The Usefulness of Diathermy Thermocoagulation in Chalazion Surgery

Purpose: To investigate the usefulness of diathermy thermocoagulation in chalazion surgery.

Methods: This prospective, observational study included 30 sides from 24 patients who underwent chalazion surgery using diathermy thermocoagulation. The eyelid was fixed with a chalazion clamp under local anesthesia. The skin or palpebral conjunctiva was incised, and the chalazion was partially curetted. The residual chalazion contents were coagulated with diathermy and detached from the surrounding tissues using forceps and scissors. Then, the residual chalazion contents were completely removed.

Results: The chalazion was not palpable in all cases 1 week postoperatively. A small chalazion redeveloped close to the primary lesion 2 weeks postoperatively in one patient; however, it spontaneously improved. No other cases experienced recurrence or complication during the follow-up periods.

Conclusion: Thermocoagulation of chalazion contents using diathermy facilitates grasp, dissection, and excision of chalazion contents.