Many people may not know much about chalazion. In fact, it is a common problem with a relatively slow course. One or more round lumps of varying sizes can be felt under the eyelid skin, and some may also induce other infections. 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, which is difficult to distinguish from an internal stye in terms of formation. 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. 5. When secondary infection occurs, internal stye may form. 6. For elderly patients, especially those with recurrent relapses after surgery, the resected specimens should be sent for pathological examination to rule out the possibility of meibomian gland carcinoma. |
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