Stubborn Chalazion Treatment: IPL vs. Eyelid Surgery and Optometrist Tips from We Love Eyes

Intense Pulsed Laser (IPL) vs. Eyelid Surgery for a Stubborn Chalazion

A CHALAZION can be a real nuisance, especially when it refuses to go away. Typically caused by a blocked meibomian oil gland in the eyelid, a chalazion may swell, become tender, and sometimes blur your vision.

Two common treatments for stubborn chalazia include Intense Pulsed Laser (IPL) therapy and eyelid surgery. Let's talk about both.

 

✨  Intense Pulsed Laser (IPL) ✨ 

What Is IPL? IPL uses high-intensity pulses of broad-spectrum light to target inflammation and improve meibomian gland function. It’s often employed to help patients with meibomian gland dysfunction (MGD) and associated eyelid issues like blepharitis.

 

Pros

✨ Non-invasive procedure

✨ Minimal downtime – typically no stitches or bandages

✨ Improves overall eyelid health by reducing inflammation and encouraging gland drainage

 

Cons

✨ Multiple sessions may be required for optimal results

✨ Cost may add up if you need repeated treatments

✨ Some patients may experience mild discomfort during or after the procedure

 

 

✨ Eyelid Surgery✨

What Is Eyelid Surgery for Chalazion? Also known as incision and curettage, it involves making a small incision in the eyelid to drain or remove the chalazion. Often recommended when conservative treatments such as warm compresses and medications have failed.

 

Pros

✨ Immediate removal of the chalazion in most cases

✨ Generally a quick procedure, often performed in-office under local anesthesia

✨ Can provide fast symptomatic relief, particularly for large or painful chalazia

 

Cons

✨ Invasive – involves a surgical incision

✨ Recovery time includes possible swelling, bruising, or discomfort

✨ Risk of infection or scarring, although rare

✨ Risk of scarring / damage to eyelash follicles, although rare

 

Which Treatment Is Right for You? 🤔  Choosing between IPL and eyelid surgery often depends on:

🤔 Size and severity of the chalazion

🤔 Frequency of chalazia / chalazion

🤔 Personal medical history and tolerance for procedures

🤔 Time you can allot for healing and follow-up visits

🤔 A consultation with an optometrist or ophthalmologist is essential to determine the best option for your specific case. 

 

Dr. Tanya Gill, OD – Founder of We Love Eyes

If you’re dealing with a stubborn chalazion and not ready to pursue IPL or eyelid surgery, consider exploring the MGD Cleansing System by Dr. Tanya Gill. Visit weloveeyes.com to discover a natural way to clean and drain a persistent chalazion. The We Love Eyes MGD Cleansing System is designed to clean and drain a current chalazion flare up and to prevent future ones. This system is an eye care routine designed for her patients to help them struggling with chalazion and the underlying condition: Meibomian Gland Dysfunction (MGD) to promote a healthier, more comfortable eyelid skin barrier and ocular surface.