Chalazion surgery: advantages of a subconjunctival approach

The meibomian glands, present within the tarsus, produce an oily fluid which is part of the tear film. The obstruction of this gland is common, and results in a meibomian cyst or chalazion. Initially, a chalazion may spontaneously resolve, or respond to conservative measures such as warm compresses and topical antibiotics. However, sometimes the lesion becomes persistent and prominent, leading to visual and aesthetic problems, requiring a surgical solution. We report a 23-year-old man, with a right lower eyelid chalazion, persisting for more than 1 year, refractory to local measures that was submitted to surgical correction via the subconjunctival approach. This report emphasizes the advantages of this technique, namely the fast and simple procedure, with an excellent cosmetic result.