Chalazion management – surgical treatment versus intralesional injection of long acting steroids

Purpose: Comparison between the effectiveness of intralesional injection of long acting steroid (Triamcinolone acetonide) and surgical management (Incision and Curettage). Method: Hospital-based, two arm, prospective, comparative, interventional studyon 100patients who presented with chalazion who fulfill inclusion and exclusion criteria and gave informed consent were taken for the study. Preoperative detailed examination of chalazion included number, site, size (by caliper), tenderness, signs of inflammation and any other abnormal finding were noted.Test of proportion (Z-test) was used to test the significant difference between two proportions. t-test was used to test the significant difference between means. Results: The reduction insize of lesion (in mm) at post-operative third day ,first week and first month follow up visits of the patients of Intralesional injection was significantly lesser than that of incision and curettage. Conclusion: Although intralesional injection was a simpler procedure, incision and curettage was a more effective method and remains the gold standard in the treatment of chalazia.