In-Office Minor Procedures

What are in-office minor procedures?

Sometimes minor operative procedures must be done to correct eye problems and prevent further health issues.

Tear ducts can become clogged, or cysts or lesions can form around or inside the eye that needs to be removed. These issues can be remedied through in-office procedures at one of Dr. Khosla’s eye clinic locations throughout Calgary.


In-office procedures for such as:

Excision of chalazion and white lumps in eyelids

The eyelid can have localized swelling with redness, mild tenderness
and possible discharge. This is the result of bacteria and blockage of
the oil glands of the eyelid which causes most eyelids swellings
namely – Stye or Chalazions. Though most of these eyelid swellings
resolve with warm compresses and proper lid hygiene but some may
become hard or swell to a quite a noticeable size which warrant
surgical removal with incision and drainage..

Stye:- A stye occurs when bacteria gets into collected retained secretions of the oil glands in the eyelids. Styes can develop into a round, red bump that appears close to the eyelid. They can often make you sensitive to light and can make eyes watery or feel scratchy.

Chalazion:- A chalazion is an inflammatory lesion that occurs when the oil-producing glands or tear gland in the eyelids becomes blocked. A chalazion usually will grow further onto the eyelid than a stye and can interfere with vision depending on where it grows and how large it will become. A chalazion is painless in most cases but can be bothersome when interference with vision occurs.

Intended benefits:- When and if a stye or chalazion becomes increasingly painful or if it is interfering with your vision, is it
very important that you seek medical treatment to have them removed.Ensuring that there are no other severe medical issues present, then
the eyelid growth can be removed safely.

Although styes and chalazions can be harmless, if you are experiencing any of the following conditions please schedule an appointment:

  • Difficulty seeing
  • Extremely watery eyes
  • Large amount of discharge
  • White part of your eye changes colour
  • Eyes hurt even when in low lighting
  • Bleeding, gets worse, grows larger, or is very painful
  • Blisters, scaly, crusty, or red can be indicative of an infection.

If you have a condition called blepharitis (DRY EYE CLINIC BLEPHEX ), this can increase your risk of the development of styes.

Risks:- No risks – it is a simple small incision on the bulge of the swelling which is done on the underside section of the
eyelid. The incision leads to drainage of the collected secretions which allows for the swelling to disappear and the incision to heal on its own. Do not attempt to puncture or burst eyelid growth at home, this can lead to infection.

The Procedure:- We will give a small injection of anaesthetic medicine around the swelling and under aseptic conditions incise the
swelling from the underside of the eyelid. The collection is evacuated with a curette (surgical instrument) and a patch is
applied for a couple of hours.

After your treatment:- Usually there is no pain and the patch can be removed in about 2 hours. You can wash your eyes and go back
to your normal routine.


What is it
Skin tags, or acrochordons, are small growths of skin that hang off the body from a thin stalk.
They can develop on the eyelids and around the eyes. Skin tags occur due to excess cell
growth in the upper layers of the skin. Skin tags tend to develop more as we age and are
completely normal to develop from middle-age and onwards.

Intended benefits:- Skin tags are harmless and the removal of them is usually cosmetic. If a skin tag on the eyelid has become large enough to obscure vision, then it is beneficial to have it removed to restore eyes full view.

Risks:- If the procedure does not remove all of the skin tag, it may grow back.
Other risks include:

    • minor bleeding
    • stitches if wound is large
    • scarring

Do not attempt to remove a skin tag at home.

The procedure:- We will give topical anesthesia or freezing and make a complete excision of the lid tag. This procedure takes less than 5 minutes to complete.Note: this procedure will remove any unwanted skin tags but will not prevent more from
growing in the future.

After your treatment:- You might be asked to give some pressure to an eye pad or patch for a few minutes.

Electro Epilation for misdirected eyelashes

What is it
Trichiasis, or commonly referred to as a misdirected eyelash (cilia) occurs when the growth
of the eyelash is misdirected from the ocular surface. Constant irritation can lead to eye pain,
vision change and corneal abrasions, or corneal ulcers.

Intended benefits:- Trichiasis can be classified as either minor (fewer than 5) or major (5 or more cilia).Misdirected eyelashes can cause damage to the delicate layers of the cornea and decrease the corneal transparency leading to light scattering and vision change. If left untreated,chronic irritation can lead to more serious eye problems.


    • Scarring
    • Notching of lids margins

Some eyelashes may grow back but should not be considered as mistreatment.

The procedure:-Electrolysis treatments are a form of electrical epilation where a wire filament is inserted into the hair follicle and a minimal amount of current is delivered to the root of hair to destroy it through a variety of modalities. This is a non-invasive and direct route to target unwanted hair and all modalities will only treat the offending hair follicle.

Thermolysis Electrolysis:-Thermolysis uses shortwave radio frequency or AC current.Thermolysis causes the water molecules by your hair to rapidly vibrate, which produces heat. When enough heat is created, thermolysis damages the cells that cause hair growth.
Modern electrolysis methods can be described as causing a tingling or warming sensation,
but is considered tolerable.

After your treatment:- It is common to experience redness or swelling, the use of an ice pack is recommended to
lessen this reaction.

Dry Eye Management including Punctal plugs
To learn more about Punctal Plugs
Please clink on the link :- https://www.aao.org/eye-health/diseases/punctal-plugs

Punctal dilatation and probing + diagnostic irrigation of tear duct for excessive watering of the eye

A narrow tube, the nasolacrimal duct, carries tears away from the eye into the back of the nose. A nasolacrimal duct probing and syringing is offered to treat a non-resolving watery eye caused by a narrow tear duct.

Intended benefits of lacrimal probing and irrigation :- An improvement in the amount and frequency of the eye that waters.

Risks:- As with any procedure, probing and irrigation has risks. Serious complications are rare and the procedure may not work or may need to be repeated. The probe may damage structures along the duct, which may make the watering worse. A corneal abrasion is possible and temporary blood in tears.

The procedure:-

  • A thin, blunt metal probe is inserted into the nasolacrimal system to enlarge and open any obstruction.
  • The duct is then flushed with a saline solution to check that it is open (patent), this is called irrigation (syringing).
  • If the duct is open, you will notice saline in the back of your throat.

The treatment takes approximately 5-10 minutes and there is minimal discomfort, if any.

After your treatment:-

  • Probing and irrigation is successful in improving a watery eye in 9 out of 10 cases
  • You may have blood tinged tears.
  • If the probing procedure reveals a complete blockage, then other recommendations will be discussed with you.
  • Follow-up appointments will be booked accordingly.
  • Antibiotic drops may be prescribed.

Call the clinic at (403) 474-0025 , if you have any discomfort after this procedure.

Don’t suffer through your eye discomfort. Visit an eye specialist
who can diagnose your issue and find the best way to treat it.

Call our office to learn more
about the eye procedures we offer in -office.

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