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[Abstract] [PDF] [HTML] [Linked References] MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897 Volume 1, Issue 1, January 2014 pp 22-24 Research Article Intralesional Steroid in the Treatment of Chalazion
Rupali Venukumar Rangu1, Venukumar Lachmaya Rangu2 1Associate Professor, Department of Ophthalmology Indian Institute of Medical Science and Research Medical College Warudi, Tq. Badnapur, Dist. Jalna, Maharashtra, INDIA. 2Assistant Professor, Department of Ophthalmology, Government Medical College Aurangabad, Maharashtra, INDIA.
Abstract
Aim: 1) To study the predisposing factors responsible for Chalazion.2) To study the effectivity of intralesional injection of long acting steroid in the treatment of Chalazion. Objective: To find out the advantages of intralesional injection of long acting steroid in chalazions over Incision and Curratage of the chalazion. Material and Method: The study was carried out during period of 1st March 2012 to 1st March 2013 in IIMS & R medical college, Warudi. During this period the effectivity of intralesional injection of long acting steroid in the treatment of Chalazion was studied. All the patients were OPD patients of both genders from urban or rural area. The sample size was 50. Results: Most of the patients i.e. 47.72% in this study were young patient of ages between 11 yrs and 20 yrs. and least were from the both extremities of ages. The maximum patients i.e.44% were presented with chalazion of two months duration. In 100% of cases the site of chalazion was away from the lid margin and no chalazion was on the lid margin. In 88% cases the chalazia, were firm in consistancy and the incidence of cystic chalazion was 0.0%. The maximum chalazia were of size between 4 mm to 6mm The percentage was 48%. When the predisposing factors for chalazia were studied, 40.91% chalazia were found with no any underlying cause. 18.18% were having Refractive errors, 15.91% had Blephritis overcrowding and malnutrition was found in 11.36% cases while 2.56% were Daibetic patients. Among the 50 chalazia 86% were cured with the treatment of intralesional injection of triamcinolone acetonide while 14% cases were not cured and thus treated with Incision and Curratage. Conclusion: Treatment of chalazion by intralesional injection of triamcinolone acitonide is a best method in the treatment of chalazia with good cure rate. It is very useful in the treatment of multiple chalazia in a single sitting and in Chalazia at medial canthus which is near to punctum.
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