​What anti-inflammatory drugs should I take after chalazion surgery

Some people find that their eyes are purple-red after waking up, and there is a palpable round swelling on the eyelid, similar to a mung bean or soybean. The surface is smooth and there is no protrusion. However, there will be pain when blinking or touching it with the hand. You must be careful about this as it is a problem. You can choose surgical treatment. Whether you can use anti-inflammatory drugs after the operation depends on the doctor's instructions.

Causes

Due to obstruction of the meibomian gland drainage duct and retention of secretions, chronic inflammatory granuloma of the meibomian glands will eventually occur.

Clinical manifestations

1. The disease progresses slowly and there are generally no obvious symptoms. There is no pain, but sometimes only a feeling of heaviness. Temporary astigmatism may be caused by pressure from a mass, or a foreign body sensation may be caused by pressure from the eyeball.

2. One or several round lumps of varying sizes can be felt under the eyelid skin, ranging from as small as rice grains and mung beans to as large as soybeans and cherries. They have a smooth surface, are not adhered to the skin, have clear edges, and are not tender.

3. When the eyelid is turned over, a purple or gray-red localized bulge can be seen on the conjunctival surface of the lump. If there is secondary infection, it may develop into a stye.

4. Small lumps can be completely absorbed by themselves, or they can break through the conjunctival surface and discharge the gelatinous contents, forming fungus-like granulation proliferation. This granulation tissue can also pass through the discharge ducts of the meibomian glands and form papillary proliferation on the surface of the eyelid margin.

examine

One or several round lumps of varying sizes can be felt under the eyelid skin, ranging from as small as rice grains and mung beans to as large as soybeans and cherries. There is no redness, swelling or tenderness on the skin surface. When the eyelid is turned over, a purple or gray-red localized bulge can be seen on the conjunctival surface of the mass. For elderly patients, especially those with recurrent recurrences after surgery, the resected specimens should be sent for pathological examination to rule out the possibility of meibomian gland carcinoma.

diagnosis

Patients usually have no subjective symptoms. There are nodules under the eyelid skin, which are not tender and have no adhesion to the skin. When the eyelid is turned over, the conjunctiva facing the cyst is purple-red or grayish white (the cyst can break through the conjunctiva to expose the granulation tissue). The diagnosis is made by an eye examination.

treat

1. For early and smaller chalazions, hot compresses or physical therapy and massage therapy can be used to promote dissipation and absorption. Small cysts do not require treatment.

2. Injecting 0.3~0.5ml of prednisolone around or into the cyst can promote its absorption.

3. Surgical treatment. Large chalazions may be removed surgically. During the operation, the cyst wall must be removed completely to prevent recurrence.