Chalazia are a result of chronic inflammation in the eyelids, particularly from meibomian gland dysfunction (MGD) or blepharitis. When the glands aren't functioning normally, they are prone to closure and a firm, tender nodule may form in the eyelid. They can be quite uncomfortable, and are definitely unsightly! Traditional treatments for a chalazion, and their infected cousins known as a stye or hordeolum, are a combination of hot compresses and eyelid scrubs. These treatments are designed to help open the oil glands, reduce inflammation, and gradually the bump resolves. But this can take weeks and aren't always effective. For chronic, non-resolving nodules, more invasive treatments can be performed, including injecting the lesion with a steroid, or incision/drainage: both not the most pleasant of experiences for patients!
In 2019, Michigan Ophthalmology began offering the cutting edge treatment for dry eye syndrome known as IPL (Intense Pulsed Light). This treatment, which involves a series of light-based treatments to the skin around the eyes, helps dry eye sufferers by reducing abnormal blood vessels (telangectasias) around the eyelids that secrete inflammation-producing chemicals, improving meibomian gland function, and reducing bacterial load around the eyes. The end result: more tears, a healthier tear composition, and less dry eye symptoms for most.
Over the past two years of use, we have also found that it can be an effective non-invasive treatment for chalazia. While results may vary, in our experience, we have found IPL treatments to be equally as effective (80-90% resolution) compared to more invasive options such as steroid injections or incision & drainage. As always, treatments are individualized to the unique characteristics of each patient, but having an effective, non-invasive option has been a game-changer for our patients.
What about the cost? Currently, IPL treatments are not covered by vision or medical insurance, and typically cost $200-300 per session (varies by clinical indication, 2-4 sessions usually required). IPL treatments are eligible for FSA/HSA dollars.
If you have a chronic eyelid swelling or dry eyes and want to hear more about how IPL might help, call us today at 248-710-2325
Heba Naji Ayyash
Interested in the IPL TX
Michigan Ophthalmology
We are happy to discuss the IPL treatments with you. Please contact our office at 248-710-2325 and we can explain the treatment in greater detail.
Thank you,
Michigan Ophthalmology
Susan
What sort of results have you seen with chalazia that have been in place for several months and have been resistant to antibiotics? Thank you.
Michigan Ophthalmology
Thank you for your question. Every chalazion is unique, but we have seen excellent results reducing the size of chalazia with 2-3 IPL sessions. Approximately 90% of our patients experience resolution or near-resolution of their chalazion after IPL, which is similar to the rate of improvement with a steroid injection, but is much less invasive. We recommend you contact our office at 248-710-2325 to schedule a consultation with Dr. Alperin or Dr. Vrabec whom can advise you on the next steps after fully evaluating your specific clinical picture. Thank you, Michigan Ophthalmology
Franklin Smith
I had an IPL treatment in California and it was amazing. Looking for a clinic in Michigan to continue treatment. J km
Michigan Ophthalmology
Thank you for your comment, and we are happy to hear about your positive experience with IPL! We are of course happy to help you with IPL here in Southeast Michigan. Please call our office at 248-710-2325 to schedule an evaluation with our one of our specialists, and we can discuss if IPL is still a good option for you.
Best,
Michigan Ophthalmology