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Author Topic: Recurring chalazia in one eye  (Read 7246 times)


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Recurring chalazia in one eye
« Reply #1 on: July 14, 2011, 02:52:50 PM »
Q: My 15 year-old daughter has had constant problems with her right eye: multiple styes and chalazia. Some have had to be surgically removed.  She suddenly began  having severe red eyes, light sensitivity and pain.  One doctor prescribed antibiotic drops which gave her no relief.  We saw a different doctor, who prescribed synthetic cortisone drops,declaring the cause as allergies.  These drops definitely cleared the redness, but had to be used constantly to keep redness away.  She saw a third doctor who advised against cortisone drops, took cultures of the lid and chalazion which he removed and prescribed oral antibiotics.  I waited to hear the results of the culture before administering antibiotics, and sure enough, both tests came back negative.  Any ideas on what can be wrong with this eye.  She has tried everything for the styes (squeezing oil out of lids 2x a day and eye scrubs).  This eye is just chronically sick.  Am now trying to locate a good fourth doctor to see, but thought I would try this first as no doctors in my area seem to agree.
A: The issue here is what is the diagnosis(es) and what is(are) the treatments. This is an interesting history and one that an ophthalmologist in your area with a sub specialty of "cornea and external disease" might find intriguing and challenging.
While it sounds like chronic blepharitis, it is only in the right eye. This is not usually the case with this bilateral lifelong condition. Other possible causes should be looked for, such as:vectors,chlamydial conjunctivitis,eye rubbing,dry eye,and instillation of unknown substances.
Assuming that the true problem is chronic blepharitis with secondary chalazia and styes, a course of minocycline 100 mg. per day for a month or two might be tried. The mainstay of treatment remains "lid hygiene". Good luck with this frustrating problem.