Does Chalazion Surgery Hurt? Before, During, and After

The Surgical Experience

Chalazion surgery is typically performed as an outpatient procedure, with the primary goal of ensuring patient comfort throughout. Before the procedure, the area around the chalazion is numbed using a local anesthetic. This is administered through a small injection, which might cause a brief, stinging sensation similar to a quick pinch.

Once the anesthetic takes effect, the eyelid becomes completely numb, and you should not feel any sharp pain during the surgery. Patients commonly report feeling pressure or a tugging sensation as the surgeon works on the eyelid. This sensation is due to tissue manipulation, but it is not painful because nerve endings responsible for pain are temporarily blocked by the anesthetic. The procedure is brief, lasting only 10 to 20 minutes, which further limits the duration of any perceived sensations.

Managing Post-Surgery Discomfort

After chalazion surgery, it is common to experience some discomfort once the local anesthesia begins to wear off. This discomfort is described as a mild ache, soreness, or a sensation similar to bruising around the treated eyelid. It is not severe pain, but a manageable tenderness indicating the body’s natural healing process.

Over-the-counter pain relievers like acetaminophen or ibuprofen are sufficient to manage this discomfort. Applying a cold compress to the affected area during the first 24 to 48 hours can also help reduce swelling and alleviate soreness. The cold helps constrict blood vessels, which can minimize bruising and provide a soothing effect. This initial discomfort subsides within a few days, often resolving within 72 hours. If the pain becomes severe, worsens, or is accompanied by signs of infection like increasing redness or discharge, contact your eye care professional.

Navigating Your Recovery

The recovery process following chalazion surgery involves a period of healing during which the eyelid gradually returns to its normal appearance and function. Swelling and bruising around the treated eye are common and expected during the first few days after the procedure. These visible signs diminish within one to two weeks, with most swelling resolving within the first week.

Patients are advised to follow specific post-operative care instructions to promote healing and prevent complications. This includes avoiding rubbing or touching the treated eye and refraining from activities that could introduce bacteria, such as swimming or using hot tubs, for a period recommended by the surgeon. Prescribed antibiotic eye drops or ointments are used for several days to prevent infection and aid healing. Most individuals experience a straightforward recovery, with the eyelid fully healing and any residual discomfort fading over a few weeks.