Lidocaine-Prilocaine Cream for Local-Anesthesia Chalazion Incision in Children

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Abstract
Chalazia are not uncommon in children. If conservative therapy for them fails, incision and drainage are necessary and usually require a general anesthetic, which increases costs and risks. Five children (3 to 8 years old) had a eutectic mixture of lidocaine and prilocaine applied to the skin of the eyelid for 1 hour. Then local anesthetic was injected into the same site. The local anesthetic injection was painless, permitting successful incision and drainage in all cases. Lidocaine-prilocaine cream permits local anesthetic injection into the eyelids, facilitating office-based management of chalazia in children.