Chalazions Continue to Develop in Both Eyelids

DEAR DR. ROACH: Are oral antibiotics ever prescribed to treat chalazions, in addition to eye drops and ointment? I have had two this year for seemingly no reason. They were treated with tobramycin eye drops, ointment and warm compresses. The first one didn’t resolve with those meds and was excised surgically. That eyelid then became infected without a chalazion and was treated with a second round of antibiotic drops. It remains a bit puffy and pinkish in color, which I chalked up to the new normal appearance. Now, a chalazion has developed in the other eyelid. I don’t wear eye makeup and use an eyelid cleanser recommended by my ophthalmologist. I am an otherwise healthy 76-year-old woman. Could there be a systemic bacterial or viral infection causing chalazions to keep developing? -- M.W.

ANSWER: The terms for different types of eyelid lesions can be a bit confusing. Most people are familiar with a stye, which is a localized inflammation of the upper or lower eyelid, most commonly caused by an infection of one of the glands of the external eye, usually by the bacteria Staphylococcus aureus. A stye is also called a hordeolum. An external hordeolum is in the eyelash follicle or the lid margin, whereas an internal hordeolum is inflammation in the meibomian glands, the ones that secrete mucous to help keep the eyes lubricated.

Makeup can block these glands and predispose someone to hordeola. Hordeola are treated with warm compresses and sometimes by an eye specialist, with a combination of antibiotic drops and topical steroids. Drainage by an ophthalmologist is necessary if it doesn’t get better within one to two weeks. If the infection gets into the skin around the eye, it may need oral antibiotics. A chalazion is not an infection. It’s a usually painless rubbery mass in the eyelid. A chalazion can be a complication of a hordeolum, since the glands are blocked by inflammation, leading to thickened secretions from the gland. Since it’s not an infection, neither oral nor topical eye antibiotics are useful. These also usually get better with warm compresses over weeks to months. People with recurrent chalazia should be considered for biopsy, since they can turn out to be tumors in rare circumstances.

*** Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

© 2023 North America Synd., Inc. All Rights Reserved

HONEOYE FALLS STORAGE, LLC will sell at Public Auction for CREDIT ONLY all the personal property stored by the following: Robert Pettinger-E02 e Auction will take place at 12:00 PM • Friday, January 27, 2023. e sale shall be held online at www.StorageTreasures.com. Facility O ce: 21 Norton St. • Honeoye Falls, NY 14472.

29,

Loose advertisement pages from 1920s LADIES HOME JOURNAL magazines, 11”x14”. Many still with vibrant colors. Perfect for crafts/framing. Fairport: jvc45@aol.com

ZOJIRUSHI BREAD MACHINE. Model: BBCC-V20. With instruction booklet. Fairport: jvc45@aol.com

FIREWOOD - Two maples trees near driveway. Easy excess. You cut and take down. Cleanup not required: 585-538-9305

FINISHED DIAMOND PAINTING, Nightmare Before Christmas. You frame. Batavia: 845-309-9373 text only

TWIN SIZE HOSPITAL BED - like brand new. To meet at the storage unit in Farmington on February 4th. Text or call: 585-967-2413

BROTHER PRINTER, model MFC_L8900CDW. Touch screen flickers at times, prints well. Has ink in it and also has new ink: Meetu@twc.com

PET CARRIER for small pet, plus two LITTER BOXES, two small METAL FOOD BOWLS. Pick up, Fairport: Text only: 585-278-0445

Ten gallons ACE HARDWARE WOOD ROYAL solid color reddish brown oil siding and trim stain. Pick up, Rush: mrssiberfile@aol.com

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PACK N PLAY: 585-861-0181

STERILITE TWO DOOR CABINET, still in box. Pick up, Brockport: 585-431-3177

Packages of Fit Right large ADULT DIAPERS. Unisex. 20 per package. Text or call: 585-356-3200

Three SNOW TIRES, 205-50/R17 on Wheels 5 x 114.3 bolt pattern. 80% tread remaining: rbacon2@gmail.com

EXERCISE BIKE. You pick up and move, Rushville: 585-554-7113 (no texting)

Bag of GREETING CARDS for crafts. Fairport: 585-388-0318

NEW MINI BLIND, light gray, 23” W x 72” L. Pick up Batavia, text only: 845-3099373

4-drawer FILING CABINET. Penfield. phabes529@gmail.com or 585-953-0163 (leave a message)

Full size CRAFTMATIC BED. Newer mattress with stain. You remove: 585-259-2703

Working INCLINE TREADMILL: 585-519-7894

2006 TOYOTA COROLLA NEW CAR SALES BROCHURE. New condition. Will mail to you. Email: jclare01@rochester.rr.com

DOWNED TREES. You cut and haul away, Hopewell: 585-471-4447 WOOD from a recently fallen tree. You cut and haul from the back yard. Not pine: rmadier1@rochester.rr.com

White ADULT DESK. Henrietta. Call in the afternoon: 585-334-6388

ALUMINUM RAMPS and PLATFORMS for Boy Scout Pack 39. Toy Train Box car construction project: 585-233-6143

TONGUE and GROOVE PINE for refurbishing interior of train car for Scout Pack 39. Toy train project: 585-233-6143

DIRECTORIES – Rochester and Suburban from 1900s to present for handicap senior project: 585-500-2588

DOUBLE or TWO SINGLE BEDS for husband who has cancer: 585-201-3161

MICROWAVE for senior apartments. 585-226-9221

VINTAGE SPORTS CARDS, 1980s TOYS/GAMES and VINTAGE BOOKS! God Bless and Happy New Year: 585-729-1259

REGULATION-SIZED FOOTBALL, used, but in good condition: 585-599-3490

KITCHEN TABLE and CHAIRS, LIVING ROOM FURNITURE. For Family Promise of Ontario County: 585-820-0211

FLAT SCREEN TV, over 40”, for Elks Lodge information screen. For Charitable Fundraising. Non-Smart TV is fine: tmcnelly2058@gmail.com

COMIC BOOKS & SPORT/COLLECTIBLE CARDS. Avid collector will pick up what you don’t want. Call or text: 585-260-0437 God Bless/Thanks

Single or full-size MATTRESS and FRAME, gently used: nharrison95@gmail.com

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SPORTS CARDS, old HESS TRUCKS, and SPORTS MEMORABILIA! Can pick up: 607-590-5563

Senior Navy Veteran needs any running VEHICLE that has passed inspection for himself and animal rescue: 585-531-4004

New or gently used PACK ‘N’ PLAY. Please text 585-261-6140. Thank you! Looking for PICTURE FRAMES. 11”x14” frames preferred but will look at other sizes. Any pictures mates welcome as well: dkolb2121@gmail.com

DIRT BIKES, ATVs, GO-KARTS. Ok if they need work for father/son project. Thanks! 315-576-1278

WEBER GRILLS, in any condition. Will come pick up and get out of your way. Thank you! 315-576-1278

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VINTAGE 1800s ITEMS, PICTURES or other wanted for Boy Scout American Heritage Merit Badge. 501C compliant: Text or call 585-794-0448, mintshape@netacc.net

VINTAGE ELECTRONICS, TUBES, TUBE STEREO AMPS, RECEIVERS, TUBE TESTERS, PRE-AMPS, old TRANSISTOR RADIOS and TUBE RADIOS, TEST EQUIPMENT: 585-538-9341

MICROWAVE w/TURNTABLE. At least 1000w. In or around the Dansville area. Thank you: 518-328-2368

Large BIRDCAGE ON STAND for two cockatiels: 585-281-7129

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PAW’S CORNER

By Sam Mazzotta

Cats Can Hide Illness

Symptoms, So Be Aware

DEAR PAW’S CORNER: My cat Sisko became very una ectionate a few days ago. He hid under the bed or crouched in the corner of the living room and refused to cuddle. en I noticed when he sat in the litter box that he meowed as if he was in distress. I called the veterinarian, and they had me bring him right in. Turns out that Sisko had a urinary tract infection! He’s doing ne now, but I wanted to tell my story so that other readers will know that a sudden behavior change in their cat could be a medical problem. -- Kurt W., Parsippany,

New Jersey

DEAR KURT: ank you for sharing! You did absolutely the right thing: You noticed a sudden change in your cat’s behavior, kept a closer eye on his activities and litter habits, and contacted the vet’s o ce to share your observations and get advice.

Cats are very secretive about their health. It’s an instinctive behavior that helped their ancestors hide from predators. So it is common for owners not to notice when their cat is experiencing pain, such as a sore tooth or an illness like a urinary tract infection.

While the occasional hairball episode isn’t a cause for concern, there are some symptoms that should prompt a call to the vet for an appointment.

-- Your cat acts withdrawn, sits hunched over, refuses to play or be petted.

-- Eating or drinking habits change.

-- Litter box behavior changes: meowing, missing the box or noticeable diarrhea.

-- Grooming problems develop, or they have clumpy fur or irritated skin.

-- Physical symptoms: eye or ear discharge, strange breathing, unusual vomiting, lethargy or drooling.

Send your tips, comments or questions to ask@pawscorner.com.

(c) 2023 King Features Synd., Inc.

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