Chalazion Meibomian gland lipogranuloma

• Facts:
  Sterile granulomatous inflammation of meibomian glad of the eyelid
• History / PE:
  PAINLESS localized swelling over weeks
• Treatment:
  Warm compresses (dissolve the lipids)
  Lid hygiene with special shampoo
• Complications:
  Recurrent chalazion requires histopathologic examination because there is a risk for underlying sebaceous (meibomian gland) carcinoma
• Differential Diagnosis:
  Stye (painful swelling)
  Basal cell carcinoma