Abstract
A series of 1498 consecutive vertical incisions of chalazia was studied by the author to examine the spectrum of epidemiological presentation of chalazia for a population, the failure rate for incision and curettage and how each failure was managed. The number of incisions made in each chalazion was also examined as the author had developed an impression over the years that a better success rate was achieved with more than one incision. Using 3 vertical incisions, the 7.6% failure rate is considerably lower than previous studies in the literature in which only one incision was undertaken. This case series also supports a practical pragmatic approach as to how to manage failure of incision and curettage and questions the need for routine diagnostic biopsy to exclude ocular sebaceous cell carcinoma after first failure in incision and curettage.
Highlights
Material and MethodsThe author had, over the years 1999 to 2015, developed an impression that the more incisions were undertaken in each individual chalazion, the greater the chance of success
The proportions of chalazia presenting per patient on first visit is shown in table 1
Typical presentation to the Primary Care Ophthalmology (PCO) service is at 2-3 months (n = 809, 54%)
Summary
Material and MethodsThe author had, over the years 1999 to 2015, developed an impression that the more incisions were undertaken in each individual chalazion, the greater the chance of success. A review of the literature gives a range of failure rates for Incision and Curettage (I + C) of chalazia. Single series studies with small patient numbers (n = 42-129) indicate failure rates of 13%, 28% and 21% [1],[2],[3].
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