Despite using ointment, the hardball inside my lower eyelid has grown significantly. What to do?

Q. What might be causing the hardball inside my lower eyelid to grow significantly?

Answered by
Dr. Manjunath Natarajan
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 15, 2022 and last reviewed on: Aug 12, 2023

Hi doctor,

I have a large (about the size of the average marble) hardball inside my lower eyelid. It started small in the middle of the eyelid and has grown significantly in a few days. It did not hurt, but it swelled so much in the beginning, and half of my eyes were closed all the time. I went to my local clinic, and they prescribed me Erythromycin ophthalmic ointment, which has done nothing. My local eye doctor will not see me because they do not think it is serious, and they said to apply a warm compress to it as much as possible, which I have been doing, which has not helped.



Welcome to

From your description of the swelling and the attached photo (attachment removed to protect the identity), I can tell you that you are suffering from a chalazion of your left lower lid. A chalazion is a chronic inflammation of the glands inside your eyelid, and as your doctors have told you, it is a benign condition. It will resolve in most treatments with antibiotics (such as Erythromycin) and with warm compresses. In a few cases which are non-resolving, we may have to treat it surgically by making a small cut and draining out the inflamed matter by a procedure called incision and curettage, although this is rarely required. I advise you to continue treatment as per your doctor's instructions and re-visit your doctor in case the swelling does not subside. I hope you get well soon.

Probable diagnosis:

The probable diagnosis is left eye lower lid chalazion.

Treatment plan:

The treatment plan includes Erythromycin eye ointment and warm compresses to the left eye.

Regarding follow up:

Regarding follow-up review after one month.

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