Oculoplasty — MCQs

Question 81: Which of the following statements about chalazion is false?

• A. Incision and curettage are performed.
• B. It is a granulomatous condition.
• C. Vertical incision is used to remove the contents. (Correct Answer)
• D. Horizontal incision is made to remove the contents.

Explanation: ***Vertical incision is used to remove the contents*** - This is marked as the FALSE statement, but this requires clarification. - In the **transconjunctival approach** (most common), a **vertical incision** is made perpendicular to the lid margin through the palpebral conjunctiva. - In the **external/skin approach**, a **horizontal incision** following the skin creases may be used. - The question likely intends to test that horizontal incisions are more commonly described in traditional teaching, though vertical transconjunctival incisions are actually the preferred modern approach. *Incision and curettage are performed* - **TRUE statement** - Incision and curettage is the standard surgical procedure for chalazion removal when conservative treatment fails. - The chalazion is incised and the granulomatous material is scraped out using a **curette**. *It is a granulomatous condition* - **TRUE statement** - Chalazion is a **chronic sterile granulomatous inflammation** of the meibomian gland. - Results from obstruction of the meibomian gland duct, leading to lipogranulomatous inflammation with **foreign body giant cells** and **epithelioid cells**. *Horizontal incision is made to remove the contents* - **TRUE statement** - Horizontal incision parallel to the lid margin can be used in the external/skin approach. - Follows natural skin creases to minimize scarring. - However, the **transconjunctival approach with vertical incision** is more commonly preferred as it avoids external scarring.