The following symptoms and complaints may indicate a chalazion (hailstone): Leading symptoms Approximately pea-sized, painless swelling in the area of the eyelid (just below the edge of the eyelid). Develops very slowly
Pathogenesis (disease development) Chalazion develops as a result of secretion congestion of the meibomian gland (eyelid gland, also tarsal glands, Latin: glandulae tarsales; are sebaceous glands at the edge of the eyelids). Etiology (causes) Disease-related causes. Eyes and eye appendages (H00-H59). Secretory congestion of the Meibomian gland.
Laboratory diagnosis is usually not required.
Medical device diagnosis is usually not required.
A chalazion often heals spontaneously. Therefore, conservative treatment is primarily indicated. The following measures are reasonable: Physical therapy (application of dry heat, infrared light), if necessary with local antibiotics in the form of drops and ointment. If there is no improvement or it is larger hailstones, surgical removal under local anesthesia (local anesthesia).
Medical history (history of illness) represents an important component in the diagnosis of chalazion (hailstone). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). How long has this change in the eyelid been present? Does the change hurt? What other symptoms have you noticed? Vegetative anamnesis incl. nutritional anamnesis Self anamnesis incl. medication … Hailstone, Chalazion: Medical History
Eyes and eye appendages (H00-H59). Hordeolum (sty) – may occur on the inside of the eyelid (hordeolum internum) and on the edge of the eyelid and around the eyelashes (hordeolum externum) Neoplasms – tumor diseases (C00-D48). Sebaceous gland carcinoma – malignant neoplasm originating from the sebaceous glands. Malignant neoplasms of the eyelids – e.g. basal … Hailstone, Chalazion: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by a chalazion (hailstone): Eyes and eye appendages (H00-H59). Impaired vision Recurrent occurrence (reoccurrence) of a chalazion
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Eyes [circa pea-sized, painless swelling in the area of the eyelid (just below the edge of the eyelid)] Ophthalmological examination [due topossible sequelae: impaired vision]. … Hailstone, Chalazion: Examination
