There are two types of chalazia, one endogenous (conjunctival surface) and one exogenous (cutaneous surface). However, some conjunctival faceted ones can gradually become exogenous or mixed if left untreated. In such children, the chalazion granuloma can develop towards the skin surface of the eyelid and the swelling gradually increases. The cavity of the swelling can contain a large amount of hemorrhagic necrotic tissue, which manifests as a reddened skin epidermis with clear borders and thin epidermis. If not treated aggressively, the cyst will eventually rupture, leaving a large irregular scar tissue on the skin surface, and severe lid skin surface defects will result in ectropion of the eyelid, angular deformity of the eyelid, or defective lid margin.