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HordeolumAka: Stye

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  1. See Also
    1. Chalazion
  2. Epidemiology
    1. More common in children and teenagers
  3. Pathophysiology
    1. Affects eyelid Sebaceous Gland (gland of zeis)
    2. Localized superficial abscess
      1. Usually caused by Staphylococcus aureus
  4. Causes
    1. Staphylococcus organisms
    2. Seborrhea
  5. Risks
    1. Blepharitis
    2. Contact lens wear
    3. Make-up or cosmetic application
    4. Poor eyelid hygiene
  6. Symptoms
    1. Painful Eye Foreign Body sensation
    2. Lacrimation
    3. Photophobia
  7. Signs
    1. Onset as erythematous tender indurated lid area
    2. Later Pustule develops in area of lid inflammation
      1. Red, swollen, tender mass within lid
    3. Types
      1. External Hordeolum
        1. Most common presentation
        2. Points to skin surface
      2. Internal Hordeolum
        1. Points inward toward palpebral Conjunctiva
        2. Usually larger than external Hordeolum
  8. Differential Diagnosis
    1. Chalazion
    2. Blepharitis
    3. Eyelid neoplasm
  9. Management
    1. Warm compresses to eye for 15 minutes qid
      1. Increases blood supply to area
      2. Increases spontaneous discharge
    2. Daily cleansing of eyelids
    3. Antibiotic ointment to eyelid margin
      1. Erythromycin
      2. Avoid prolonged use in age under 12 years
        1. Blurred vision (Amblyopia risk)
    4. Incision, Drainage and Curettage
      1. Indications
        1. Single gland involvement
        2. Failed improvement after 48 hours
      2. In-office procedure under local anesthetic
        1. May be performed by non-ophthalmologist
  10. Complications
    1. Generalized lid Cellulitis
      1. Risk of Cavernous Sinus Thrombosis
      2. Add systemic coverage early for Staphylococcus aureus
    2. Recurrent hordeolum
      1. Unilateral, chronic Staphylococcal infection
      2. Consider systemic antibiotics
      3. Refer to Ophthalmology

Hordeolum (C0019917)

Definition (MSH)Purulent infection of one of the sebaceous glands of Zeis along the eyelid margin (external) or of the meibomian gland on the conjunctival side of the eyelid (internal).
ConceptsDisease or Syndrome (T047)
ICD9373.11, 373.13
MSHD006726
EnglishBoil of eyelid, Furuncle of eyelid, Hordeolum, Sty, Stye, Stye/hordeolum, Styes
Spanishforunculo del parpado, furunculo del parpado, orzuelo
Parent ConceptsEye Infections, Bacterial (C0015404), Eyelid Diseases (C0015423), Acute blepharitis (C0521728), Ambiguous concept (C1274012)
SourcesCOSTAR, DXP, LCH, MSH, MTH, MTHICD9, NDFRT, OMIM, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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