58 children with chalazion from June 2021 to December 2021 were selected. There were 31 males and 27 females, who were randomly divided into hot compress group and intense pulse group.
There were 28 patients in the hot compress group, including 14 males and 14 females, with an average age of 4.82 ± 2.61 years and an average course of disease of 15.77 ± 1.89 days;
There were 30 patients in the intense pulsed light group, including 17 males and 13 females, with an average age of 4.97 ± 3.11 years and an average course of 14.50 ± 8.57 days. There was no significant difference between the two groups (P>0.05).
1、 The hot compress group was treated with hot compress and local application of antibiotics (gatifloxacin eye gel, 1 drop each time, 3 times a day). Take the patient in supine position, soak the patient in warm boiled water with medical gauze, wring out the water and put it to warm, wrap it outside the thermos bottle (at a temperature of about 40 ℃), apply it to the eyelid, and instruct the patient to lie still with eyes closed, once a day for about 15 minutes;
2、 The intense pulsed light (IPL) group was treated with MDC EYESIS light pulse therapeutic apparatus combined with local antibiotics (gatifloxacin eye gel, 1 drop each time, 3 times a day). The output power of EYESIS light pulse therapeutic instrument is 8-12J/cm2, which is completed by the same ophthalmologist.
（1） Cure: the cyst disappears, and the child has no conscious symptoms;
（2） Effective: the cyst was significantly reduced after treatment compared with that before treatment;
（3） Ineffective: the cyst has no obvious change or obviously increases after treatment.
Total effective rate=(number of cured cases+number of effective cases)/total number of cases × 100％。
The curative effect of the two groups was compared. The cure rate of IPL group was 26.67% higher than that of hot compress group (14.28%), with no significant difference (P>0.05). However, the total effective rate of IPL group was 60.00% higher than that of hot compress group 32.14%. The difference was statistically significant (P<0.05).
Case 1: Child, 6 years old. The main cause was the right eyelid tumor found for 15 days. 20 days before surgery, bilateral meibomian gland cyst was removed. Physical examination: A induration can be seen on the lower eyelid of the right eye, with local redness and swelling, slight congestion of the eyelid conjunctiva, no congestion of the bulbar conjunctiva, and clear cornea. Left outer eye (1). IPL combined with gatifloxacin eye drops gel treatment, 3 weeks after the tumor disappeared, no recurrence. See ① in Figure 1 below.
Case 2: The patient was a 7-year-old male, who had been hospitalized for 10 days due to the discovery of a right eyelid tumor. Physical examination: A tough mass can be found on the nasal side of the upper eyelid of the right eye, granulation tissue can be seen on the corresponding surface of the eyelid conjunctiva, the eyelid conjunctiva is congested, the bulbar conjunctiva is not congested, and the cornea is clear. Left outer eye (1). After IPL combined with gatifloxacin eye drops with gel, the tumor basically disappeared after 3 weeks. See ② in Figure 1 below.
Case 3: The affected child was 4 years old, and the main reason was that the left eyelid tumor was found for 26 days. Physical examination: local skin on the temporal side of the upper eyelid of the left eye was raised, the surface skin was red and swollen, the tumor corresponded to conjunctival congestion, there was no obvious congestion in the bulbar conjunctiva, and the cornea was clear. Right outer eye (1). After 3 weeks of IPL combined with gatifloxacin eye drops with gel, the tumor was significantly reduced. See ③ in Figure 1 below.