At our Advanced Dry Eye Center, our philosophy is patient education and empowerment; patient eye health is of the utmost importance. Therefore, we commonly set aside, on average, 1-1.5 hours for an initial dry eye/ocular surface consult (including patients presenting for stye/chalazion/hordeolum). This way, we can gather comprehensive history, review digital intake forms, capture images, review findings/results, rule-in/out other concerns/issues, answer questions, and determine a customized treatment protocol.
For patients with chalazion/chalazia/hordeolum, our doctors present 4 ways to address the condition(s):
1) At-home products (eyelid hygiene, warm compress, omega-3 oral supplement, etc),
2) Topical/oral medications such as antibiotics/steroids (which may carry higher side effects),
3) Office-based procedures such as BlephEx, OptiLight, thermal pulsation/expression which are easy, gentle, have no downtime,
4) Referral for surgical intervention such as steroid injection or excision (which may carry higher side effects).
Common Medications Prescribed include:
1) Topical ophthalmic drop: Maxitrol, Tobradex, Tobramycin
2) Topical ophthalmic ointment: Maxitrol, Tobradex, Erythromycin
3) Oral Antibiotic: Azithromycin (Zpack), Doxycycline, Augmentin, Cephalexin
These medications are commonly prescribed and highly acceptable for patients with Chalazion/Hordeolum, Meibomian Gland Dysfunction (MGD), dry eye disease, blepharitis, ocular rosacea, etc. Important to note that a chalazion is often a cause of, or secondary to, Meibomian Gland Dysfunction.
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