Diagnosis and Management of Acute Exacerbation of Chalazion Oculus Dexter
DOI:
https://doi.org/10.53089/medula.v14i4.998Keywords:
chalazion, exacerbation, meibomian glandAbstract
Chalazion is a granulomatous inflammation with lipogranuloma or chronic non-infectious inflammation of the eyelid, in the form of a nodule formed due to inflammation and obstruction of the tarsal meibomian gland or zeis. This chalazion often occurs in all age groups, but the chalazion occur more commonly in the productive age. We report the case of a 20-year-old man with complaints of a lump on the upper eyelid, at the left and right eye for 4 months before entering the hospital. The lump is initially small but gets bigger over time, becomes red, feels painful and lumpy. This complaint has been repeated since 10 months ago. Currently the lump no longer feels painful, itchy or hot, but the lump is now permanent. On ophthalmological examination, it was found that the superior eyelid of the right eye had a nodule measuring ±5 mm and the superior eyelid of the left eye had a nodule measuring ±3mm. The diagnosis made was acute exacerbation of chalazion of right eye, then the patient was given non-medicamentosa therapy, medicamentosa, and operative treatment.
References
Shafrina Rizqa & Rohaya Syarifah. Kalazion. Journal of Educational Innovation and Public Health. 2023;1(4): 104–115.
Li J, Li D, Zhou N, Qi M, Luo Y, Wang Y. Effects of chalazion and its treatments on the meibomian glands: a nonrandomized, prospective observation clinical study. BMC Ophthalmology. 2020;20:278.
Jordan GA, Beier K. Chalazion. StatPearls Publishing [Internet]. 2024. [disitasi tanggal 10 Februari 2024]; Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK499889/.
Hanna S, Hartstein M, Mukari A, Shor S, Habib G, Azzam SH. Global improvement in meibomian glans after chalazion surgery demonstrated by meibography. Int Ophthalmol. 2022;42(1):2591-2598
Chung SY, Hwang HS, Shin, MC, Cho BJ, Han SY. Meibomian gland changes after incision of chalazion by meibography. J Korean Ophthalmol Soc. 2018;59(2):123-129
Geerling G et al. Emerging strategies for the diagnosis and treatment of meibomian gland dysfunction: Proceeding of the OCEAN group meeting. The Ocular Surface. 2017;12(1):179-192
Soebagjo H. Penyakit Sistem Lakrimal. Surbaya: Universitas Airlangga. 2019
Lestari L, Sawitri C, Ristyaning P, Sangging A. Gambaran Umum dan Tatalaksana Kalazion Overview and Management of Chalazion. J Medula Unila. 2023;13:119–123.
Alsammahi A, Aljohani Z, Jaad N, Abu Daia O, Aldayhum M, Almutairi M, Basendwah M, Alzahrani R, & Alturki M. Incidence and predisposing factors of chalazion. International Journal Of Community Medicine And Public Health. 2018;5(11):4979.
Willmann D, Guier CP, Patel BC, et al. Stye. StatPearls Publishing [Internet]. 2023. [disitasi tanggal 10 Februari 2024]; Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK459349/
Lindsley K, & Dickersin K. Non-surgical interventions for acute internal hordeolum. The Cochrane database of systematic reviews. 2017;1(1): CD007742.
Loth C, Miller C, Haritoglou C, & Messmer E. Hordeolum and chalazion: (Differential) diagnosis and treatment. Ophthalmologe. 2022;119(1):97–108.
Utami G. Diagnosis dan manajemen pada blefaritis anterior dan posterior. Intisari Sains Medis. 2021;12(1): 262–268.
Sitorus RS. Kalazion. Buku Ajar Oftalmologi. Jakarta: Badan Penerbit FKUI. 2015
Jin K, Shin Y, Hyon J. Effects of chalazia on corneal astigmatism: Large-sized chalazia in middle upper eyelids compress the cornea and induce corneal astigmatism. BMC Ophthalmol. 2017;17(1):36.
Ilyas S, Yulianti S. Kalazion. Ilmu penyakit mata, edisi ke-5. Jakarta: Badan Penerbit FKUI. 2015
Ozer PA, Gurkan A, Kurtul BE, Kabatas EU, Beken S. Comparative Clinical Outcomes of Pediatric Patients Presenting With Eyelid Nodules of Idiopathic Facial Aseptic Granuloma, Hordeola, and Chalazia. J Pediatr Ophthalmol Strabismus. 2016;53(4):206-11.
Chang M, Park J, Kyung SE. Extratarsal presentation of chalazion. Int Ophthalmol. 2017;37(6):1365-1367.
Ouyang L, Chen X, Pi L, & Ke N. Multivariate analysis of the effect of Chalazia on astigmatism in children. BMC Ophthalmology. 2022;22(1):1–10.
Aycinena AR, Achiron A, Paul M, Burgansky-Eliash Z. Incision and Curettage Versus Steroid Injection for the Treatment of Chalazia: A Meta-Analysis. Ophthalmic Plast Reconstr Surg. 2016;32(3):220-4.
Filippelli M, dell'Omo, R, Amoruso A, Paiano I, Pane M, Napolitano P, Campagna G, Bartollino S, & Costagliola C. Effectiveness of oral probiotics supplementation in the treatment of adult small chalazion. International journal of ophthalmology. 2022;15(1): 40–44.
Aycinena A, Achiron A, Paul M, & Burgansky-Eliash Z. Incision and Curettage Versus Steroid Injection for the Treatment of Chalazia: A Meta-Analysis. Ophthalmic plastic and reconstructive surgery. 2016; 32(3): 220–224.
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