Chalazion
| Classification according to ICD-10 | |
|---|---|
| H00.1 | Chalazion |
| ICD-10 online (WHO version 2019) | |
As Chalazion (Gr.) Or hail , is a chronic, of a meibomian gland outgoing, usually painless, resulting slow, granulomatous inflammation at the edge of the eyelid , respectively. The cause is usually a blockage of the gland duct due to chronic folliculitis . Just below the edge of the eyelid, a grape seed to hazelnut-sized, painless and immovable swelling can be felt.
In terms of differential diagnosis , carcinoma of the meibomian gland, basalioma or other malignant diseases of the eyelids must be considered. An acute inflammation of the meibomian gland ( stye ) can be the starting point for a hailstone.
causes
A hailstone can develop when the secretion-producing meibomian glands are chronically clogged and the secretion cannot drain away. Risk factors in the development of inflammation can be:
- Chronic eyelid inflammation
- Acne rosacea
- seborrhea
- tuberculosis
- Virus infections of the eye
therapy
The therapy is different depending on the size. With smaller hailstones, a conservative approach can be used, which means that spontaneous regression is awaited. The hailstone is treated with physical therapy (application of dry heat, infrared light). Healing can be improved by applying warm compresses to the affected eye for about 15 minutes 4 to 6 times a day. The heat can soften hardened secretions that block the duct. In the event of infection, antibiotics in the form of drops and ointment can also be used locally .
A hailstone will often go away within a few months without treatment. In most cases, it disappears completely within two years.
In the case of larger hailstones or if there is no improvement under conservative therapy, surgical removal can be performed under local anesthesia . There is a risk of permanent damage to the edge of the eyelid, which is why experienced surgeons should perform the removal. In order to rule out the presence of a malignant disease, a histological examination of the removed material is recommended.
Web links
- Guideline No. 10 Hordeolum / Chalazion from BVA and DOG
literature
- Th. Axenfeld (conception), H. Pau (ed.): Textbook and atlas of ophthalmology. With the collaboration of R. Sachsenweger et al., Stuttgart: Gustav Fischer Verlag, 1980, ISBN 3-437-00255-4 .
- Albert J. Augustin: Ophthalmology. Berlin: Springer Verlag, 2007, ISBN 978-3-540-30454-8 .
- Franz Grehn: Ophthalmology. Berlin: Springer Verlag, 30th edition, 2008, ISBN 978-3-540-75264-6 .
