1. Introduction

2. Surgical Approach

3. Apply Chalazion Clamp and Evert the Eyelid

4. Incision

5. Curettage

6. Remove Chalazion Clamp and Revert the Eyelid

7. Palpation to Confirm an Empty Cavity

<h4>CHAPTER 1</h4>

<p>Hello, my name is Dr. John Lee.
I'm the oculoplastic
and reconstructive surgeon for Boston Vision.
I wanna describe to you a video
of a chalazion incision and curettage.
Once a decision is made to proceed with an incision,
the area of the lid is anesthetized
with 2% lidocaine and epinephrine on a 32 gauge needle.
Once the area is fully anesthetized,
it is clamped with a chalazion clamp of appropriate size.
The lid is then everted over that clamp,
exposing the palpebral surface.
That surface is then incised with a number 11 blade.
A curette is then introduced through that incision site
and used to empty out the chalazion cavity.
Once that's complete, the clamp is removed
and the patient can be discharged.</p>

<h4>CHAPTER 2</h4>

<p>So we're gonna do an incision
and curettage on a left upper lid chalazion.
She already has some lidocaine
infiltrated in this area,
so should be quite comfortable.
We always have some more medication
if you start feeling some pain.</p>

<h4>CHAPTER 3</h4>

<p>This chalazion clamp has a solid backside and an open front.
We will put the open side posteriorly,
put it over the chalazion and squeeze.
So this is the part I told you
you're gonna be feeling a little pressure.
It has a screw type lock
on the clamp, feeling that pressure.
And then we go ahead evert the lid.
Who's taking a picture of that for me?
It's all gonna be on video for us.</p>

<h4>CHAPTER 4</h4>

<p>Okay, this is a number 11 blade.
Make an incision through the tarsal plate,
and you can see the lipogranulomatous material
is starting to come out.</p>

<h4>CHAPTER 5</h4>

<p>And we have a small curette, through the incision...
And you can start to see the lipogranulomatous
material coming out there.
Are you having pain? No, just weirdness.
Definitely weird. Just, just...
Not an everyday experience, is it?
What are you doing now?
Not an everyday experience for you, is it?
No.
What's happening now?
So I'm actually just scooping out
all that stuff in there.
Okay.
It's coming out very nicely.
Now, do you test that or not? No.
And the idea is to take out
the entire cavity, scrape around.
Occasionally you will feel some scar material.
Oh, that hurt.
Okay.</p>

<h4>CHAPTER 6</h4>

<p>Release the clamp, put the lid
back into its position.</p>

<h4>CHAPTER 7</h4>

<p>And palpate around.
I don't feel any nodule there anymore.
I'll palpate from both sides to confirm
that it is indeed an empty cavity.
It is.
You are all done.
So, right now the treatment is pressure.
So I'm gonna go ahead and after the drape comes off,
I'm gonna have you put your hand up there
and hold some pressure, and then we'll be all done.
Okay.</p>

Watch this full-length surgical procedure of a chalazion removal performed by Dr. John Lee at Boston Vision.

Boston Vision

Incision and Curettage on a Left Upper Eyelid Chalazion

0401_PrintPass_V1_Josh_20230908

0401 - Chalazion Incision

Incision and Curettage on a Left Upper Eyelid Chalazion | Journal of Medical Insight

DOI
Publication Date	2023/09/15
Article ID	401
Production ID	0401
Volume	2023
Issue	401
https://doi.org/10.24296/jomi/401

Incision and Curettage on a Left Upper Eyelid Chalazion

Procedure Outline

Table of Contents

1. Preoperative Steps

2. Surgery

3. Postoperative Care