Chalazion (Meibomian cyst)

A chalazion is a chronic lipogranulomatous eyelid lesion caused by a Meibomian gland duct blockage. Patients can usually feel a small firm lump in the upper or lower eyelid. Predisposing factors include chronic blepharitis, rosacea, seborrhoeic dermatitis, pregnancy and diabetes mellitus. This Clinical Management Guideline outlines the aetiology, signs and symptoms and evidence-based recommendations for diagnosing and treating chalazia. It outlines how they can often be resolved with conservative, non-pharmacological management and highlights when more invasive therapies and possibly referral is appropriate.

Login to read further information on the diagnosis and management of chalazion.

What is a chalazion?

A chalazion, also known as a Meibomian cyst, is a common condition of the eyelid caused by blockage of the openings of the oil-producing Meibomian glands. It is usually felt as a small firm lump in the upper or lower eyelid. 

How is a chalazion managed?

The condition usually gets better with a combination of warm compresses and massage. However if it does not settle, it can be treated by a steroid injection or the cyst can be removed in a minor operation under local anaesthetic.

Sign in to continue

Forgotten password?
Register

Want to read the rest of this page?

If you are a member, login to view this page. If you are not a member, simply register to gain free access to the rest of this content.

Last updated

Chalazion (Meibomian cyst)
Version 16
Date of search 23.10.22
Date of revision 26.01.23
Date of publication 20.02.23
Date for review 22.10.24
© The College of Optometrists