CHALAZIONS
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 Chalazions respond moderatly to IL steroids.  I have treated 
several hundred and at least 50% respond and eliminates the need for 
I&D for those that don't resolve spontaneously.  It is no different 
than injecting acne papules.  Local anesthesia is not necessary and 
is more painful than the IL injection itself.  If you pinch the 
lesion gently between fingers to elevate it away from the globe, 
inject within the lesion with 30g needle using minute quantity of TAC 
3.  Resolution often begins within 24 hours. Try it, you'll like it 
and so will the patient.

John Jennings, MD
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My wife (an opthalmologist) treats chalazions with Aristospan 2.5
mgm/cc IL  and if they don't resolve, she excises them.  I have used
intralesional Aristospan 2.5 mgm/cc over the years with good success, 
starting when she was still in medical school. I don't solicit these 
cases; just do it if an established patient asks if there is any non- 
surgical choice of treatment.
If they don't resolve, they are referred for excision.

Philip Hughes, M.D.
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