Treatment of chalazions with injection of a steroid suspension.

Botulinum toxin A injection for primary and recurrent chalazia

“…Earlier studies on the management of chalazia show steroid injection to lead to clinical remission of chalazion in 50%-95% of cases [5][6][7][8][9]. Some authors report a high success rate of excision therapy of up to 94%, versus 75% for incision and curettage [17].…”

“…Conservative management includes lid hygiene, hot compresses, topical steroids and antibiotics, with a success rate of up to 80% [4]. Intralesional steroid injections are reported to have an 89% rate of lesion resolution [5][6][7][8][9].…”

Non-surgical interventions for acute internal hordeolum

“…Treatment with kenalog injections was compared with incision and curettage Wang 1983 Population not eligible: CCT of participants with chalazia, defined as tarsal cyst. Participants assigned to local injection of one of two corticosteroids Watson 1984 Population not eligible: CCT of participants with chalazia, defined as chronic granulomas. Participants alternately assigned to injection with triamcinolone acetonide or incision and curettage Willcox 2008 Population not eligible: case report of a participant treated with malian ointment for a stye Xu 2004 Intervention not eligible: RCT of participants with hordeolum randomly assigned to acupuncture plus bloodletting of the ear or sham therapy

CCT: controlled clinical trial

RCT: randomized clinical trial

…”

Triamcinolone acetonide

“…1 Conservative management using lid hygiene, warm compresses, and topical antibiotics has been reported to have a success rate of up to 80%, 2-4 compared with 93% after intralesional corticosteroid injection. 2,[5][6][7][8][9] Intralesional steroid injection can be painful, whereas subcutaneous injection of triamcinolone acetonide suspension into the looser extralesional tissue may cause less pain. Leinfelder 10 reported using subconjunctival injection of methylprednisolone acetate to treat acute chalazion.…”