Ninety-five chalazia were treated with local injections. Small, recent, cystic chalazia responded best to intralesional steroid. Acute infected lesions did better if an antibiotic was added to the steroid injection. Hard, longstanding chalazia did not respond well either to intra- or paralesional steroid injection with or without an antibiotic. the control group injected with saline and followed-up for a similar period did not show any spontaneous resolution.