Hordeolum (Stye): The Daily PANCE Blueprint

Hordeolum: The Daily PANCE Blueprint

What is the most appropriate initial treatment for an external hordeolum?

A. Systemic antiviral therapy
B. Incision and drainage
C. Warm compresses
D. Topical corticosteroid therapy
E. Eyelid surgery

Answer and topic summary

The answer is C. Warm compresses

The initial treatment for an external hordeolum involves the application of warm compresses several times a day. This treatment helps to facilitate the drainage of the obstructed gland and can hasten the resolution of the lesion. Warm compresses can also provide symptomatic relief from pain and swelling.

  • A hordeolum that does not respond to hot compresses can be incised with a sharp, fine-tipped blade
  • Systemic antibiotics (e.g., dicloxacillin or erythromycin 250 mg PO QID) are indicated when cellulitis accompanies a hordeolum
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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint EENT ⇒ Disorders of the Eye  ⇒ Lid disorders ⇒ Hordeolum