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Q: Persistent chalazia
asked by: LFG on March 13th, 2009
New User
On September, 2008 I got an eye infection, which disappeared with the use of antibiotic droplets (gatifloxacin), but left a small bump on my lower eyelid. I consulted an ophthalmologist and he diagnosed that I had two, not only one, chalazia, one in the lower eyelid and the other in the upper. He recommended Tobramycin Dexamethasone and instructed me to apply hot compresses and baby shampoo on the affected eye.
However, the problem did not disappear and the bumps got bigger, so he recommended surgical removal of both, which he did around October last year, indicating Tobramycin Dexamethasone for the post-surgical treatment.
On November the both chalazia had reappered and by January they were five, three in the upper lid, two in the lower lid. I consulted an ophthalmologist with a specialty in eyelids and he instructed me to take two pills of Doxycycline a day for 28 days, then one pill for another 28 days. He also recommended another surgery to be performed to remove the chalazia, with Ciprofloxacin Dexamethason for the post-surgical recovery.
I underwent the surgery and after only four days one of the upper lid chalazia reappeared. Then, after some more days, other in the lower lid returned.
I am worried that I am not getting any better with treatments and surgeries. Is there any other illness that can produce this persistence? What kind of specialist should I consult that really knows what this is?
Thank you
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MandMs
replied on March 16th, 2009
Extremely eHealthy
There are few conditions that are associated with increased chances to have chalazia (seborrhea, acne rosacea, chronic infection or inflammation of eyelids, high blood lipid concentrations, infections like leishmaniasis and tuberculosis, viral infection, low immune system, carcinoma).
Kids and young adults with reoccurring chalazia, must be examined for viral conjunctivitis and hyperimmunoglobulinemia E (hyper-IgE) syndrome (Job syndrome).
Also, malignancy like sebaceous carcinoma, squamous cell carcinoma, microcystic adnexal carcinoma, must be taken in consideration when chalazia are reappearing (especially at the same site).

Best wishes!
Marija
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LFG
replied on March 17th, 2009
New User
Persistent chalazia
Thank you very much!
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