Management strategies for chalazia in pediatric patients: A scoping review
European Journal of Ophthalmology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 1, 2025
BackgroundChalazia
are
common
eyelid
lesions
in
children,
resulting
from
chronic
inflammation
of
sebaceous
glands.
Management
strategies
vary,
but
evidence
specific
to
pediatric
populations
is
limited.ObjectivesTo
review
current
on
treatment
modalities
for
chalazia
children
and
propose
a
management
algorithm.MethodsA
comprehensive
literature
was
conducted,
synthesizing
data
conservative,
medical,
surgical
approaches
management.ResultsConservative
treatments
(warm
compresses,
lid
hygiene)
remain
first-line,
though
pediatric-specific
efficacy
sparse.
Topical
antibiotics
steroids
show
mixed
results,
with
potential
adverse
effects
children.
Emerging
therapies
(probiotics,
omega-3
supplementation,
intense
pulsed
light)
promise
require
further
investigation.
Intralesional
steroid
injections
demonstrate
high
success
rates
carry
risks
rare
complications.
Surgical
excision
remains
effective
persistent
lesions.
Tailored
considering
underlying
conditions
(vitamin
A
deficiency,
Demodex
infestation,
rosacea)
recommended.ConclusionsManagement
lacks
standardized
protocols.
tailored
approach
balancing
safety
crucial.
Large-scale,
pediatric-focused
studies
needed
establish
evidence-based
guidelines.
Язык: Английский
Efficacy of combined doxycycline and intense pulsed light therapy for the management of intractable recurrent chalazion
Frontiers in Medicine,
Год журнала:
2024,
Номер
11
Опубликована: Сен. 30, 2024
Management
of
chalazion,
characterized
by
noninfectious
chronic
granulomatous
inflammation
the
meibomian
glands
(MGs),
remains
challenging
in
ophthalmic
practice,
particularly
because
its
propensity
for
recurrence
even
after
surgical
intervention.
This
study
aimed
to
evaluate
combined
efficacy
doxycycline
and
intense
pulsed
light
(IPL)
therapy
treating
intractable
recurrent
focusing
on
reducing
rates
improving
MG
status.
retrospective
included
patients
with
chalazion
refractory
conventional
treatments
including
intervention
antibiotics.
All
were
treated
a
combination
IPL
therapy.
Clinical
assessments
best-corrected
visual
activity,
intraocular
pressure,
evaluations
using
slit-lamp
biomicroscopy
Keratograph
5
M
topography.
The
12
(5
male
7
female)
an
average
age
36.3
years.
Treatment
outcomes
categorized
as
‘success’
(83.3%),
‘stationary’
(8.3%),
‘failure’
(8.3%).
Significant
improvements
noted
expression
scores
(
p
=
0.038),
quality
0.045),
lid
margin
telangiectasia
0.002).
In
addition,
significant
improvement
meiboscores
was
observed
demonstrated
promising
function
reduced
rates.
treatment
approach
offers
viable
alternative
chalazions,
those
who
are
unresponsive
treatments.
Язык: Английский