Topical eye drops and a local injection provide anesthesia to the eyelid area. A chalazion clamp will be applied to the affected area to help evert and stabilize the eyelid during the procedure. A posterior incision on the inside of the eyelid, excision of the posterior cyst-like wall, and curettage of the involved area is performed as an office procedure with local anesthetic.
Less frequently, an anterior incision is made through the skin if the lesion is “pointing” through the skin. If the skin overlying a chalazion or stye has become thin and damaged due to chronic inflammation, then suture wound repair is occasionally indicated. Eye patches are not typically needed. A combined antibiotic-steroid eye drop (day use) and/or ointment (evening use) may be prescribed for one week.