What causes recurrent chalazion?

Generally, recurrent chalazia may be caused by factors such as excessive meibomian gland secretion, inadequate eye hygiene, chronic conjunctivitis, blepharitis, diabetes, and others. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Specific analysis is as follows:

1. Excessive meibomian gland secretion: In individuals with active sebaceous glands, the oily secretions from the meibomian glands tend to be thick and easily accumulate, leading to gland duct blockage and chalazion formation. Maintain a light diet, reduce intake of high-fat and high-sugar foods, apply warm compresses to the eyes 3–4 times per week for 15 minutes each time to promote oil drainage.

2. Inadequate eye hygiene: Residual eye makeup and dust accumulation can block the openings of the meibomian glands, triggering repeated chalazia. Clean the periorbital area daily with non-irritating facial cleansers, thoroughly remove makeup, and avoid using low-quality eye cosmetics.

3. Chronic conjunctivitis: Prolonged inflammation of the conjunctiva can lead to narrowing and blockage of glandular ducts. Follow medical advice to use medications such as tobramycin eye drops, levofloxacin eye drops, or pranoprofen eye drops to reduce inflammation and prevent recurrence.

4. Blepharitis: Bacterial infection along the eyelid margins causes recurrent inflammation that affects meibomian gland secretion. Clean the eyelid margins daily with normal saline solution and use medications such as erythromycin eye ointment, tetracycline hydrochloride eye ointment, or ofloxacin eye ointment as prescribed. Adhere to consistent, standardized treatment.

5. Diabetes: Poor blood glucose control reduces skin resistance, making the meibomian glands more susceptible to infection. Follow medical instructions to use insulin injection, glimepiride tablets, metformin sustained-release tablets, and other medications to control blood sugar levels. Stabilizing blood glucose can reduce recurrence rates. For recurrent or enlarging chalazia, surgical excision may be necessary to remove the lesion and prevent further complications.

In daily life, avoid rubbing your eyes, maintain good eye hygiene, follow a regular sleep schedule, avoid staying up late, and reduce eye strain. Regular eye examinations are recommended, and any eye discomfort should be addressed promptly to lower the risk of chalazion recurrence.