What is the role of steroid injections in the treatment of chalazia?

Updated: Dec 09, 2019
  • Author: Jean Deschênes, MD, FRCSC; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

If no evidence of infection is present, local intralesional injection of a steroid (triamcinolone or methylprednisolone) can reduce inflammation and may cause regression of the chalazion within a few weeks. This method is especially considered when the chalazion is small or near the lacrimal apparatus. Typically, 0.2-2 mL of 40 mg/mL triamcinolone is injected directly into the chalazion’s center. The latter can be mixed 1:1 with 2% lidocaine with epinephrine to reduce pain. A second injection 2-7 days later may be necessary for larger chalazia. [12]


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