Which statement about chalazion progression and management is supported by the material?

• A. Chalazion often resolves quickly with no treatment.
• B. A chalazion may require surgical excision if persistent.
• C. Chalazion should be treated with systemic antibiotics.
• D. Warm compresses have no effect on chalazion.

Answer: (B)

Chalazion is a chronic granulomatous inflammation from obstruction of a meibomian gland, so its course is typically slow and persistent rather than rapid. Management starts with conservative measures—warm compresses to soften the meibum and promote drainage, plus lid hygiene—which resolve many cases. If the lesion remains despite these measures for several weeks to a few months, surgical excision or incision and curettage is indicated to remove it and prevent ongoing irritation or recurrence. This makes the statement that a chalazion may require surgical excision if persistent the best fit.

Warm compresses do help by aiding drainage, so claiming they have no effect isn’t accurate. Systemic antibiotics aren’t routinely used for a noninfectious chalazion unless there’s secondary infection, and saying it often resolves quickly with no treatment contradicts the typical slow, persistent nature of the condition.