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How to Cure Your Chalazion or Stye/Hordeolum?

Apr 08, 2024

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How to Cure Your Chalazion or Stye/Hordeolum?

At our Advanced Dry Eye Center, our philosophy is patient education and empowerment; patient eye health is of the utmost importance. Therefore, we commonly set aside, on average, 1-1.5 hours for an initial dry eye/ocular surface consult (including patients presenting for stye/chalazion/hordeolum). This way, we can gather comprehensive history, review digital intake forms, capture images, review findings/results, rule-in/out other concerns/issues, answer questions, and determine a customized treatment protocol. 
 
For patients with chalazion/chalazia/hordeolum, our doctors present 4 ways to address the condition(s): 
 
1) At-home products (eyelid hygiene, warm compress, omega-3 oral supplement, etc), 
 
2) Topical/oral medications such as antibiotics/steroids (which may carry higher side effects), 
 
3) Office-based procedures such as BlephEx, OptiLight, thermal pulsation/expression which are easy, gentle, have no downtime,
 
4) Referral for surgical intervention such as steroid injection or excision (which may carry higher side effects). 

Common Medications Prescribed include:
 
1) Topical ophthalmic drop: Maxitrol, Tobradex, Tobramycin
2) Topical ophthalmic ointment: Maxitrol, Tobradex, Erythromycin
3) Oral Antibiotic: Azithromycin (Zpack), Doxycycline, Augmentin, Cephalexin

These medications are commonly prescribed and highly acceptable for patients with Chalazion/Hordeolum, Meibomian Gland Dysfunction (MGD), dry eye disease, blepharitis, ocular rosacea, etc. Important to note that a chalazion is often a cause of, or secondary to, Meibomian Gland Dysfunction. 

Here are some helpful studies on modern treatments and chalazion/chalazia:

1) Article/study on IPL & Chalazion (Novel Treatment of Chalazion using Intense Pulsed Light, 2023):  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390460/
 
2) Article/study on BlephEx & Chalazion (Randomized Prospective Evaluation of Microblepharoexfoliation BlephEx as Adjunctive Therapy in the Treatment of Chalazia, 2023):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797196/
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Here's a video on our initial visit/consult: https://www.youtube.com/watch?v=gukhwf90OjA
 
 
Beverly Hills Optometry Advanced List of Dry Eye Treatment Options: https://www.bheyeguy.com/blog/comprehensive-list-of-dry-eye-treatment-options-june-2022
 
How To Treat Ocular Surface Disease in the 21st Century (#2): https://www.bheyeguy.com/blog/how-to-treat-ocular-surface-disease-in-the-21st-century
 
Schedule your visit today!