Ophthalmology & Optometry/Chalazion

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Question
My 8 year old is on his second Chalazion; I used to get them as a boy myself.  His first resolved within a few weeks, with soaking now and again.  The second, about a year later, is much biger, almost the diameter of a dime, and half as deep.  On about week 3 now, and whether from a small eruption out of it or just the skin stretching, he has some significant scabbing.  

I know the usual advice is to wait and soak it, and this worked for me when I was a boy, but his is much more sizable than I recall.  It is also a bit more redish than I'm used too.

I'm doubtful its big enough to be a threat to his eye -- he claims no discomfort or vision impairment.  Would something like this be treated, or left alone?

Answer
It should be treated as it could turn out to develop cellulitis.  The standard treatment is hot soaks, antibiotic or antibiotic-steroid combination drugs, systemic antibiotis (orally) , and as a last resort, excision surgery - an in-office procedure.  Hope this helps   Dr. Ken  

Ophthalmology & Optometry

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DR. KENNETH BERGER

Expertise

Any and all questions with regard to ocular ailments, eye diseases as cataracts, glaucoma, macular degeneration, diabetic retinopathy, etc , eye and visual sympomatology, eyeglasses, contact lenses, low or subnormal vision, pediatric vision conditions,and special and unique ailments will be discussed.

Experience

36 years of clinical experience in opticianry and therapeutic optometry. Still in private practice with special interests in vision conditions, diagnosing and treating ocular ailments, prescibing treatment plans which include medicine, eyeglasses, and contact lenses primarily. Although surgery is not within the realm of my area of expertise, I co-manage many pre and post -op surgical cases which include Lasik and PRK procedures.

Organizations
New Jersey Society of Optometric Physicians American Optometric Association

Education/Credentials
B.A.,1968, Hunter College of the City University of New York B.S.,1970, Pennsylvania College of Optometry O.D.,1973, Pennsylvania College of Optometry Therapeutic Pharmaceutical Administration Certification, New Jersey 1992

Awards and Honors
Clinical Efficiency Award, 1973, Pennsylvaania College of Optometry

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