STYE (EXTERNAL HORDEOLUM) A stye is an acute staphylococcal infection of an oil gland associated with an eyelash. It is located at the lash line and has the appearance of a small pustule. It can be either ruptured or left alone. Warm compresses and erythromycin ophthalmic ointment bid for 7 to 10 days is usually sufficient treatment.
CHALAZION (INTERNAL HORDEOLUM) A chalazion is an acute or chronic inflammation of the eyelid secondary to blockage of one of the meibomian oil glands in the tarsal plate. A reddened, tender lump develops in the lid or at the lid margin. Initial conservative treatment consists of warm, moist compresses three or four times a day and erythromycin ophthalmic ointment applied to the eyelid margin qid. Some ophthalmologists will also add a 14- to 21-day course of doxycycline (tetracycline derivatives are secreted in the oil glands). The patient should follow up with an ophthalmologist in about 6 weeks or less if any worsening occurs. Chronic inflammation will induce a cystic wall, and a discrete lump develops that is usually both palpable and visible in the lid. Chalazions can cycle between being quiet or acutely inflamed. The patient with a chronic, recurrent chalazion should be referred to an ophthalmologist for surgical excision and curettage, which is the definitive procedure.
1. Warm moist compresses three to four times a day.
2. Erythromycin ophthalmic ointment applied to lid margins qid.
3. Consider doxycycline 100 mg PO bid for 14 to 21 days if chronic and recurrent.
4. Ophthalmology referral 4 to 6 weeks.
Was this article helpful?
This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.