Chalazion is a very common childhood eye disease that initially presents as a small swelling that can be seen on the eyelid and grows in size over time. There are two types of chalazia, one is the conjunctival surface type, which presents with a dark red conjunctival surface. The swelling does not progress toward the skin surface of the eyelid. This type of child can be operated on through the conjunctival surface of the eyelid, in which a small incision is made on the conjunctival surface and the necrotic degenerative tissue in the chalazion cavity is simply scraped out. No scarring is left on the eyelid after surgery. Another type of chalazion is the skin-faced type. In this child, the chalazion granuloma progresses to the skin surface of the eyelid and the swelling gradually increases in size. A large amount of hemorrhagic necrotic tissue can be present in the cystic cavity of the swelling. This type of chalazion is more complex and if not treated aggressively, the cyst eventually ruptures, leaving a large irregular scar tissue on the skin surface and a severe defect in the skin surface of the eyelid that can cause ectropion of the eyelid. Our hospital ophthalmology clinic sees a large number of children with chalazia. Initially, parents are afraid of surgery and have insisted on conservative treatment, while others believe that the disease is a wheal and will naturally heal when the pus head of the child’s chalazia breaks. In clinical practice, we find that children with chalazion should be operated as soon as possible if conservative treatment is not effective. Some parents fear that their children will be in pain during surgery and repeatedly delay surgery, and eventually the chalazion develops into a chalazion granuloma breaking from the skin surface and forming a large scar on the eyelid. Some children can only have skin revision surgery under general anesthesia due to the formation of large granulomas on the skin surface. This causes unnecessary harm to the child. Nutrition and diet for wheals or chalazia Supplement with vitamins A and C, which are good for skin health. Eat a light diet, eat only fruits and vegetables, drink cheese, herbal teas, fruit juices and mineral water. Chinese medicine believes that most children with chalazia are suffering from spleen and stomach irregularities, so children with multiple childhood chalazia can take digestive aids and some small herbs to regulate the spleen and stomach under the guidance of a doctor. What is chalazion? Chalazion, also known as a chalazion cyst, is a chronic inflammatory granuloma of the lid gland caused by obstruction of the outlet of the lid gland and retention of secretions. It can occur in both children and adults. It is a slow-onset, palpable nodule on the surface of the eyelid, ranging in size from a cherry to a green bean, with no adhesion to the skin, no pressure pain, and a purplish or gray-red elevation on the conjunctival surface of the corresponding lid. They occur mostly on the upper lid, but can also occur concurrently on the upper and lower lids, either singly or simultaneously or sequentially. Smaller nodules are self-absorbing, but larger ones are difficult to absorb and usually remain unchanged for a long time, occasionally rupture on their own and form granulation tissue on the conjunctival surface after discharge of the gel-like contents. Small and asymptomatic ones can be left to absorb and dissipate on their own, while large ones with conscious symptoms or those with granulation should be surgically removed. Chalazion in children should be treated early Chalazion is a common eye disease that occurs in children, usually due to blockage of the lid outlet on the outside of the eyelid, resulting in a fatty granulomatous inflammatory disease caused by chronic irritation of the surrounding tissues due to glandular secretions remaining in the lid. In the early stages of the disease, hard nodules the size of soybeans or mung beans can be felt on the skin above and below the eyelid with no obvious painful symptoms. Many parents of children with chalazion are worried that surgery will affect their studies, or even that the disease will slowly get better, resulting in aggravation of the condition. Experts point out that the surgical treatment of chalazion only needs to be carried out under local anesthesia, the operation is simple, less painful, and can generally return to normal after 24 hours. Therefore, parents of children should pay attention early, early detection and early treatment, do not delay the treatment opportunity. What are the differences between wheals and chalazia in terms of formation, clinical manifestations and management? A chalazion is an acute inflammation of the lid gland caused by a bacterial (usually staphylococcal) infection, and is classified as an external or internal chalazion depending on the location of the affected gland. Ectromelanoma is an infection of the sebaceous gland (Zeiss gland), which is part of the eyelash follicle, and is commonly referred to as a “needle’s eye”. It starts with a gradual increase in itchiness, edema and congestion of the eyelid, swelling and pressure pain, and a hard nodule that can be palpated near the lid margin. The pain is particularly pronounced in the outer canthus, the lateral bulbar conjunctiva is edematous, and the lymph nodes in front of the ear are enlarged and painful. After a few days, the nodules gradually soften and a yellow pus head is found at the base of the eyelashes. Once the pus has penetrated the skin and drained outward, the redness and swelling rapidly subside and the pain is relieved. Internal mydriasis is an acute purulent inflammation of the lid gland. Because the lid gland is surrounded by firm facial tissue and the lesion is deep, the eyelid redness and swelling are not very pronounced. After suppuration of the gland, grayish-yellow pus heads can be seen faintly on the congested conjunctival surface, mostly breaking through the barrier between the lid and conjunctiva and flowing into the conjunctival sac, or draining from the opening of the lid gland, individually penetrating the skin. The redness and swelling subside as soon as the pus is drained. If the causative organism is highly virulent, the inflammation spreads and invades the entire lid before the pus penetrates outward, resulting in an eyelid abscess. Chalazion, also known as a chalazion cyst, is a chronic inflammatory granuloma of the lid gland caused by obstruction of the outlet of the lid gland and retention of secretions. It can occur in both children and adults. It is a slow-onset, palpable nodule on the surface of the eyelid, varying in size from a cherry to a mung bean, with no adhesion to the skin, no pressure pain, and a purplish or gray-red elevation on the conjunctival surface of the corresponding lid. They occur mostly on the upper lid, but can also occur concurrently on the upper and lower lids, either singly or simultaneously or sequentially. There are two types of chalazia, one is the conjunctival surface type, which presents with a dark red conjunctival surface. This type of child can be operated on by making a small incision in the conjunctival surface of the eyelid and scraping out the necrotic degenerative tissue from the chalazion cavity. No scarring of the eyelid remains after surgery. There is also a cutaneous surface type, in which the chalazion granuloma develops towards the cutaneous surface of the eyelid and the swelling gradually increases in size. A large amount of hemorrhagic necrotic tissue can be present in the cystic cavity of the swelling. This type of chalazion is more complex and if not treated aggressively, the cyst eventually ruptures, leaving a large irregular scar tissue on the skin surface and a severe defect in the skin surface of the eyelid that can cause ectropion of the eyelid.