%0 Journal Article
%T Age and number of lesions predict chalazion recurrence.
%A Sorensen R
%A Calderara G
%A Welsh J
%A Hick E
%A Hsiou D
%A Chen A
%A Hunt PJ
%A Mehta JJ
%A Allen RC
%A Williams K
%J Orbit
%V 0
%N 0
%D 2024 Jun 11
%M 38861504
暂无%R 10.1080/01676830.2024.2363973
%X <B>UNASSIGNED: </B>Periocular lesions in pediatric patients usually require general anesthesia for surgical intervention. The US Food and Drug Administration (FDA) warns against multiple exposures to anesthesia in children younger than 3 years due to the increased risk of learning disabilities in this population. This study aimed to evaluate risk factors associated with chalazion recurrence after surgery.<BR><B>UNASSIGNED: </B>A retrospective chart review over a five-year period identified 649 patients at our institution undergoing surgical intervention for chalazion. The primary outcomes examined were as follows: (1) return to the operating room for additional surgical intervention and (2) recurrence of chalazion during convalescence from surgery and follow-up.<BR><B>UNASSIGNED: </B>Fewer than one-third of patients suffered a recurrence after surgery. Multivariate logistic regression found younger age (p = 0.01), female sex (p = 0.01), and a greater number of chalazia drained (p < 0.001) were significantly correlated with recurrence of chalazia after surgery.<BR><B>UNASSIGNED: </B>Patients presenting at a younger age and with a greater number of chalazion were statistically more likely to have a recurrence of chalazion after surgery. Given recurrence is more likely in younger children, reconciling this with the risk-benefit ratio with regard to FDA guidelines on anesthesia in children under three years is a critical consideration for ophthalmologists.