Bacteriology of Ophthalmic Infections
K. Balamurugan, U. Prithika in Pocket Guide to Bacterial Infections, 2019
Chalazion, also known as a Meibomian cyst, is a common eyelid disorder of all age groups. It is lipogranulomatous inflammation of the ocular glands caused due to retention of the Meibomian secretion in the sebaceous gland. Inflammation and irritation of the eyelid and ocular surface with the formation of cyst are the common clinical presentations. The cyst formation usually does not affect the normal visual perception. However, the size of the cyst may have an impact. Larger chalazion cyst may interrupt the normal vision or induce astigmatism which can lead to eye morbidity (Park and Lee, 2014). The predisposing factors associated with chalazion include, Meibomian gland dysfunction, chronic blepharitis, dry eye, seborrheic dermatitis, gastritis, and smoking (Nemet et al., 2011). Other factors such as exposure to ultraviolet (UV) light, poor lid hygiene, use of cosmetic products, and stress also contribute to cyst development, but their role in disease is poorly understood.
Holistic view of health and illness
Mabel Aghadiuno, Christopher Dowrick in Soul Matters – The Spiritual Dimension within Healthcare, 2017
Ophthalmologists of the time considered that anything from 40% to 100% of their eye cases involved emotional conflict. Bizarre as it may seem, Schlaegel speaks of Inman, an ophthalmologist who observed that an intense interest in childbirth was an important factor in the development of a chalazion (cyst on eyelid). In over 200 consecutive cases 80% displayed a strong interest in childbirth compared with 23.4% in a control group. An example is a 33-year-old man who had surgery for chalazion (stye) of both eyelids. The left chalazion disappeared but the right one enlarged. He returned three months later for further treatment. Inman then told him that he suspected he had been particularly interested in a baby’s birth during the three-month interval. After initially faltering, the patient confided that his sister-in-law had had her first baby.
Oral and Ocular Manifestations of HIV Infection
Clay J. Cockerell, Antoanella Calame in Cutaneous Manifestations of HIV Disease, 2012
As discussed previously, KS is a vascular proliferative condition that affects up to 25% of HIV-seropositive patients.92 Of those individuals with KS, approximately 20% have eyelid or conjunctival involvement100 (201, 202). At times, these lesions may be difficult to identify. KS on the eyelid may mimic a chalazion. Lesions involving the conjunctiva can be mistaken for subconjunctival hemorrhage. As with KS of the skin, BA may also simulate KS and should be suspected if there is a history of prior systemic Bartonella infection or cat-scratch disease.92
A case series of Merkel cell carcinoma of the eyelid: a rare entity often misdiagnosed
Published in Orbit, 2019
Adriana Iuliano, Fausto Tranfa, Lidia Clemente, Federica Fossataro, Diego Strianese
A 76-year-old female presented to our observation with a nodular and violaceous mass of left upper eyelid shown up 6 months before and misdiagnosed and treated as chalazion. A 0.6 × 0.4 cm lesion was resected. Histological examination together with immunohistochemical analysis, positive for chromogranin A and CD56, confirmed MCC. The lesion was staged as T2acN0M0/T1N0M0 according to the AJCC TNM staging system for both eyelid carcinoma and MCC, 7th edition. One month later, reconstructive surgery with a Cuttler-Beard skin flap and tarsorraphy were performed. Two months later, the tarsorraphy was opened. After the surgery the patient complained of burning eye due to corneal exposure. Therefore, surgical correction with tarsoconjunctival flap and a partial tarsorraphy were performed. Neither lagophthalmos nor corneal exposure were detectable anymore. Two years later, the patient was asymptomatic showing no evidence of local or systemic recurrence.
Serum Levels of Thyroid Hormone, Vitamin B12, Vitamin D3, Folic Acid, and Ferritin in Chalazion
Published in Ocular Immunology and Inflammation, 2022
Chalazion is a chronic sterile lipogranulomatous inflammation of the Meibomian glands. It may be present at any age and is more common in female population.,1,2 Chalazion is the most common reason for eyelid masses in all ages and nearly all reasons for eyelid masses are in the differential diagnosis.2 Chalazion may cause ocular surface symptoms, topographic abnormalities, blurred vision, mechanical ptosis, or cellulitis.3–5 After the acute phase, nearly half of the lesions are resolved using conservative treatments, including warm compresses and topical antibiotic and steroid combinations.6,7 For the rest of the lesions, intralesional triamcinolone acetonide injections and incision and curettage are two standard treatment methods which are commonly performed.6,7 The recurrence rate of chalazion may be up to 35% and recurrent invasive procedures may be necessary for those patients.8,9
Bilateral orbital granulomatosis with polyangiitis complicated by central serous chorioretinopathy
Published in Clinical and Experimental Optometry, 2022
Anand D Gopal, Austin Meeker, Sathyadeepak Ramesh
A 46 year-old man presented with one week of decreased vision in the left eye in the setting of eight months of indolent, minimally tender focal swelling and redness of the lateral left upper lid. On initial evaluation by outside providers, he denied antecedent trauma, insect bites, or prior episodes. The patient was initially diagnosed with a chalazion; however, three weeks prior to presentation, he experienced rapid worsening of swelling and tenderness with new-onset decreased vision in the left eye. Given concern for preseptal cellulitis, the patient received consecutive courses of oral doxycycline and cephalexin without improvement. In the setting of progressive symptomatology and vision changes, he was hospitalised locally for intravenous antibiotics and transferred to our institution for further evaluation.
Related Knowledge Centers
- Antibiotic
- Cyst
- Eyelid
- Incision & Drainage
- Meibomian Gland
- Periorbital Cellulitis
- Stye
- Warm Compress
- Corticosteroid
- Gland of Zeis
- Incision & Drainage