Chalazions are common eyelid bumps. This article explores what chalazions are, whether they typically itch, and other reasons your eyelid might feel itchy.
Understanding Chalazions
A chalazion is a small, usually painless lump that develops on the eyelid. It forms when a meibomian gland, a tiny oil gland within the eyelid, becomes blocked. These glands produce an oily substance that lubricates the eye’s surface. When the oil thickens or the gland opening obstructs, oil backs up, leading to inflammation and a firm lump.
A chalazion differs from a stye. While both are eyelid bumps, a stye (hordeolum) is typically a painful, often bacterial, infection of an oil gland or eyelash follicle, appearing closer to the eyelid’s edge. A chalazion is generally not infected and usually painless once initial tenderness subsides. A stye can sometimes evolve into a chalazion if the blocked gland doesn’t drain.
Do Chalazions Typically Itch?
Chalazions generally do not cause itching. They are characterized by a painless lump, though they may initially be red, swollen, or slightly tender. As a chalazion grows, it might cause mild irritation or pressure on the eye, potentially leading to watery eyes or blurry vision if large enough. However, intense itching is not a typical symptom.
The issue with a chalazion is the physical presence of the lump and inflammation from the blocked oil gland. While malfunctioning oil glands can lead to uncomfortable, dry, or irritated eyes, which might feel slightly itchy, strong, persistent itching usually indicates other underlying issues. If you have a chalazion and experience significant itching, it is likely due to another cause.
Other Reasons For Eye Itching
If your eyelid is itchy alongside a chalazion, the itching is often caused by a separate condition. Allergic conjunctivitis, or eye allergies, is a common culprit. Allergens like pollen, dust, or pet dander trigger an immune response, leading to intensely itchy, red, and watery eyes. The body releases histamines in response, causing the itchy sensation.
Dry eyes can also cause itching, along with a gritty, burning, or stinging sensation. This occurs when eyes do not produce enough tears or when tears evaporate too quickly. Blepharitis, an inflammation of the eyelid margins, is another frequent cause. It can make eyelids appear greasy, red, and crusted, often accompanied by itching and a gritty feeling. Conjunctivitis (pink eye), whether viral, bacterial, or allergic, can also lead to itchy eyes, often alongside redness and discharge.
When to Seek Professional Guidance
Consult an eye care professional if a chalazion does not improve or worsens after several weeks of home care, such as warm compresses. Seek medical attention if the chalazion becomes significantly painful, red, or swollen, as this could indicate an infection or other complications. Vision changes, such as blurred vision caused by a large chalazion pressing on the eye, also warrant professional evaluation.
Persistent or severe eye itching, especially if accompanied by discharge, pain, significant redness, or sensitivity to light, requires prompt medical assessment. These symptoms could signal an underlying eye condition needing specific treatment, such as an infection, severe allergies, or other inflammatory issues. An eye doctor can accurately diagnose the cause and recommend appropriate action.