/04/2011 20:05

Peanuthead, they won't have been caused by rubbing her dummy in her eye. The meiboman gland in the eyelid produces oils that are used to keep the surface of the eyeball lubricated. There are hundreds of tiny little holes along the edge of the eyelid that secrete the oil. Chalazion are caused when some of the holes and associated ducts get blocked, causing an encapsulated cyst-like structure to form due to an inflammatory response.

My ds was three when he started getting them and we found the easiest way to get him to accept a compress was to get him to do it himself and then reward him.

One of the most common causes of chalazion (pronounced Kulazion btw) is blepharitis and the best way to deal with that is strict lid hygiene, such as the lid care wipes or lid-care kit or even regular bathing with boiled cooled water mixed with bicarbonate of soda.

I was very upset about the scarring, but he is outgrowing it now, so its not really all that noticeable and I expect it will diminish even more as he grows.

Ds was an extreme case in the early days, with chalazion cropping from one eye to the other and back again and each one getting severely infected every time. The consultant wrote to our GP stating that he should be prescribed cephalexin at the first sign of a lump and with that and the lid hygiene he had been lump free for 18 months until a few weeks ago. (He has recently been quite poorly, so I guess they returned because he was so run down.) We also have to call the hospital for an emergency eye clinic appointment as soon as one appears.

Fortunately, this time it hasn't been anywhere near as bad, but the blooming registrar we saw at the hospital had a go at me for getting him the antibiotics and told me he didn't need them because it was inflammatory not infected and chalazions don't need antibiotics unless cellulitis is involved. Angry I then spoke to several other professionals in the same hospial clinic who agreed that she was wrong with regard to ds's case and her comments were based on someone with a very mild self-limiting chalazion, not a child with his history. Angry

Anyway, I digress. I really hope your dd's eyes clear up quickly, please do try the lid hygiene and if they don't start improving very soon, go and ask for oral antibiotics. If her whole lid starts to look puffy, red and swollen, she is in any pain, complains of blurred vision, or any of them get really big, get her seen asap for oral abs, as 12 weeks is way too long to wait to get it sorted out.

CeliaFate · 01/04/2011 20:19

Thanks for all these answers. I'm due to see a consultant in a fortnight to have it removed as it's been there for 16 months and has never budged even with hot compress/massage. Just typical that it's infected! The infection has to clear before the consultant will consider removal. I'm on a week's course of erythromycin.

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peanuthead · 01/04/2011 20:31

Hmm, my dd sounds scarily similiar - she has 2 on one side 3 on the other. ANd none of them ahs cleared up yet. Only one has been infected though and puss-y. She says they don't hurt. She's been really really good about me bathing them but water is tepid by the time she'll allow it. I stopped once I got the antibiotic drops last week but will start again now. Also just bought that lid cleaner off amazon and will start with that.

Again thanks moose - this really really is useful.

CeliaFate · 03/04/2011 10:41

I've just ordered this eye bag from Amazon which may help you.

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peanuthead · 03/04/2011 21:28

celia - wow... Now how could I convince DD to keep that on. Do you think they do them in pink?! although it might just about count as sparkly in her world. I must be able to come up with something....

Elibean · 03/04/2011 22:29

Well.....I was utterly cynical, but: after an infected chalazion that went away with ABs and came back twice, then resolved into a permanent cyst that occasionally flared up again, I went to a good acupuncturist. Goodbye cyst, never had a reoccurence - that was over 10 years ago. Worth a try??

CeliaFate · 04/04/2011 09:10

Definitely Elibean, I'll try anything!

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