What is chalazion?
A chalazion is a chronic painless lump in the eyelid caused by blockage of a meibomian gland (oil gland). Often follows a stye that didn't fully resolve. Distinct from stye in being painless and slower-developing.
Most clear with consistent warm compresses over weeks. Persistent or recurrent chalazia may need steroid injection or in-office drainage.
Do I have chalazion? Common signs
If most of these describe what you're experiencing, telehealth may be a good next step:
What causes it
Blocked meibomian gland (oil gland in eyelid). Often follows untreated stye. Linked to chronic blepharitis, rosacea, MGD.
Is it contagious?
No.
The warm compress regimen is everything — 10 minutes, 4 times daily, for at least 4 weeks. Most people give up too early.
Can it be treated online?
Routine chalazion is well-suited to telehealth. Persistent (>2 months), recurrent, distorting vision, or eyelid distortion — benefits from in-person eye care for steroid injection or drainage.
How chalazion is treated
Warm compresses 10 min, 4x daily — primary treatment. Lid hygiene twice daily. Antibiotic-steroid drops sometimes for inflammation. Intralesional triamcinolone injection in office for persistent. Incision and curettage for refractory cases.
Self-care while you wait
- Warm compresses 10 min, 4x daily — consistency matters
- Gentle lid massage after warm compress
- Lid scrubs (diluted baby shampoo or Cliradex)
- Don't squeeze
- Manage chronic blepharitis if present
- Omega-3 supplements may help
- Be patient — full resolution takes weeks
How long does it last?
Most clear in 4–8 weeks of consistent warm compresses. Some persist longer; in-office treatment helps.
Frequently asked questions
Stye vs chalazion?
Stye: painful, red, acute, infected. Chalazion: painless, chronic, blocked gland.
Will it go away on its own?
Often yes — with consistent warm compresses. May take 2 months or more.
Should I get it injected?
Reasonable for persistent (>2 months) chalazion. Single injection often resolves.
Can it affect my vision?
Large chalazion pressing on cornea can cause astigmatism/blur. Usually resolves with treatment.
Will it come back?
Recurrent chalazia suggest underlying MGD or blepharitis — address those.
