Ann Optom Contact Lens.  2024 Sep;23(3):97-101. 10.52725/aocl.2024.23.3.97.

Effects of Intralesional Steroid Injection in Incision and Curettage of Chalazia

• Lee G
• Chang M

• KMID: 2559363
• DOI: http://doi.org/10.52725/aocl.2024.23.3.97

Abstract

Purpose
To investigate the postoperative effect of intralesional steroid injection during incision and curettage of chalazia.
Methods
From January 2015 to January 2021, patients who underwent incision and curettage for the diagnosis of chalazia were divided into groups: with or without intralesional steroid injection during incision and curettage. Incision and curettage were performed in 88 eyes, and concurrent intralesional steroid injection, incision, and curettage were performed in 44 eyes. Each group was further divided according to the incision site: subconjunctival or skin incisions. The degree of erythema, recurrence, and recurrence rate were reviewed in patients who underwent skin incisions, while the degree of swelling, recurrence, and recurrence rate, in those who underwent subconjunctival incisions.
Results
In the group that underwent incision and drainage through skin incisions, no significant difference was observed in the degree of erythema reduction 1 week after surgery between patients treated with steroid injections and those without (p = 0.609). No difference was observed in the degree of swelling reduction 1 week after surgery between the two groups that underwent incision drainage with steroid injection and the group that did not (p = 0.502). No significant difference was observed between the two groups, with a rate of 0.04% of remaining chalazia after 1 month in patients who underwent incision and drainage alone and 0.02% in patients who received both incision drainage and steroid injections (p = 0.414).
Conclusions
In the treatment of chalazia, concurrent intralesional steroid injections were not effective in the regression of postoperative lesional erythema and swelling.

Keyword

Chalazion; Edema; Erythema; Incision and curettage; Intralesional steroid injection