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  • Q&A with Australian Health Practitioners

    How often should I use hot compresses for a chalazion?

    I noticed a bump growing underneath my eye and it has gotten bigger. My optometrist told me to use warm compresses but it doesn't seem to be going down in size. I do notice afterward that it's “warm” and seems to help loosen the formation, but the size has remained the same this past week. Advice?
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  • Michael Mangraviti

    Optometrist

    I have thirty years in private practice as an optometrist at the same location in Leichhardt and have done four postgraduate courses pertaining to Diseases … View Profile

    Hot compresses are usually recommended for fifteen minutes, four times a day. Following the application of heat, gentle lid massage may be tried by using the (clean) index finger to “roll along” the chalazion towards the lid margin/lashes; for perhaps one minute.

    If no significant improvement within four weeks, antibiotic and steroidal anti-inflammatory drops may be added.

    If still not showing improvement, oral antibiotics eg doxycycline may be given instead as 50mg twice a day for a two-week course.

    If still persisting, another two options are steroidal anti-inflammatory injections of the chalazion or, a minor surgical procedure, incision and curettage of the chalazion.

    Otherwise, after a few months, the chalazion may resolve or disappear by itself, without further treatment.     

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