What is the treatment for chalazion?

• A. Oral antibiotics only.
• B. Observation without any treatment.
• C. Cryotherapy only.
• D. Warm compresses and massage; surgical excision may be required if unresolved.

Answer: (D)

Chalazion is a blocked meibomian gland that forms a noninfectious, lipogranulomatous eyelid lump. The best initial approach is to unblock the gland and promote drainage. Warm compresses applied several times daily soften the stagnant secretions, while gentle lid massage helps express the meibum and clears the duct. If the lesion persists or is bothersome, a minor office procedure to remove the granulomatous tissue—incision and curettage or similar surgical excision—may be needed. Antibiotics are not routinely required unless there’s an concurrent infection, and cryotherapy isn’t a standard treatment for chalazion. Observation alone may be appropriate for very small, asymptomatic lesions, but when a comprehensive plan is provided, warm compresses and massage with escalation to surgical removal if unresolved best reflects typical care.