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

Abstract

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.

The Usefulness of Diathermy Thermocoagulation in Chalazion Surgery

“…Incomplete removal of chalazion contents causes recurrence, although surgical excision of a chalazion is helpful for early improvement. 9 Our surgical technique using thermocoagulation of chalazion contents facilitates grasping chalazion contents with forceps and detaching them from the tarsus and surrounding tissues. This enables secure and complete chalazion content excision.…”

“…[3][4][5][6][7][8] The advantages of I&C in comparison to TA injection include earlier resolution and less recurrence, although TA injection is a quick and effective therapy. [3][4][5][6][7] A large chalazion has better responses to I&C. 8 However, incomplete chalazion drainage results in partial chalazion resolution or recurrence, 9 and excisions of the entire chalazion contents are a requisite.…”

Distribution of multiple chalazia in eyelids of pediatrics requiring surgery in southeast China: a hospital-based cross-sectional study

“…In addition, an early I&C should be considered when astigmatism or cosmetic problems occur in the patients with some types of chalazia. [8][9][10][11][12][13] Because children tend to present multiple chalazia and may not be able to cooperate well during examination, surgeons might miss some nodules in clinical examination, with subsequent increase in the recurrence rate or the possibility of requiring another general anesthesia for repeating I&C. Thus, for patients with multiple chalazia, analyzing the location of the three types of chalazia is important for the timing of surgery and for complete incision during I&C.…”

The distribution and abundance of multiple chalazia in pediatrics receiving surgery in Zhejiang province, China: a hospital-based cross-sectional study.

“…For example, an internal chalazion can result in a hollowing of the tarsal plate, a loss of meibomian gland [8], an extratarsal migration [9], or an astigmatism [10,11]. An external chalazion tends to leave cosmetic damage with scarring on the eyelid, whereas a marginal chalazion may cause eyelid margin notching, trichiasis, or alopecia of the eyelashes [12]. Second, the location of a chalazion can determine the timing or method of invasive treatment.…”