Hordeolum = Stye = Painful and “Hot”- think “H” for Hot = Hordeolum
- Patient will present with a painful, warm (hot), swollen red lump on the eyelid (different from a chalazion which is painless)
- There may be tearing, photophobia, and a foreign body sensation
- They are usually caused by staphylococcus aureus
- Hordeolum are infections of the glands of the eyelid while a chalazion is a sterile, chronic inflammation that results from a blocked meibomian gland. A complication of a stye is that it may progress to a chalazion
The diagnosis is clinical
Warm compress and topical antibiotics
- A hordeolum that does not respond to hot compresses can be incised with a sharp, fine-tipped blade
- Systemic antibiotics (eg, dicloxacillin or erythromycin 250 mg PO QID) are indicated when cellulitis accompanies a hordeolum
Uveitis is an intraocular inflammation involving the uveal tract.
Chalazion is a granulomatous inflammation of the meibomian gland.
Dacryocystitis is an infection of the lacrimal sac due to obstruction of the nasolacrimal system.