Sometimes, as a last resort, surgery is performed. The eyelid is injected with a local anesthetic, a clamp is put on the eyelid, then the eyelid is turned over, an incision is made on the inside of the eyelid, and the chalazion is drained and scraped out with a curette . A scar on the upper lid can cause discomfort as some patients feel the scar as they blink. Of course, as surgeries are intrusive and damage healthy tissue (., leaving behind scar tissue or possibly even causing blepharitis ), given other options, less intrusive treatment is always preferable. Similarly, chalazia may recur once the eye is predisposed and surgical intervention each time is not possible. So surgery should be considered only as a last resort, performed on as few as 5% of all chalazia patients.
In patients with rosacea, chronic doxycycline pills can be prescribed by your family doctor or dermatologist. However the doxycycline side effects may be worse than the chalazia. If you take these pills you must avoid sunlight or else you will get a skin rash. Many people find it difficult to swallow the tetracycline pills. Doxycycline may adversely interact with medicines such as birth control pills or anticoagulants. Diarrhea and abdominal pain are common. Chronic doxy-cycline may cause liver problems. Children less than 8 years of age will get staining of their teeth.