A prospective randomized treatment study comparing three treatment options for chalazia: triamcinolone acetonide injections, incision and curettage and treatment with hot compresses

Goawalla, Amynah; Lee, Vickie

doi:10.1111/j.1442-9071.2007.01617.x

Cited by 59 publications

(60 citation statements)

References 15 publications

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“…Typically the routine incision and curettage procedure for chalazion removal results in a significant pain scale. Goawalla et al [11] documented a median pain score of 7/10 for 45 patients treated by I&C when using only subcutaneous injection of 2% lidocaine with a drop of 0.5% proxymethocaine. Buik et al [12] demonstrated a median pale scale of 6/10 for 15 patients using only local injection of 2% lidocaine with 1:10,000 adrenaline subcutaneously.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, a common alternative surgical procedure for chalazion removal, which has documented less pain [11,12], is intralesional or extralesional steroid injection. Complete absence of pain was documented when combing topical cutaneous anesthetic such as EMLA prior to transcutaneous injection of triamcinolone acetonide (TA) [12].…”

Section: Discussionmentioning

confidence: 99%

“…Complete absence of pain was documented when combing topical cutaneous anesthetic such as EMLA prior to transcutaneous injection of triamcinolone acetonide (TA) [12]. Although transcutaneous injection using EMLA resulted in no pain, transcutaneous steroid administration is associated with higher reports of depigmentation at the injection site, globe perforation, and anterior segment ischemia [3,11]. As a result, a transconjunctival approach is more commonly performed.…”

Section: Discussionmentioning

confidence: 99%

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A Simple Anesthetic Technique to Eliminate Pain and Optimize Patient Satisfaction for Chalazion Incision and Curettage

LoBue¹

2017

AOVS

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Purpose: To develop a painless anesthetic technique for chalazion incision and curettage in order to optimize patient comfort and satisfaction.Method: Four patients with upper lid chalazion refractive to conservative treatment were scheduled for incision and curettage. The technique involved the application of eutectic lidocaine 2.5% and prilocaine 2.5% (EMLA) prior to subcutaneous injections of chloroprocaine (Nesacaine) and 2% lidocaine. Further anesthesia of the conjunctiva was provided with a tetracaine soaked cotton applicator for 30 seconds prior to 2% subconjunctival injection adjacent to the tarsal plate. Pain was assessed with numerical score of zero to ten prior and during the procedure. Overall patient satisfaction was evaluated using a Likert satisfaction scale from 1-5.Results: All patients documented zero pain with the anesthetic process as well as during the procedure. Also, patient satisfaction received the highest rating, 5, for each patient. Conclusion:Minimizing discomfort is important as patients with a low threshold of pain can increase the risk of globe injury due to poor patient cooperation during injection. Thus a technique which alleviates pain-related anxiety may aid in minimizing unnecessary complications and improving overall satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Simple Anesthetic Technique to Eliminate Pain and Optimize Patient Satisfaction for Chalazion Incision and Curettage

LoBue¹

2017

AOVS

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“…These include, incision and curettage, total excision, intralesional steroid injections, and botulinum neurotoxin type A. [1][2][3] Complications of surgical drainage of the chalazion include, eyelid margin notching, trichiasis, loss of lashes, and inadvertent globe injury. 4 Incomplete chalazion drainage can result in granulation tissue prolapsing into the conjunctiva or skin.…”

Section: Introductionmentioning

confidence: 99%

Large anterior orbital cyst as a late complication of chalazion surgical drainage

Alsuhaibani

Al-Faky

2015

Eye

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Purpose To present four patients who developed large cystic lesions attached to the tarsal plate at the site of previously drained chalazion. Methods Medical records for all patients who developed cystic lesion as a complication of chalazion surgery were retrospectively reviewed for clinical and radiological findings, treatment provided, histopathological findings, and complications. Results Four patients (one male and three females) with a mean age of 22 years (range, 11-36 years) were enrolled in the study. A history of chalazion surgery was present in all patients at the same site of the cyst attachment to the tarsal plate. The mean interval between the presentation with the cystic lesion and the chalazion surgery was 13 weeks (range, 6-24 weeks). All patients were treated with surgical excision of the cysts, along with local triamcinolone injection. Histopathological findings of the excised cysts were consistent with chalazion. There was no evidence of recurrence or other complication observed during the follow-up visits (the minimum follow-up duration was 6 months). Conclusions Anterior orbital cystic formation (prolapsed chalazion) may occur as a late complication of chalazion surgery. Surgical excision along with steroid injection was effective to manage this rare complication among our patients.

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“…They reported that chalazia which did not respond to 2 or 3 injections were more likely to benefit from incision and curettage surgery. Goawalla and Lee's (2007) prospective randomized study compared the effectiveness of hot compresses, steroid injections and surgical curettage in 136 patients. They reported that steroid injections and incision and drainage surgery had comparable results, and gave better results than conservative treatment with hot compresses.…”

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confidence: 99%

Chalazion Treatment

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A prospective randomized treatment study comparing three treatment options for chalazia: triamcinolone acetonide injections, incision and curettage and treatment with hot compresses

Cited by 59 publications

References 15 publications

A Simple Anesthetic Technique to Eliminate Pain and Optimize Patient Satisfaction for Chalazion Incision and Curettage

A Simple Anesthetic Technique to Eliminate Pain and Optimize Patient Satisfaction for Chalazion Incision and Curettage

Large anterior orbital cyst as a late complication of chalazion surgical drainage

Chalazion Treatment

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