Chalazia pose unique challenges for parents and caregivers. 

In this comprehensive guide, we delve into the symptoms, treatment options, and preventive measures for chalazia in children.

What is a chalazion?

A chalazion in children is a benign, painless lump or swelling that develops on the eyelid. It occurs when one of the small oil glands (Meibomian glands) in the eyelid becomes blocked. 

These glands normally produce an oily substance that helps lubricate the eye and prevents tears from evaporating too quickly. When the opening of a meibomian gland is blocked, the oil it produces cannot flow out properly. 

This blockage leads to the accumulation of oil, causing the gland to become swollen and form a bump on the eyelid. 

What are the symptoms of chalazion in children?

Children may not always communicate their symptoms effectively, so it’s essential for parents and caregivers to be observant. Common signs of chalazia in children include the following:

  • Swelling or lump on the eyelid
  • Redness
  • Tenderness
  • Blurry vision (in rare cases)

If left untreated, a chalazion can persist for several weeks or even months. Early identification and appropriate care can help manage chalazia effectively and prevent complications.

What causes chalazion?

A chalazion in children is relatively common and can affect one or both eyes. Chalazia are not caused by bacteria and are not contagious. 

Instead, they result from the blockage of oil glands and the subsequent inflammation. The exact reasons for the blockage can vary, but common contributing factors include:

  • Poor eyelid hygiene: The accumulation of dirt, debris, and other substances along the yield margin can block the meibomian glands.
  • Bacterial infection: A pre-existing bacterial infection in the eyelash follicles (similar to a stye) can contribute to a chalazion.
  • Skin conditions: Certain skin conditions, such as seborrheic dermatitis or rosacea, may contribute to the development of chalazia in children.
  • Inflammation: Inflammation of the eyelids, whether due to allergies or other factors, can disrupt the normal functioning of the Meibomian glands.

How is a chalazion diagnosed and treated?

Although chalazia are generally harmless and often resolve on their own, it’s advisable to seek medical attention if the chalazion persists, grows larger, or causes vision problems.

A pediatric eye doctor typically diagnoses a chalazion through a clinical examination, patient history, examination, and differential diagnosis. Some of the treatment options your optometrist or ophthalmologist may recommend include:

  1. Warm compresses 

Applying warm compresses to the affected eyelid is a common and effective home remedy. The warmth helps soften the oil in the blocked gland, facilitating drainage and reducing inflammation. Encourage the child to apply a warm compress for 10-15 minutes several times a day. Be sure to use a compress that stays warm the whole time.

  1. Eyelid massage 

Gently massaging the eyelid after a warm compress can aid in the drainage of the blocked gland. It’s important to emphasize the need for gentle pressure to avoid causing further irritation.

  1. Topical antibiotics

If there are signs of a secondary bacterial infection or the chalazion is associated with blepharitis (inflammation of the eyelids), the healthcare provider may prescribe topical antibiotics to prevent infection.

  1. Oral antibiotics

In cases where there is a bacterial component or if the chalazion is recurrent, oral antibiotics may be recommended.

  1. Incision and drainage

In rare instances when a chalazion does not respond to other treatments or if it becomes significantly large and painful, a minor surgical procedure may be necessary. The doctor may make a small incision to drain the contents of the chalazion.

How to prevent a chalazion?

Preventing chalazia in children involves adopting good eyelid hygiene practices and minimizing factors that contribute to the blockage of the meibomian glands. Here are some good habits to follow:

  • Good eyelid hygiene: Instruct children to wash their faces regularly with mild soap and water, paying attention to the eyelids. Emphasize the importance of gentle cleansing to avoid irritation.
  • Avoid eye rubbing: Discourage children from rubbing their eyes, as this can lead to the transfer of dirt and bacteria, potentially blocking the oil glands.
  • Makeup removal: If children use makeup, ensure that they remove it thoroughly before bedtime to prevent the buildup of debris along the eyelid margins.
  • Regular eye check-ups: Schedule routine eye check-ups for your child. An eye care professional can identify potential issues early on and provide guidance on preventive measures.
  • Healthy diet: Promote a balanced diet rich in vitamins and nutrients essential for eye health. Foods high in omega-3 fatty acids, such as fish, flaxseeds, and walnuts, can contribute to the well-being of the meibomian glands.
  • Prompt treatment of eye infections: Address eye infections promptly to prevent them from contributing to the blockage of oil glands. Consult a healthcare professional for appropriate treatment.

Where to find the best pediatric eye doctor?

At Pediatric Eye Associates, we take pride in being a leading provider of specialized eye care for children. 

Ensuring the visual health and well-being of your little ones is our passion, and we strive to offer unparalleled services that make us stand out as a trusted name in pediatric eye care.

Our team comprises highly skilled and experienced pediatric ophthalmologists and optometrists dedicated to addressing the unique needs of children. 

Equipped with cutting-edge technology and child-friendly facilities, Pediatric Eye Associates offers a comfortable and welcoming environment for your child’s eye care journey.

Contact us to book an appointment today!

The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.