What is your approach to intralesional steroid injection for chalazia (in terms of dosage, approach, timing)?   

I offer the option of intralesional steroid to all patients with chalazia, particularly if there is significant inflammation present. I give up to 1 cc of a 10 mg/mL solution of dexamethasone. I have approached this by both transconjunctival as well as transcutaneous. I think transconjunctival hurts...

I am wholly unimpressed by the efficacy and usefulness of intralesional steroids for chalazia. Not even to mention the risk of skin thinning and hypopigmentation in darker-skinned patients. Warm compresses work the best then surgical excision. This is an alternative that should be left on the shelf,...