Chalazion (Eyelid Cyst) Removal Surgery Christchurch | 1 Health
A lump on your eyelid can be more than just a cosmetic annoyance; it can be painful, persistent, and even affect your vision.
While many people mistake these lumps for styes, a persistent, firm lump is often a Chalazion (Meibomian Cyst). Unlike a stye, which is an acute infection, a chalazion is a chronic inflammation caused by a blocked oil gland.
If you have an eyelid lump that won't go away with home treatment, 1 Health in Wigram offers expert assessment and surgical removal (Incision and Curettage) right here in our clinic.
What is a Chalazion?
A chalazion is a painless or mildly tender lump that forms on the upper or lower eyelid. It occurs when one of the tiny oil glands (Meibomian glands) in your eyelid becomes blocked. These glands normally produce the oily layer of your tears; when blocked, the oil backs up, causing the gland to swell and form a cyst.
Chalazion vs. Stye: What’s the Difference?
It is easy to confuse the two, but they require different care:
- Stye (Hordeolum): An acute infection of an eyelash follicle. It is usually red, very painful, and looks like a pimple at the lash line.
- Chalazion: A blockage of an oil gland. It is often firm, less painful than a stye, and sits further back in the eyelid.
Home Treatments: The First Line of Defense
Before jumping to surgery, we usually recommend trying conservative home treatments for 2–4 weeks, as many chalazia will resolve on their own.
- Warm Compresses: Apply a warm (not hot) flannel to the closed eye for 10–15 minutes, 2–4 times a day. This helps melt the hardened oil.
- Lid Massage: Gently massage the eyelid towards the lash line to encourage the gland to drain.
- Lid Hygiene: Keep the area clean and avoid wearing eye makeup until it heals.
Note: Never attempt to "pop" or squeeze a chalazion yourself. This can cause serious infection and damage the delicate eyelid tissue.
When to Seek Professional Treatment
You should book a consultation with our Minor Surgery team if:
- The lump persists after 3–4 weeks of home treatment.
- It is growing larger or becoming painful.
- It is pressing on your eye and affecting your vision (astigmatism).
- You have recurring cysts.
The Surgical Solution: Incision and Curettage (I&C)
If conservative treatment fails, the most effective solution is a minor procedure called Incision and Curettage. This is a quick procedure performed under local anaesthetic at 1 Health.
How the Procedure Works
- Anaesthetic: We inject a small amount of local anaesthetic into the eyelid. This stings briefly, but the rest of the procedure is painless.
- Clamping: A specialized clamp is placed on the eyelid to flip it inside out and create a stable, blood-free surface.
- Incision: Dr. Teo makes a tiny incision on the inside of the eyelid. This means there is
no visible scar on your face.
- Removal: The contents of the cyst are scooped out (curettage), and the sac is removed to prevent recurrence.
- Recovery: Antibiotic ointment is applied, and a pressure pad is placed over the eye for 1–2 hours to minimize bruising.
Because the incision is on the inside, no stitches are usually required.
Understanding the Risks
While chalazion removal is a safe and routine procedure, all surgery carries some risk. During your consultation, we will discuss potential complications, including:
- Bruising and Swelling: Common and usually settles within a week.
- Recurrence: The cyst can return (approx. 5% chance), or a new one may form elsewhere.
- Infection: Rare, but treated with antibiotic drops if it occurs.
- Madarosis: Loss of eyelashes in the affected area (rare).
Aftercare: A Smooth Recovery
Recovery is typically quick. You can usually drive yourself home (unless the eye pad obstructs your vision significantly, in which case bring a driver).
- First 24 Hours: Apply cold compresses to reduce swelling.
- Medication: We will prescribe an antibiotic ointment/drop to use for 5–7 days.
- Avoid: Do not swim or wear contact lenses for at least one week.
- Hygiene: Do not rub the eye and keep the area clean.
Why Choose 1 Health for Eye Procedures?
Eyelid surgery requires precision and a steady hand. Dr. Bernard Teo brings advanced expertise in skin and minor surgery, ensuring your procedure is performed safely with a focus on optimal cosmetic results.
If you have a stubborn eyelid lump that won't budge, don't wait for it to affect your vision.
Contact Us today to book an assessment.
Have Questions About Your Health?
Our clinicians at 1 Health are here to help — whether it’s GP care, dental, travel vaccines, or facial aesthetics. Book a consultation anytime.
Book Online:
https://www.1health.nz/contact
Call:
Disclaimer:
This article is for general information only and is not medical advice. Every person’s health situation is different. For personalised guidance or diagnosis, please consult a qualified clinician.
