Keywords
hordeolum
chalazion
meibomian gland dysfunction
eyelid inflammation
How to Cite
Abstract
Hordeolum and chalazion are common eyelid margin conditions that can cause persistent discomfort and frequent recurrences. Intense Pulsed Light (IPL) therapy has emerged as a non-invasive alternative with promising therapeutic potential. This prospective quasi-experimental study evaluated the effectiveness of IPL in patients with refractory hordeolum and chalazion who did not respond to conventional treatment. A total of 29 patients over the age of 15 received 1 to 3 IPL sessions, with parameters tailored to skin phototype and a 520 nm filter. Results showed complete resolution in 61.9% of hordeolum cases and 25% of chalazion cases. Mild and transient adverse effects were reported, including redness (20.7%), post-inflammatory hyperpigmentation (3.4%), and eyelash loss (3.4%). IPL demonstrated high efficacy and safety in treating hordeolum, and moderate effectiveness in chalazion. These findings support IPL as a viable therapeutic option, particularly for patients with recurrent or treatment-resistant eyelid lesions.
References
1. Perry HD, Serniuk RA. Conservative management of chalazia. Ophthalmology. 1980;87(3):218–221.
DOI: 10.1016/S0161-6420(80)35250-0
2. American Academy of Ophthalmology. Orzuelo y Chalazión [Internet]. 2016 [citado 25 abril 2024].
Disponible en: https://saeye.com/wp-content/uploads/handouts/spanish/Orzuelo-y-chalazion.pdf
3. Nemet AY, Vinker S, Kaiserman I. Associated morbidity of blepharitis. Ophthalmology. 2011;118(6):1062–1068.
DOI: 10.1016/j.ophtha.2010.10.015
4. Gary A, Jordan KB. Chalazion. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [citado 28 abril 2024].
Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK499889/
5. Tashbayev B, Chen X, Utheim T. Chalazion Treatment: A Concise Review of Clinical Approaches. Ophthalmic Plast Reconstr Surg. 2023 Nov 8 [citado 28 abril 2024].
Disponible en: https://www.tandfonline.com/doi/full/10.1080/02713683.2023.2279014
6. Yam JC, Tang BS, Chan TM, Cheng AC. Ocular demodicosis as a risk factor for recurrent chalazion. Eur J Ophthalmol. 2014;24(2):159–163.
DOI: 10.5301/ejo.5000341
7. Diener-Kudisch J, Ramírez-Barajas L, Perezpeña-Diazconti JM, Nava-Castañeda A. Correlación entre especies del género Demodex en chalaziones primarios y recurrentes. Arch Soc Esp Oftalmol. 2024;99(1):49–55.
DOI: 10.1016/j.oftal.2023.10.005
8. Chen L, Chen X, Xiang Q, Zheng Y, Pi L, Liu Q, et al. Prevalence of low serum vitamin A levels in young children with chalazia in Southwest China. Am J Ophthalmol. 2014;157(5):1103–1108.e2.
DOI: 10.1016/j.ajo.2014.02.020
9. Liang L, Ding X, Tseng SC. High prevalence of Demodex brevis in chalazia. Am J Ophthalmol. 2014;157(2):342–348.e1.
DOI: 10.1016/j.ajo.2013.09.031
10. Nichols KK, Foulks GN, Bron AJ, et al. The international workshop on Meibomian gland dysfunction: executive summary. Invest Ophthalmol Vis Sci. 2011;52(4):1922–1929.
DOI: 10.1167/iovs.10-6997
11. Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220(4596):524–527.
DOI: 10.1126/science.6836297
12. González-Rodríguez A. Propiedades físicas y aplicaciones clínicas de la luz pulsada intensa. Med Estética. 2021;29(1):34–40.
(No DOI disponible)
13. Caravaca A, Alió JL, Martínez Hergueta MC, et al. Luz pulsada intensa combinada con expresión de las glándulas de Meibomio para el tratamiento del chalazión. Arch Soc Esp Oftalmol. 2022;97(5):245–251.
DOI: 10.1016/j.oftal.2022.03.005
14. Zhu Y, et al. New treatment of chalazion using IPL with light-guided tip. Photomed Laser Surg. 2023;41(3):145–152.
15. Marques D, et al. Luz pulsada intensa en pacientes con DGM: seguridad y tolerancia. Rev Bras Oftalmol. 2023;82(2):112–118.
16. Cosentino MJ, et al. Luz pulsada intensa en blefaritis por Demodex: estudio retrospectivo. Oftalmol Clin. 2022;36(4):201–208.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2025 Revista Iberoaméricana de Láser Médico