Meibomian Gland Probing (MGP) & Chronic Chalazion Treatment

Meibomian Gland Probing (MGP) can be an effective treatment for patients with chronic chalazia, especially when conventional treatments like warm compresses, eyelid scrubs, and steroid injections fail.

How Meibomian Gland Probing Helps with Chronic Chalazia:

1.Breaks Open Blocked Glands – Chalazia form when the Meibomian glands (which produce the oily layer of tears) become blocked. Probing physically opens the gland ducts, allowing natural oil flow to resume.

2.Reduces Inflammation & Fibrosis – Chronic chalazia can cause scarring and fibrosis, further worsening gland function. Probing may help break up scar tissue, preventing recurring blockages.

3.Improves Gland Function – Studies suggest that probing restores gland function in some cases, leading to fewer recurrences.

4.Minimally Invasive Alternative to Surgery – Unlike chalazion excision (incision & curettage), MGP is done in-office with minimal recovery time.

What to Expect During the Procedure:

•The eye is numbed with anesthetic drops and an anesthetic ointment for approximately 20-30 minutes.

•A thin, sterile probe is inserted into the blocked Meibomian gland to clear the fixed obstruction.

•On the same day, the doctor may also gently express the glands after performing synergistic treatments such as OptiLIght IPL, OptiPLUS RF, BlephEx, ZEST, LipiFlow for additional relief.

•Some patients feel immediate relief, but full improvement can take days to weeks. The positive effects continue for 90-days post MGP.

Is It Worth Trying for Chronic Chalazia?

Yes, if you have recurrent or resistant chalazia, especially if:

•You’ve tried warm compresses, lid hygiene, and medications without success.

•You experience gland blockages or oil thickening (suggesting Meibomian Gland Dysfunction, MGD).

•You want to avoid repeated steroid injections or surgical excision.

Potential Downsides:

•in some cases, patients may experience temporary discomfort, redness, or mild pain.

•Some patients require multiple sessions for full relief.

•Effectiveness varies—some cases of severe gland damage or scarring may not fully respond.

If you have a current or past history of chronic chalazia, contact our office for a consult or to schedule your gland probing session.