Parents should not delay the treatment of their children’s chalazion as “pinhole” — Children’s Hospital to repair chalazion skin scarring effect chalazion is a very common children’s eye disease, the initial onset of the onset of the children’s manifestation of the eyelid can be seen in a small swelling, with the passage of time, the swelling gradually increase in size. There are two types of chalazion, the conjunctival type, which is characterized by a dark red coloration of the conjunctiva. The swelling does not progress to the skin side of the eyelid. In this type of child, surgery of the conjunctival surface of the eyelid can be performed, in which a small incision is made in the conjunctival surface and the necrotic degenerated tissue in the cystic cavity of the chalazion is scraped out. There is no scarring of the eyelid after surgery. Another type of chalazion is the cutaneous type, in which the chalazion granuloma progresses to the cutaneous surface of the eyelid and the swelling gradually increases in size. A large amount of hemorrhagic necrotic tissue may be present in the cystic cavity of the swelling. This type of chalazion is complicated and if left untreated, the cyst will eventually rupture, leaving a large irregular scar tissue on the skin surface, and a severe defect in the skin surface of the eyelid may result in ectropion of the eyelid. Our hospital ophthalmology clinic sees a large number of children with schistosomiasis. Initially, parents were afraid of surgery and insisted on conservative treatment, while others thought that this disease was a granuloma and would naturally heal when the pus of the child’s granuloma broke, both of which are incorrect. In our clinic, we found that if the conservative treatment is not effective, the child’s granuloma should be operated as early as possible. Some parents are afraid of their children’s pain during surgery and delay the surgery time again and again, and finally the granuloma develops into a granuloma granuloma that breaks out from the skin surface and forms a large scar on the eyelid. Some children can only undergo skin revision surgery under general anesthesia due to the formation of large granulomas on the skin surface. This brings unnecessary harm to the child. Through a large number of clinical summarization, our ophthalmology department of Beijing Children’s Hospital has developed a whole set of methods for treating chalazion granuloma on the skin surface, and adopts different surgical methods according to different conditions, so as to achieve the purpose of making the skin leave no scar or reducing the scar of the skin. Nutrition and Dietary Supplements for Granuloma or Chalazion Supplementation with Vitamins A and C, which are good for skin health. Eat a light diet of fruits and vegetables only, drink cheese, herbal teas, fruit juices and mineral water. Chinese medicine believes that most of the child patients are caused by spleen and stomach incompatibility, so for children with multiple children’s chalazia, you can take medicines to help digestion as well as small Chinese medicines to regulate the spleen and stomach under the guidance of the doctor. The conjunctival surface is dark red. The swelling does not develop towards the skin surface of the eyelid, this kind of children can be operated through the conjunctival surface of the eyelid, in which a small incision is made in the conjunctival surface, and the necrotic and degenerative tissues in the cystic cavity of the chalazion can be scraped out. There is no scarring of the eyelid after the surgery. What is chalazion? A chalazion, also known as a chalazion cyst, is a chronic inflammatory granuloma of the eyelid gland caused by obstruction of the outlet of the eyelid gland and retention of secretions. It can occur in both children and adults. The course of the disease is slow, the surface of the eyelid skin elevation can be touched hard nodules, hard lumps of different sizes, large as a cherry, small as a green bean, and no adhesion to the skin, no pressure pain, the corresponding lid conjunctiva surface of the purplish-red or gray-red elevation. Mostly occur in the upper eyelid, but also the upper and lower lids concurrently, can be a single or multiple at the same time or successive occurrence. Smaller ones can be self-absorbed, while larger ones are difficult to absorb. Generally, the nodules remain unchanged for a long time, and may occasionally ulcerate on their own, discharging gelatinous contents and forming granulation tissue on the conjunctival surface. The small and asymptomatic ones can be left untreated and dissipated by self-absorption, while the large ones with conscious symptoms or those with granulation should be surgically removed. Children’s chalazion should be treated early Chalazion is a common eye disease that occurs in children. It is usually caused by a fatty granulomatous inflammation due to the blockage of the lid outlet on the outside of the eyelid, which results in glandular secretions remaining in the lid and causing chronic irritation of the surrounding tissues. In the early stages of the disease, hard nodules the size of a soybean or mung bean can be felt on the skin above and below the eyelid, with no obvious pain symptoms. Many parents of children with chalazion are worried that surgical treatment will affect their studies, and even think that the disease will slowly get better and delay treatment for a long time, which results in the aggravation of the disease. Experts pointed out that the surgical treatment of chalazion only needs to be carried out under local anesthesia, the operation is simple and less painful, and generally can return to normal after 24 hours. Therefore, parents of children with chalazion should pay attention to it as early as possible, early detection and early treatment, don’t delay the good opportunity of treatment. What is the difference between granuloma and chalazion in terms of cause, clinical manifestation and management? Granuloma is an acute inflammation of the eyelid glands caused by bacterial (commonly staphylococcus) infection. It is divided into external and internal granuloma according to the different parts of the affected glandular tissues. External wheals are infections of the sebaceous glands (Zeiss glands) that are part of the eyelash follicles, commonly known as “pinpricks”. At the beginning, the itchiness gradually increases, the eyelid is edematous and congested, there is swelling and pressure pain, and hard nodules can be touched near the margin of the eyelid. In the outer canthus, the pain is especially pronounced, the outer bulbar conjunctiva is edematous, and the lymph nodes in front of the ear are enlarged and painful. After a few days, the nodule gradually softens, and there is a yellow pus head at the root of the eyelashes. Once the pus breaks through the skin and is discharged outward, the redness and swelling subside rapidly, and the pain is also reduced. Internal wheals are acute suppurative inflammation of the blepharoplakic glands. Because the glands are surrounded by firm facial plate tissue, the lesions are deep, so the redness and swelling of the eyelids are not very obvious. After the gland suppuration in the congested conjunctival surface can be hidden in the gray-yellow pus head, mostly break through the barrier of the lid plate and the conjunctiva, and flow into the conjunctival sac, but also from the opening of the blepharosphenoid gland discharge, and the individual can penetrate the skin. After the pus is discharged, the redness and swelling subside. If the causative organism is highly virulent, the inflammation spreads and invades the entire lid before the pus penetrates outward to form an eyelid abscess. Chalazion, also known as a chalazion cyst, is a chronic inflammatory granuloma of the eyelid gland caused by obstruction of the outlet of the eyelid gland and retention of secretions. It can occur in both children and adults. The course of the disease is slow, the surface of the eyelid skin elevation can be touched hard nodules, hard lumps of different sizes, large as a cherry, small as a green bean, and no adhesion to the skin, no pressure pain, the corresponding lid conjunctiva surface of the purplish-red or gray-red elevation. Most of the chalazion occurs in the upper eyelid, also can be upper and lower eyelid concurrently, can be single or multiple at the same time or successive occurrence. There are two types of chalazion, one is the conjunctival type, which is characterized by a dark red conjunctival surface. The swelling does not progress to the skin surface of the eyelid. Children with this type of chalazion can be operated on by eyelid conjunctival surgery, in which a small incision is made in the conjunctival surface and the necrotic and degenerated tissues in the chalazion cystic cavity are scraped out. There is no scarring of the eyelid after surgery.