Management of chalazion in pediatric patients by intralesional triamcinolone acetonide injection

Authors

  • Michelle YY Wong Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Kowloon, Hong Kong SAR, China
  • Gordon SK Yau Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Kowloon, Hong Kong SAR, China
  • Jacky WY Lee Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Kowloon, Hong Kong SAR, China
  • Can YF Yuen Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Kowloon, Hong Kong SAR, China

Abstract

Aims: To investigate the safety and efficacy of intralesional triamcinolone acetonide injection in the treatment of chalazion in pediatric patients not responding to conservative treatment.

Methods: This was a retrospective case series conducted in a single ophthalmology centre in Hong Kong. Medical records of all patients under the age of 18 years who received intralesional triamcinolone acetonide injection by a single surgeon for primary chalazion, not responding to conservative treatment for more than 1 month, were reviewed. They were given triamcinolone acetonide injections at doses ranging from 2 mg to 6 mg (40 mg/mL) titrated according to the size of lesion. Main outcome measures included time to resolution, time to 50% reduction in size, and complications from treatment.

Results: From January 2012 to March 2013, 17 patients under the age of 18 years were treated with intralesional triamcinolone acetonide injection by a single surgeon. Overall, 70.6% (12/17) of chalazia achieved a 50% reduction in size in 2 weeks and 76.5% (13/17) achieved complete resolution in 6 weeks. The mean (± standard deviation) time to resolution was 18.2 ± 11.0 days. No complications were noted from the injections. Three cases (17.6%) subsequently required incision and curettage, and one case (5.9%) received a second triamcinolone acetonide injection before complete resolution could be achieved.

Conclusion: Intralesional triamcinolone acetonide injection is a safe and effective office-based procedure for the treatment of primary chalazion in children who fail to respond to conservative treatment.

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Published

2014-12-01

How to Cite

1.
Wong MY, Yau GS, Lee JW, Yuen CY. Management of chalazion in pediatric patients by intralesional triamcinolone acetonide injection. Hong Kong J Ophthalmol [Internet]. 2014Dec.1 [cited 2024Mar.2];18(1):26-9. Available from: https://hkjo.hk/index.php/hkjo/article/view/25

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