Image Based Question-65955


A patient is presenting with a non-painful swelling on the eye-lid as shown in the image.This condition occurs due to obstruction of which glands?

A. Zeis gland

B. Moll glands

C. Manz glands

D. Meibomian glands


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IBQ In Solution

Correct Answer » D


Ans:D. Meibomian glands

Condition shown is Chalazion



  • It is a chronic noninfective  granulomatous inflammation of the sebaceous glands of the eyelid. They commonly affect the meibomian glands in the tarsal plate, resulting clinically as a painless, firm nodule of the eyelid.It occurs due to due to blockage and swelling of meibomian glands.
  • Histologically, deep dermal or subcutaneous suppurative lipogranulomatous inflammation exists, containing neutrophils, plasma cells, lymphocytes, histiocytes, and giant cells in a zonal configuration around central lipid material. A pseudocapsule surrounds the cellular infiltrate.
  • Treatment:
    • Conservative treatment with lid massage, moist heat, and topical mild steroid drops .Intralesional steroid injection may also be used. These aid in reducing inflammation and increasing the local blood supply.
    • Antibiotics are usually unnecessary.
    • Incision and curettage is a conventional and effective treatment of chalazion
    • A chalazion clamp is applied to evert the lid and to control bleeding. A transconjunctival vertical incision is made (to avoid injury to other meibomian ducts)
    • If a chalazion threatens to break through the skin or has drained through, an external approach may be recommended. A horizontal incision is made in the skin (to have an invisible scar) at least 3 mm from the lid margin in an existing crease.

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