This is often reported by patients with one or more of the following:
- Prior history of chalazia, hordeolae, or ‘styes’
- Acne rosacea
- Ocular rosacea
- Acne vulgaris
- Meibomianitis, often with generally ‘oily skin’.
Commonly the cause is an early or non-organized chalazion.
- Hot packs 4-5x daily for two weeks
- Meibomian gland expression in the practice and/or, at home
- Lid scrubs.
If these are unsuccessful then referral to a medical practitioner as oral tetracyclines or steroid injections (into the lid) are clinically warranted.