Combined excision and drainage with intralesional corticosteroid injection in the treatment of chronic chalazia
G. A. Epstein and A. M. Putterman
Department of Ophthalmology, Florida Medical Center, Fort Lauderdale.
We surgically excised 146 chronic chalazia either with or without
intralesional corticosteroid injections. Our results showed an 89% cure
rate (79/88) for those chalazia surgically excised compared with a 96.6%
cure rate (56/58) for those excised and treated with intralesional steroids
as well. Encouraged by these findings, we treated an additional 149
chalazia using the combined technique of excision and steroidal injection
for a total cure rate of 97.6% (202/207). Although complications were
minimal for both groups, there appeared to be less edema and inflammation
in the patients receiving the combined treatment.
