Criteria

Has been present for more than 6 months and has been managed conservatively with warm compresses, lid cleaning and massage for 4 weeks

OR

Interferes significantly with vision, demonstrated by visual fields test

OR

Interferes with the protection of the eye by the eyelid due to altered lid closure or lid anatomy

OR

Is a source of infection that has required medical attention twice or more within a 6 month time frame

OR

Is a source of infection causing an abscess which requires drainage

OR

Suspicion of malignancy to remove and send for histology

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