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Abstract
Purpose
To evaluate the effectiveness of intralesional triamcinolone acetonide injection, and incision and curettage for primary chalazia.
Methods
In order to compare the effectiveness of treatment modality, 103 patients who were diagnosed with primary chalazia were divided into 2 groups. The patients in group A underwent intralesional triamcinolone acetonide injection and the patients in group B underwent incision and curettage. The patients were followed up 1 week and 3 weeks after the procedures to identify the regression of the lesion and the procedure complications. A decision regarding success or failure was made at 3 and 6 weeks after the treatment. Successful treatment was defined as the infallibility in the functional and esthetic aspects as well as the size of regressed lesion.
Results
This study included 82 out of 103 patients, who satisfied the inclusion criteria. Forty-four patients underwent intralesional triamcinolone acetonide injection and the remaining 38 patients underwent incision and curettage. The success rate of the initial treatment, which was identified 3 weeks after the procedure, was 81.8% in group A and 86.8% in group B. The cumulative success rate of treatment after 6 weeks was 86.8% in group A and 92.1% in group B. No complications were observed with both treatment modalities.
References
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Figure 1.
A Chalazion is seen in the right upper eyelid before the treatment (A) (arrow). One week after the intrale- sional triamcinolone acetonide injection, the lesion showed a definite regression (B). A complete resolution of chalazion is observed 3 weeks after the intralesional triamcinolone acetonide injection (C).
Figure 2.
A Chalazion is seen in the left upper eyelid before the treatment (A) (arrow). An evident diminishment in the size of the lesion is seen 1 week after the incision and curettage (B). A complete resolution of chalazion is observed 3 weeks after incision and curettage (C).
Table 1.
Demographics of 82 patients with primary chalazia treated either by intralesional triamcinolone acetonide injections (44 patients) or incision and curettage (38 patients) at the Eulji medical center between March 2012 and September 2012
| Group A (TA) | Group B (Incision & curettage) | p-value | |
|---|---|---|---|
| No. | 44 | 38 | |
| Age | 31.6 ± 18.1 | 36.9 ± 14.4 | 0.09* |
| Sex | |||
| Male | 20 | 20 | 0.16† |
| Female | 24 | 18 | |
| Duration (weeks) | 5.03 ± 2.90 | 4.14 ± 2.51 | 0.14* |
| Size (mm) | 6.61 ± 1.28 | 6.99 ± 1.72 | 0.51* |
| Location | |||
| RUL | 13 | 10 | 0.81† |
| RLL | 10 | 11 | |
| LUL | 11 | 7 | |
| LLL | 10 | 10 | |
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