Sometimes an antibiotic ointment or an oral antibiotic may help. In cases where the chalazion does not drain, it can be drained surgically under local anesthesia in the office. This procedure should not be overdone, since it may lead to the loss of numerous glands in the eyelid, which could lead to a dry eye problem in some people. This too can be removed if necessary. Lumps in the eyelid can put pressure on the eye which can temporarily cause astigmatism, or a change in the shape of the eye.
Cellulitis causes diffuse swelling of the entire eyelid, which is usually tender, hot, and red.
The swelling may extend onto the face, and there may be discharge present. Eyelid cellulitis is treated with oral antibiotics, and sometimes with IV antibiotics in more severe cases. It is important to watch for extension of the infection into the orbit. Ectropion, or out-turning, of the eyelid usually involves the lower eyelid. The lower eyelid pulls away from the eye and visibly appears to sag down.