LLR Policy for Excision of Chalazion

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Category

Threshold Criteria

Located in the upper and lower eyelids there are small oil producing glands, called meibomian glands. If oil becomes trapped within these glands, they become inflamed and create a cyst (chalazion). A cyst may go away on its own or with warm compresses.

People who have a cyst are often prone to getting more in the future, either at the same site or other areas of the eyelids.  Treatment is removal of the cyst (chalazion excision) if it persists.

Eligibility

This procedure is not normally funded in secondary care.
LLR ICB will only fund this procedure when at least one of the following criteria are met:  
– Has been present constantly for more than 3 months, verified in clinical notes, and has been managed conservatively with heat, lid cleaning and massage for 4 weeks.  
– Where it interferes significantly with vision or protection of the eye by the eyelid.
–   Where it is resolving and then recurring,  that there have been two or more episodes of infection in the last six months requiring medical attention.

In common with all types of lesions, the CCG will fund removal where malignancy is suspected.

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