How to standardize the treatment of chalazion in children?

       The most common type of small swelling on the eyelids of children is chalazion. Repeated attacks of this disease can cause eyelid skin scarring and affect aesthetics.  The principles of treatment are as follows: 1. In the early stages of inflammation, the eye is treated with antibiotics alone or in combination with systemic anti-inflammatory agents and hot compresses or physical therapy to promote the absorption of inflammation. If an abscess is formed during this period, it should be incised and drained, but not surgically removed.  2.When the acute inflammation subsides and there is still a local swelling, surgical excision is needed: for a single swelling, the operation time is short, about 10-20 minutes, and the operation can be performed under outpatient local anesthesia, which is not painful, but the child’s activities need to be restricted during the operation, and most of the children will cry because of fear; for multiple swellings, the operation time is longer, and it is recommended to be performed under inpatient general anesthesia to reduce the adverse psychological stimulation to the child.  If the skin on the surface of the swelling repeatedly breaks down due to inflammation, there will be a scar after surgery, unless the child is a keloid, the scar will generally become less and less obvious as time goes on. As most of the disease will recur, the swelling that does not subside by medication is recommended for early surgical treatment.  4. In addition, it is necessary to remove unclean eye rubbing habits, adjust the diet, and not to spoil the child in order to reduce recurrence.