Also called chalazion incision and curettage. It drains a cyst in the lid that has not settled with warm compresses.
What it is
A chalazion is a blocked oil gland in the lid. Many settle with warm compresses and massage over a few weeks. When one stays, it can be drained through a small cut inside the lid.
The operation
The lid is numbed and held with a small clamp. The cyst is opened from the inside and its contents cleared, so there is no cut on the skin.
It takes about twenty minutes and you go home straight afterwards.
What it does not do
Antibiotics do not usually clear a chalazion, because it is a blockage rather than an infection.
Who it can help
It may suit you if drains a cyst that has not settled with warm compresses is what you notice most, and you are otherwise well.
- A firm lump in the lid that has lasted more than a few weeks
- A lump that keeps coming back in the same place
- Blurring because the lump presses on the eye
- Warm compresses that have not worked
A lump that bleeds, grows or loses lashes is treated differently, as a possible skin cancer.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For eyelid cyst removal these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Eyelid cyst removal is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Does it hurt?
The injection stings for a few seconds. After that you feel pressure but not pain.
Will it come back?
Some people get them repeatedly. Lid hygiene and treating any underlying blepharitis helps.
Can I drive home?
The eye is padded for an hour or two, so bring someone with you or plan not to drive.
Is it covered?
Usually yes, once warm compresses have been tried.