The effects of chalazion surgery on intraocular pressure and corneal topography

  • Cagri Ilhan
  • Meltem Ozgul Yilmazoglu
  • Pelin Yilmazbas
Original Paper



To evaluate the effects of chalazion surgery on intraocular pressure (IOP) and the biomechanical, topographic, and topometric properties of the cornea.


A total of 29 patients with upper eyelid chalazion were included in this study. All patients underwent preoperative and postoperative detailed ophthalmological examinations including scale of chalazion size; IOP (IOPcc and IOPg), corneal hysteresis, and corneal resistance factor measurements using ocular response analyser (ORA; Reichert Instruments, Depew, NY, USA); topographic and topometric properties of the cornea using Pentacam HR (Oculus GmbH, Wetzlar, HE, Germany). Preoperative and postoperative measurements were compared.


The mean age of the patients was 29.07 ± 13.74 years (18–54 years). The mean IOPcc was 15.82 ± 4.20 mmHg preoperatively and 14.72 ± 3.96 mmHg postoperatively, and the mean IOPg was 15.21 ± 3.91 mmHg preoperatively and 14.21 ± 4.02 mmHg postoperatively (p = 0.020, p = 0.007, respectively). The mean central keratoconus index (CKI) was 1.006 ± 0.01 preoperatively and 1.002 ± 0.01 postoperatively (p = 0.035). Other biomechanical, keratometric, topographic, and topometric parameters were similar before and after the surgery (all p > 0.05).


To the best of our knowledge, this is the first report to suggest that IOP and CKI are decreased after the removal of upper eyelid chalazion.


Chalazion Ocular response analyzer (ORA) Corneal topography Pentacam 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.


  1. 1.
    Wagner RS (2016) When is a chalazion not a chalazion? J Pediatr Ophthalmol Strabismus 53:205CrossRefPubMedGoogle Scholar
  2. 2.
    Park J, Chang M (2017) Eyelid fat atrophy and depigmentation after an intralesional injection of triamcinolone acetonide to treat chalazion. J Craniofac Surg 28:198–199CrossRefGoogle Scholar
  3. 3.
    Ilhan C, Yilmazbas P (2017) Are there any difference between primary and multiple operated chalazion according to age, gender or lesion location? Int J Ophthalmic Res 3:249–251CrossRefGoogle Scholar
  4. 4.
    Alsuhaibani AH, Carter KD, Abramoff MD, Nerad JA (2011) Utility of meibography in the evaluation of meibomian glands morphology in normal and diseased eyelids. Saudi J Ophthalmol 25:61–66CrossRefPubMedGoogle Scholar
  5. 5.
    Dhaliwal U, Arora VK, Singh N, Bhatia A (2004) Cytopathology of chalazia. Diagn Cytopathol 31:118–122CrossRefPubMedGoogle Scholar
  6. 6.
    Lempert SL, Jenkins MS, Brown SI (1979) Chalazia and rosacea. Arch Ophthalmol 97:1652–1653CrossRefPubMedGoogle Scholar
  7. 7.
    Knezevic T, Ivekovic R, Astalos JP, Novak Laus K, Mandic Z, Matejcic A (2009) Botulinum toxin A injection for primary and recurrent chalazia. Graefes Arch Clin Exp Ophthalmol 247:789–794CrossRefPubMedGoogle Scholar
  8. 8.
    Cabuk KS, Üstün EI, Atalay K, Kirgiz A, Aydin R (2017) Corneal biomechanical features in patients with ankylosing spondylitis. Arq Bras Oftalmol 80:309–312CrossRefPubMedGoogle Scholar
  9. 9.
    Cankaya AB, Ozates S (2017) Relationship between anterior segment and optic nerve head parameters in healthy subjects. Arq Bras Oftalmol 80:285–289CrossRefPubMedGoogle Scholar
  10. 10.
    Hwang K (2013) Surgical anatomy of the upper eyelid relating to upper blepharoplasty or blepharoptosis surgery. Anat Cell Biol 46:93–100CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Kouchaki B, Hashemi H, Yekta A, Khabazkhoob M (2017) Comparison of current tonometry techniques in measurement of intraocular pressure. J Curr Ophthalmol 29:92–97CrossRefPubMedGoogle Scholar
  12. 12.
    Ben Simon GJ, Rosen N, Rosner M, Spierer A (2011) Intralesional triamcinolone acetonide injection versus incision and curettage for primary chalazia: a prospective, randomized study. Am J Ophthalmol 151:714–718CrossRefPubMedGoogle Scholar
  13. 13.
    Nisted M, Hofstetter HW (1974) Effect of chalazion on astigmatism. Am J Optom Physiol Opt 51:579–582CrossRefPubMedGoogle Scholar
  14. 14.
    Bagheri A, Hasani HR, Karimian F, Abrishami M, Yazdani S (2009) Effect of chalazion excision on refractive error and corneal topography. Eur J Ophthalmol 19:521–526CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Cagri Ilhan
    • 1
  • Meltem Ozgul Yilmazoglu
    • 2
  • Pelin Yilmazbas
    • 2
  1. 1.Department of OphthalmologyHatay State HospitalAntakyaTurkey
  2. 2.Department of OphthalmologyUlucanlar Eye Training and Research HospitalAnkaraTurkey

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