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Chalazion Cysts


They're icky. You're forewarned. If you don't have any problems with the health of your eyelids, and you are squeamish, I recommend that you stop reading right now. Because chalazion cysts are ICKY.

And I get them. Lucky me. If you're still reading, you may be one of my lucky brethren. Congratulations. Bleh.

Now for the quicky disclaimer. I'm not a doctor, nor do I play one on tv. I'm just an unfortunate laywoman who gets a lot of chalazion cysts, who has learned a lot of hard-won lessons about them, and who would l.ike to share some of that knowledge with you in case it might save you some trouble. If I've got something wrong here, I apologize, but I'm not claiming to be a medical expert. We're talking folk medicine, here, folks.

Besides Icky, What Is A Chalazion?

As I understand it, a chalazion cyst is sort of like a pimple on your eyelid. Just as your hair needs oil secreted from glands to keep it shiny and supple, your eyelashes need the same sort of care. So your eyelids have glands in them, and tiny pores at the bases of your eyelashes, where the oil gets secreted to keep your eyelashes luscious and flirtatious.

Unfortunately, some people's eyelid glands aren't so good at their job. They get plugged up periodically, just like when one of the pores on your face gets clogged and forms a pimple. When this happens on your eyelid, it forms a chalazion cyst, which isn't luscious or flirtatious at all. In fact, it's pretty darn unattractive.

What this looks and feels like is just a bump on your eyelid, and it can occur pretty much anywhere on the upper or lower lid. It doesn't really look like a pimple, because it doesn't usually form a head (more about this later) ... so it's just a regular skin-colored bump, like there's something under the skin there. Which there is. A ball of pus-type stuff. Ewwww. I warned you this was icky, didn't I?

Some people are just prone to chalazion cysts. Lucky us. We get them every once in a while, if we don't keep up with the preventative care (more about this below). If you've never had one before, and you think you've got one now, go talk to your doctor and don't try to just take care of it yourself. If you've had a gazillion chalazions before (and you know who you are), then this webpage might give you some helpful hints about self-care.

Right up front, I'm going to tell you something your doctor probably won't. At least, none of my doctors did ... I had to learn it from a book. What looks like a chalazion can actually be a sign of something much worse. If you frequently get chalazion cysts in the same location, it can be a sign of a sort of cancer. So if you get a lot of chalazions, watch where they're occuring. If they're all over the place, you're probably safe. But if they're always in the same spot, go have a serious talk with your doctor.

Stages of Chalazion Development

There are -- in my experience -- four common stages of chalazion cyst development:

  1. Slight, subtle warning twinges: You won't detect this stage until you've had a few chalazions, but in fact there is a stage of warning signs. They're hard to describe, but you might feel slight soreness or twinges (for me, I usually notice this just when I'm waking up), or you might have a bit more-than-usual discharge from your eyes when you wake up. Otherwise, everything seems normal.
  2. Swollen, red eyelid: At this stage, you might wonder if you're getting "pink eye" or something. Your eyelid is all puffy and bright red and tender to the touch, and you're probably getting a lot of icky eye discharge, especially at night. People keep asking you, "What's up with your eye???"
  3. Bump on eyelid: The swelling, tenderness, and redness pretty much go away, and you're left with a bump which seems the size of an orange and you're certain that no one can possibly look at you without flinching in disgust, but most people stop asking about it, because -- actually -- it has become less noticeable.
  4. Normal eyelid: Miraculously, while you aren't looking, the chalazion goes away. Honestly. They just go away on their own, like zits do. It might take more than a year, but it will just sneak away in the night. Scout's honor.

Prevention Is the Best Medicine

There are a few very useful things you can do to prevent chalazion cysts:

Warm Compresses

The basic idea of the compress is to treat the eyelid with three things simultaneously: heat, moisture, and pressure. Here's a bit of info about each of those:

There are a few ways to actually make and apply a compress. Here are a few of the methods I have tried, and my analyses of their efficacy and convenience:

  1. Washcloth and hot running tap water: Wet a washcloth thoroughly with hot tap water, as hot as possible without scalding yourself. Then fold the washcloth into thirds (or whatever works for you) and place it over your eyes. The problem with this method is that the washcloth gets cold quickly, and you need to repeatedly take it back to the sink and run hot tap water over it again, then wring it out again, then reapply it. This method usually left me sitting on a chair or toilet seat right next to the sink, so that I would not interrupt the compress for too long. Not very comfortable.
  2. Washcloth and bowl of hot water: This is very similar to option #1, except that you fill a large bowl with very hot tap water and bring it with you while you apply the compress. That way, you don't have to run back to the sink. However, the water in the bowl can also cool quickly, leaving you with the same problem as above.
  3. Dishcloth and hot/cold pack: After years of experimentation, this is my method of choice. I wet a dishcloth (you may call this a "tea towel," depending on your country of origin) while heating a hot/cold pack (these are usually rectangular flexible plastic thingies, sold for wrapping around injured ankles and such) in the microwave. Be careful not to microwave it too long (on my microwave, 1 minute 10 seconds is perfect, but your mileage may vary), and keep testing it to see if it's too hot to touch. When the hot pack is the right temperature, wrap it in the towel and you have a compress good to last about 20-30 minutes without reheating. Very convenient.
Note: Amused and blatant mockery by your friends and relations may result if you blindly wander the house while applying a compress (espcially while also wearing plaid pyjamas). I recommend instead that you lie down in a dignified manner while appropriately clothed, and ask them kindly to read to you.

Some basic compress hints:

Ack! I Have One! Now What Do I Do?

Okay, so the preventative care is no longer an option, and the swelling has gone down, and you've got yourself a pretty solid bump there on your eyelid. What do you do now? Well, again, you've got a number of options. Regardless of what your doctor says, you do have options. Here are the ones with which I'm most familiar:

Not Sure If You Have A Chalazion?

Got a weird bump on your eye, but not sure if it's a stye or a chalazion or something else entirely? Then you should go see a doctor as soon as possible. Please don't email me asking me to help you diagnose what's going on with your eye (a lot of people have done this), because (1) I'm not a doctor, and (2) I can't see your eye over the Internet, anyway. You need someone with expert medical knowledge to actually look at your eye and talk to you. I'm happy to receive emails about the content of this page, but I can't help you with diagnosis.

Go see a doctor!