



Is this a chalazion or a stye?
(The first two pictures are yesterday’s photo and the last two are taken a week ago)
I have had it for about 2.5 weeks. At first, it was visible on the outside of my eyelid, but about 1.5 weeks ago, I flipped my eyelid and saw this white head. It has been scraping against my scleral lenses when I blink, which I wear because of my nerve damage.
I do Tixel and IPL with gland expression, but when it is not being touched, it does not hurt. With a stye, I know it usually feels sore when you blink or touch it, but mine mainly just feels like it is scraping against my eyelid when I blink. There is no pain unless my optometrist does a tiny extraction in front of it to make a blockage go away. When she touches or extracts around it, it hurts like crazy and very sore.
I know a chalazion is usually painless, but can it still be very painful when it is touched or pressed?
Right now, I am 4 days into doxycycline and Maxitrol ointment, and I am also doing warm compresses, but I still have the white head.
I really want to do my best to avoid surgery because I am prone to keloids, and I am worried that it could interfere with my scleral lenses. I am also worried about damaging my meibomian glands. Mine are already in really bad shape, so I do not want to damage them any further.