Persistent Chalazion with concern

[Clay82]

I'm a healthy 27y/o male with a pea size chalazion on lower eyelid for about 4 months.  Started out with an infection (puffy, red) - went to the health clinic and was prescribed 5 days doxycycline.. infection improved but chalazion did not... prescribed Abs for another 14 days.  No improvement.  I decided to visit ocularplastics ophthalmologist (3 months with chalazion) and actually another smaller one formed on the other eye (without the infection) - I had previously been under a lot of stress. Anyways,  the doctor recommended surgery on the larger chalazion, performed that day... 1 month later chalazion still there (red & slightly inflammed - not much size change).  Went back for post op.. he told me that my body still needs to deal with the inflammation.  During surgery he said it presented atypically and not as involved as he thought (clear liquid and not the toothpaste consistency).  He advised to either have corticosteriod shots for a quick fix or let the body take care of it (decided on this).  If no improvements in 2 months a biopsy may be needed...  I can't help but be concerned.  Is this a normal protocol?  I do understand why a biopsy would be needed.. but at my age?

[John C Hagan III, MD, FACS, FAAO]

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[Clay82]

Thank you very much for your quick response.

[John C Hagan III, MD, FACS, FAAO]

Nothing in your post to me suggests a need for a second opinion.
JCH MD

[Clay82]

Thank you for your comment.  My only other concern is if I should get a 2nd opinion now and/or have it biopsy sooner than later (2 months from now) or is it okay to wait due to my age and no history of head/neck radiation and the likelihood is extremely low.  I've read all about sebaceous gland carcinoma and understand its aggressiveness and delayed diagnosis due to it mimicking a benign lesion.  

[John C Hagan III, MD, FACS, FAAO]

1. Use the search feature and archives to read about chalazion.
2. Yes that is a common course.
3. On any recurrent or atypical chalazion a biopsy is indicated to rule out the small chance of a meibomian gland cancer.

JCH MD