Chalazion, the most common inflammatory lesion of the eyelid, is slowly enlarging eyelid nodules, formed by inflammation and obstruction of sebaceous glands of the eyelids. It can be categorized as either superficial or deep, depending on the glands that are blocked. Inflammation of a tarsal Meibomian gland leads to a deep chalazion, whereas inflammation of a Zeis gland leads to a superficial chalazion. Chalazion can recur, and those that do should be evaluated for malignancy.
CASE:
A 21yr /female Came on 11th of feb 2023 with complaints of hard swelling over right upper eye lid Since 15 days. mild Lachrymation, no pain, no discharge, no modalities.
PHYSICAL GENERALS:
Likes-cold
Dislikes- sweet+2
Thirst- Normal
Stool- satisfactory
Urine- NAD
Perspiration- moderate all over the body. Non-offensive. Non-staining
Sleep- refreshing. No habits
Dreams- n.s
Chilly patient
P/H: Jaundice in 3rd std
Herpes zoster infection in 12th std
F/H: P. Grandmother- dyslipidemia, htn
- Grandmother- DM
Both grandfathers died in their 50’s
LIFE SPACE:
Obstinate, stubborn
Fear of dark. Will not go in the room if lights are off..
Anxiety during exams
Anger- will cry in anger.
Mood swings will cry a min early and will smile or be normal the second min.
EXAMINATION:
Height- 5.1’
Weight- 50kg
Pulse-78
B.P- 120/80 mmHg
R.R- 16/ min
R.S- AEBE, CLEAR
CVS- S1S2 +
CNS- ORIENTED
P/A- SOFT
EYE RIGHT- Hard swelling 0.2cm, no local warmth, tenderness
DIAGNOSIS: CHALIZION
Remedy Given: Pulsatilla 200 4PILLS BD x 3 days
TOTALITY:
- Fear of dark
- Anxiety during exam
- Obstinate
- Chilly patient
- Dislikes sweet
- Hard swelling over right upper eye lid
MIASM: SYCOTIC
FOLLOW- UP:
15th Feb
Chalazion – SQ –
Generals- normal
Rx- Pulsatilla 1M bd x 3days
20th Feb
Chalazion- SQ-
Generals- normal
Rx- Staph 30 bd x 3days
Remedy changed to Staphysagria as even after increasing the potency of Pulsatilla from 200 to 1M there was no change in the conplaint. Staph is a specific remedy for recurrent chalazion over eyelid. Staph was the first remedy listed after repertorization.
23th Feb
Chalazion decreased in size
Generals- normal
Rx- Staph 30 bd x 3days
26th Feb
Chalazion decreased in size
Generals- normal
Rx- Staph 30 bd x 3days
2nd March
Chalazion decreased in size
Generals- normal
Rx- Staph 30 od x 3days
7th March
Chalazion decreased in size
Generals- normal
Rx- SL 30 od x 3days
The chalazion disappeared after 10 days.
