Which statement about chalazion symptoms is true?

• A. It presents as a painful, rapidly enlarging lump
• B. It presents as a painless, slow-growing lump
• C. It presents with red scleral patch
• D. It presents with intense eye pain and vision loss

Answer: (B)

Chalazion is a chronic, noninfectious blockage of a meibomian gland in the eyelid that leads to a granulomatous inflammation and a lump on the eyelid. It typically develops slowly and is painless because it is not an acute infection of the surface structures. Vision is usually preserved unless the swelling is large enough to push on the cornea or interfere with the visual axis.

That makes a painless, slow-growing lump the correct description. A painful, rapidly enlarging lump would suggest an acute stye or infection. A red patch on the sclera points to scleral or conjunctival inflammation, not a chalazion. Intense eye pain with vision loss signals more urgent conditions affecting the eye's surface or optic pathways.