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Research ArticleOriginal Article
Open Access

Three methods of treatment of Chalazia in children

Thabit A. Mustafa and Ismat H. Oriafage
Saudi Medical Journal November 2001, 22 (11) 968-972;
Thabit A. Mustafa
Opthalmology Clinic, Prince Rashid Bin Al-Hasan Military Hospital, Royal Medical Services of Armed Forces, Irbid, Jordan.
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Ismat H. Oriafage
Opthalmology Clinic, Prince Rashid Bin Al-Hasan Military Hospital, Royal Medical Services of Armed Forces, Irbid, Jordan.
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Abstract

OBJECTIVE: This is a pilot prospective study undertaken to compare 3 methods of chalazion treatment, namely intralesional triamcinolone acetonide injection, incision and curettage and the combination of incision, curettage and intralesional triamcinolone acetonide injection.

METHODS: Twenty-six pediatric age patients with 36 chalazia were divided into 3 groups of 12 chalazia each. The first group received intralesional triamcinolone acetonide 5 mg/ml injection, the 2nd group was treated by simple incision and curettage and the 3rd group was treated by incision, curettage and intralesional triamcinolone acetonide injection on the same session.

RESULTS: In the first group, after 2 weeks from receiving intralesional suspension of triamcinolone acetonide injection, 9/12 (75%) of the chalazia had resolved. Two chalazia resolved after 2 weeks from the 2nd injection and one resolved after a 3rd injection. In spite of improvement, 3 patients complained of either recurrence or development of new adjacent lesions. Two patients had yellow deposits at the site of transcutaneous injections. In the 2nd group, 9/12 (75%) lesions resolved after the first surgery, and the other 3 lesions responded to repeated surgery. Recurrence or appearance of new lesions adjacent to the old one was noticed in 2 cases after approximately one month from resolution. In the 3rd group, resolution was found in all patients 12/12 (100%) after 2 weeks, and neither recurrence nor complications were faced.

CONCLUSION: The 3 procedures were safe, effective and convenient. Intralesional corticosteroid injection is a good procedure for children, patients with allergy to local anesthesia, chalazia close to the lacrimal drainage system and it is convenient for physicians other than ophthalmologists. Incision and curettage is recommended for patients with infected chalazia. Combined incision, curettage and intralesional corticosteroid injection is more convenient for patients with large, recurrent and multiple chalazia.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (11)
Saudi Medical Journal
Vol. 22, Issue 11
1 Nov 2001
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Three methods of treatment of Chalazia in children
Thabit A. Mustafa, Ismat H. Oriafage
Saudi Medical Journal Nov 2001, 22 (11) 968-972;

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Three methods of treatment of Chalazia in children
Thabit A. Mustafa, Ismat H. Oriafage
Saudi Medical Journal Nov 2001, 22 (11) 968-972;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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