First of all, you should understand the cause of chalazion: it is a chronic inflammatory granuloma of meibomian gland, which is formed on the basis of blockage of meibomian gland discharge tube and retention of oily secretion. This disease is more common in children and adolescents, without great pain, without affecting vision, with a tendency of self-healing and a good prognosis.

symptom

* The course of disease is slow, no obvious symptoms, no pain, and sometimes only a heavy feeling, which may cause temporary astigmatism due to the compression of the mass, or foreign body sensation due to the compression of the eyeball by the mass.

* One to several round lumps of different sizes can be touched under the eyelid skin, ranging from rice grains and mung beans to soybeans and cherries. The surface is smooth and does not adhere to the skin, with clear edges and no tenderness.

* Flip the eyelids. When the mass is on the conjunctival surface, purple or gray-red localized protuberance can be seen. If there is a secondary infection, it can evolve into a sty, which is difficult to distinguish it from the formation of internal sty.

* Small lumps can be completely absorbed by themselves, or they can puncture the conjunctival surface to discharge colloidal contents, forming mushroom-like granulation hyperplasia. This granulation tissue can also form papillary hyperplasia on the surface of the eyelid margin through the discharge pipeline of meibomian gland.

* When secondary sensation occurs, epicanthus can be formed.

treat cordially

1. Early chalazion can be dissipated and absorbed by hot compress, physical therapy and massage.

2. Traditional Chinese medicine mostly treats prescriptions from phlegm-dampness condensation and phlegm-heat resistance collaterals, but the course of treatment is long, the effect is slow and the effect is poor, so it is difficult for patients to adhere to it. So at present, oral Chinese medicine is rarely used to treat patients.

3. For patients who are afraid of surgery and unwilling to take traditional Chinese medicine for a long time, try injecting 0.3 ~ 0.5 ml of prednisolone around or in the cyst, which can promote absorption and achieve good results.

4. Incision and curettage of chalazion is often done in clinic, and the effect is immediate. Because the incision is on the conjunctival surface, there is no scar after operation and it is safe. It does not hinder the appearance and is easily accepted by people.

5. When chalazion is secondary to infection, it should be regarded as a sty. After the inflammation subsides, it is best to do surgical resection.

6. Surgical treatment: small cysts do not need treatment, and large chalazions can be surgically removed.

It is found that conservative treatment of children's chalazion has no effect, so we should operate as soon as possible. Chalazion is a common eye disease in children. At the initial onset, a small induration can be seen on the child's eyelids. As time goes by, the induration gradually increases.

There are two kinds of chalazions-

A is conjunctival type, showing dark red conjunctival surface. The induration will not develop to the surface of eyelid skin. This kind of child can operate on the conjunctiva of eyelid, and make a small incision on the conjunctiva to scrape out the necrotic tissue in the cavity of meibomian gland cyst. No scar was left on the eyelid after operation.

Type B is dermoid. This child's chalazion granuloma will develop to the skin surface of eyelid, and the tumor will gradually increase. There may be a large number of bloody necrotic tissues in the tumor capsule cavity. This kind of chalazion is very complicated. Without active treatment, the cyst will eventually rupture, leaving a large area of irregular scar tissue on the skin surface. Severe eyelid skin surface defect can cause eyelid ectropion. For this kind of chalazion, which has formed granuloma after long-term stimulation, surgical resection and eyelid skin plastic surgery are needed.

Judging from the relevant information given to you, you should know that it is reasonable for the doctor to let you go home for hot compress. But you don't have to worry too much, because your child is only the size of a grain of rice at present, which is not very serious and should be able to heal itself.

Even if you don't return it within a week, you can continue to apply hot compress for a period of time to observe.

As long as you can get through this in your heart, there is no obvious trend of swelling, and it is not impossible to postpone the operation until you are 3~4 years old.

If it develops quickly, it will grow into granulation and emerge from the eyelids, which will be in trouble and leave scars.

Every child's constitution is different. Some children can apply it, some can apply some medicine, some can't grow at all, and some just can't disappear, so they can only have surgery.

In fact, even if the operation is performed, it is only a minor outpatient operation in ophthalmology, and it doesn't hurt to take anesthetic (the dose of anesthetic is very small, mainly to make the eyes unconscious). Besides, it won't hurt your eyes. Nurses will have special clips to fix their eyelids. Parents only need to fix their children's heads, hands and feet.

Of course, there may be bruises around the eyes after the operation, but they will all be fine after a while.

As for the impact on intelligence, you really need to worry more.

However, parents should pay attention to their children's eye hygiene in the future and don't let their children rub their eyes with dirty hands. Otherwise, it is very likely that the same symptoms will appear again.