What they forgot to tell you ... Meibomian cyst

A meibomian cyst (or chalazion) often resolves spontaneously, but when it troubles the patient, removal is straightforward using local anaesthetic and a tarsal clamp.

Instil local anaesthetic drops as well as injecting 1 per cent lignocaine using an orange needle - or better still, a dental syringe and fine needle.

Apply the tarsal clamp, evert the lid and incise the cyst.

Using a fine curette, scrape out the cyst thoroughly to remove all the contents. Use a gauze swab to clean the area, and remove the clamp.

The eye should be covered with a patch until sensation returns.

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