Combined excision and drainage with intralesional corticosteroid injection in the treatment of chronic chalazia.

We surgically excised 146 chronic chalazia either with or without intralesional corticosteroid injections. Our results showed an 89% cure rate (79/88) for those chalazia surgically excised compared with a 96.6% cure rate (56/58) for those excised and treated with intralesional steroids as well. Encouraged by these findings, we treated an additional 149 chalazia using the combined technique of excision and steroidal injection for a total cure rate of 97.6% (202/207). Although complications were minimal for both groups, there appeared to be less edema and inflammation in the patients receiving the combined treatment.