Chalazion cirugy

[PedroPrado]

Dr Hagan: I went to the ophtalmologist because of my 2 chalazions that i have since November 2013. He scheduled the cirugy for this weekend. After he checked the size of them, he said this: "You need to understand that 90% of each chalazion will be gone after the cirugy, but 10% will remain there forever."  I asked him why, and he replied "Because they are tiny and because they have been there for 5 months now, its late to remove them completely".

I really dont understand what he mean. Do you agree with him or have any idea what he meant?

Thanks in advance.

[John C Hagan III, MD, FACS, FAAO]

If you have ghosting due to dry eye it should go away momentarily with blinking or longer periods after instilling artificial tears. Chalazia rarely cause ghosting but if it did it should be relieved by lifting the lid so its not touching your eye.

Ghosting is not "random"  most cases are due to uncorrected or improperly corrected refractive errors, corneal disease, cataracts or macular pathology/disease

JCHMD

[PedroPrado]

Thanks for the answer Dr Hagan, a great help as always.

I just have one more question. You see, 3 weeks ago i noticed i have ghosting in the same eye where i have the chalazions and blepharitis. I noticed in the night, while looking at the moon, a ghosting at 1 oclock. Is VERY noticeable, because the images are very far (the center of the "ghosting moon" is located at the edge of the "real moon"). This is new because my wife does stargazing each week and im with her, so i look at the moon very frequently.

First I though it was being created by the chalazia but they are small. So, im more inclined that this is a dry eye (because of the blepharitis) issue, because the ghosting gets noticeable better after naps or when i wake up in the morning.

But, the thing is that the ghosting is always in the same direction, its not "random". So my question is, Ghosting created by dry eye can act like that, or is a random type of ghosting?

Thanks in advance.

[John C Hagan III, MD, FACS, FAAO]

He is correct.   The surgery "debulks"  the chalazion but cannot remove entirely. Also the oil glands that block up and cause the chalazion or parallel and vertical to the eyelid margin. More then one gland is involved.

Surgery will generally remove enough to \where the eyelid no longer had a bump on it that is visible.   You will need to continue with your eyelid cleaning to prevent more from developing

JCH MD

[PedroPrado]

Also sorry for the awful mispelling of "surgery"... english is not my native language and i guess i was thinking in spanish, hehe.