A CASE PRESENTATION OF LONG LASTING CHALAZION WITH HOMOEOPATHIC MEDICINE

                                                               By

                                             Dr. Nabanita Debnath

                      PGT, Department of Practice of Medicine, National Institute of Homoeopathy, Kolkata 

INTRODUCTION (1,2)

A chalazion is one of the most encountered inflammatory disorders of the eyelid in general medical practice. It forms due to blockage and swelling of an oil gland in the eyelid. It may start with a small, red, tender, swollen area of the eyelid and within a few days, it may change to painless, non-tender eyelid nodules commonly occurring in the upper eyelid and less frequently in the lower eyelid. A chalazion is typically benign and self-limiting, do often disappear within a few months without any treatment. Conventional treatment includes antibiotic or corticosteroid eye drops and surgery but laser eye surgery has the complication of deformities of the cornea.

Case Report

A girl, aged 13 years visited NIH OPD no. 24 on 6th December 2021 with complain of a small painless swelling on right side of upper eyelid for 2 years. It did not respond to conventional treatment and other Homoeopathic medicines and thus came to the National Institute of Homoeopathy for treatment.

History of present complain

 It was gradual in onset with small pimple like eruption in the very beginning with no history of injury.

There was no significant past and family history in background.

Generals

 Her appetite was good, her thirst was less, taking around 1 liter of water per day. She was having desire for sweet, egg (boiled), warm food. No such aversion. She was having intolerance towards milk, causing flatulency. Her stool was regular and satisfactory. Urine was not offensive and her perspiration was profuse, mostly on face, head. She has sound sleep with no such particular dream. Her menses not appeared yet and tongue was clean, moist. Thermally she was chilly and she was having tendency to catches cold easily. Though She likes company but consolation aggravates her.

Local and physical examination

Physical findings revails a palpable, non-tender, non-fluctuant, non-erythematous nodule on the right side of upper eyelid. 

Analysis of the case

After analyzing the symptoms of the case, the characteristic general and particular symptoms were considered for framing totality. Consolation aggravation, thirst less, desire for egg, sweet, intolerance to milk, profuse perspiration on scalp and face, thermally chilly, swelling on upper eyelid, tendency to take cold easily, were included in total

Totality of symptoms

• Desires company
• Consolation aggravation
• small painless swelling on right side of upper eyelid since 2 years
• Desire: sweet, egg (boiled), warm food
• Intolerance: milk (flatulence)
• Perspiration: profuse, mostly on face, head
• Thermal reaction: chilly, can tolerate sunheat
• General tendency, if any: easily catches cold

Miasmatic analysis (3,4,5)

Miasmatic evaluation of all the presenting symptoms was done which showed the predominance of psoric and latent psoric in combination

 

Symptoms/rubrics	Miasm
Desire for eggs, boiled Desire for sweets Intolerance of milk   Tumor upper lid On the edge of the eyelids inflammation of single Meibomian glands Cold tendency to take	Psora  Psora +syphilitic Latent Psora   Psora +latent psora       Psora + latent psora+syphilitic

 

Reportorial analysis

Considering the above symptomology, Kent repertory was preferred, and using RADAR software repertorisation was done. The repertorisation chart is presented in below figure

After repertorisation, many medicinces were competing with each other, namely Calcarea, Silecea, where the maximum number of symptoms was covered by Calcarea (i.e., 9 out of 10) with maximum score. Ultimately, on considering with materia medica, Calcarea carbonica 30c, one dose was prescribed in the first visit.

 

Preion 

                           Rx

   1)Calcarea carbonica 30,1dose

          OD for 1 day 

   2)Rub rum met 30, 1 drachm

          OD for 30 days

Follow-up

The follow up is given below along with photographs 

Date of visit	Preion with photos
First preion  6th December ,2021	Figure -1 Symptoms: As illustrated above Justification  After consultation with material medica, as patient has desire for egg, sweet, milk intolerance, thermally was chilly, perspiration more on scalp and face, scrofulous type who takes cold easily, repertorisation has also agree with Calcarea carbonica, so  Calcarea carbonica 30C, one dose in sac lac was prescribed, OD for one day to be taken in empty stomach in the early morning, Placebo for the rest of 1 month (OD)
Follow up on    1st February 2022	Figure-2 As the swelling has much decreased  Placebo for one month has prescribed (OD)

 

Conclusion

Chalazion is one of the most common cystic lesions effecting the eyelid. Although many cases are tiny or small in size, some are large enough to cause significant pressure on eye globe causing visual obstruction. Individualized Homoeopathic medicine plays a vital role to treat such inflammatory condition. Therefore, Homoeopathy not only treat the disease condition but also helps in prevention of recurrent attack.     

References 

   1-Chalazion. In: Clinical Atlas of Canine and Feline Ophthalmic Disease. Chichester, UK: John Wiley & Sons, Inc; 2015. p. 38–9

2-Wikipedia contributors. Chalazion [Internet]. Wikipedia, The Free Encyclopedia. 2022. Available from: https://en.wikipedia.org/w/index.php?title=Chalazion&oldid=1067809283

3-Speight Phyllis. A Comparison of the Chronic Miasm.Rev. ed: Health Science Press;1977

4-Patel Ramanlal P. Chronic Miasms in Homoeopathy and their cure with classification of their rubrics/symptoms in Dr.Kent’s Repertory(Repertory of Miasms): First edition Kerala, India : Dr.Ramanlal P.Patel; 1996:62

5-Hahnemann Samuel. The Chronic Diseases Their Peculiar Nature and their Homoeopathic Cure: Rearranged and Augmented Edition: B. Jain Publishers;2005

 

 

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