Reason for consultation
A patient came urgently for a red eye And a bilateral tingling sensation (OR), accompanied by colored secretions. It reports a Similar episode a year ago.
Clinical results
- Primary diagnosis : Chalazion Left Eye (OS)
- Other bilateral observations (OR) :
- Demodex blepharitis Grade 3+
- Meibomian gland dystrophy Grade 2
Treatment initiated
- Eyelid cleaning With the Zocular ZEST system, followed by a session of photobiomodulation.
- Daily maintenance :
- Blephadex wipes X 2 months, then transition to Blephaclean.
- Anti-inflammatory and antibiotic treatment (OS only) :
- Tobradex TID OS ointment X 7-10 days.
- Thermotherapy :
- TID Hot Compresses (BlephaeyeBag) Up to Full resolution of the chalazion.
Clinical evolution
- Complete resorption Of the chalazion in 2 days.
- Disappearance the tingling sensation.
- Good compliance to the treatment.
Conclusion and recommendations
This case highlights the importance of a careful management of demodex blepharitis. Good control of this inflammation contributes to the improvement of the ocular surface and reduce the risk of chalazion recurrence.
🔹 Follow-up plan : In-clinic eyelid cleaning every 6 months For a better control of inflammation and meibomian dysfunction.