We surgically excised 146 chronic chalazia either with or without intralesional corticosteroid injections. Our results showed an 89% cure rate (79/88) for those chalazia surgically excised compared with a 96.6% cure rate (56/58) for those excised and treated with intralesional steroids as well. Encouraged by these findings, we treated an additional 149 chalazia using the combined technique of excision and steroidal injection for a total cure rate of 97.6% (202/207). Although complications were minimal for both groups, there appeared to be less edema and inflammation in the patients receiving the combined treatment.