Persistent and Recurrent Chalazions

AVANT LE TRAITEMENT
APRÈS LE TRAITEMENT
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35
Caucasian
Chalazion, ocular rosacea
2 months

Initial assessment

  • Meibomian atrophy: 32.6% OF, 45.5% BONE
  • Demodex blepharitis
  • Ocular rosacea
  • Chalazions multiple lower eyelids
  • Initial treatment : Eyelid cleaning + IPL + Photobiomodulation (LLLT)‍
  • Pre-existing diagnosis : Rosacea confirmed by dermatologist‍
  • Contraindication : Not a candidate for incision-curettage due to the proximity of the chalazions to the eyelashes (increased risk of eyelid deformation)
Meibography of the right eye and the left eye at the initial assessment

Evolution of treatments

OD Before/After. The dates on the images reflect the date the image was exported and not the date the photo was taken
OS Before/After. The dates on the images reflect the date the image was exported and not the date the photo was taken

The patient received several IPL and photobiomodulation sessions to treat chalazions and reduce ocular inflammation. A JETT Plasma treatment was also applied to target persistent chalazions.

Clinical improvement has been gradual, with a significant reduction in the size of the chalazions. However, intermittent redness and ocular inflammation have been observed, linked to environmental and dietary factors.

The patient has noted inflammatory flare-ups when drinking red wine or when taking dairy products. An adaptation of lifestyle and dermatological follow-up were recommended.

The use of baby shampoo caused eye irritation and a feeling of dryness, which required an adaptation of care with eyelid cleaning, Zocufoam, and cold compresses. An anti-inflammatory treatment with Lotemax gel and ung has been introduced to control inflammation.

Currently, the patient shows a marked improvement with a completely resorbed OD chalazion and a small residual OS chalazion. He continues to be followed up at the CARE Clinic for the control of ocular rosacea and to continue to treat chalazion in the left eye.

Conclusion

‍The patient showed a positive course with gradual resolution of chalazions and improvement of ocular rosacea symptoms. Ongoing follow-up is essential to control residual inflammation and prevent recurrences.