Lecture
11 y/o with red, swollen lesion on eyelid
Patient will present as → a 15-year-old male with pain, redness, and swelling of the upper eyelid for the last 3 days. There are no visual changes or photophobia. Examination reveals a tender, erythematous, and outward-pointing edema of the right eyelid.
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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
Red, Painful and "Hot" = Hordeolum
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
Question 1 |
Which of the following is a staphylococcal infection characterized by a localized red swollen and acutely tender abscess of the upper or lower eyelid?
Hordeolum | |
Uveitis Hint: Uveitis is an intraocular inflammation involving the uveal tract. | |
Chalazion Hint: Chalazion is a granulomatous inflammation of the meibomian gland. | |
Dacryocystitis Hint: Dacryocystitis is an infection of the lacrimal sac due to obstruction of the nasolacrimal system. |
Question 1 Explanation:
Hordeolum (stye) is a staphylococcal infection characterized by a localized red swollen and acutely tender abscess of the upper or lower eyelid.
There is 1 question to complete.
References: Merck Manual · UpToDate
