An ophthalmic surgeon begins chalazion surgery by anesthetizing the eyelid area, using an injection and topical eye drops, according to Klapper Eyelid and Facial Plastic Surgery. He places a clamp in the afflicted section to stabilize the eyelid during surgery, and makes an incision on the eyelid's interior at the site of the chalazion's posterior wall. He then excises the wall and scrapes away the chalazion's contents.
Sometimes the surgeon makes an anterior incision to clean out a chalazion, notes Klapper Eyelid and Facial Plastic Surgery. In the event that the skin covering a chalazion is damaged or thin because of repeated inflammation, sutures may be needed to repair the surgical wound.
Eye patches are generally not necessary following chalazion surgery, says Klapper Eyelid and Facial Plastic Surgery. A regimen of anti-steroid drops for daily use and/or ointment for evening use may be necessary. The application of ice packs for a few days following the procedure is requisite, followed by warm compresses.
Aspects of recovery from chalazion surgery include redness and swelling for up to approximately four days, with a total resolution requiring several weeks. Some drainage may occur for up to three weeks following the procedure, and eyelids may stick together at times during this period of time, says Klapper Eyelid and Facial Plastic Surgery.
Chalazion surgery is performed under local anesthesia in a practitioner's office.