Stye (hordeolum): Difference between revisions

Revision as of 21:28, 4 July 2011

Background

Staphylococcus aureus (90-95%)
external hordeolum arises from a blockage and infection of Zeiss or Moll sebaceous glands
internal hordeolum is a secondary infection of meibomian glands in the tarsal plate

Risk Factors

Hordeola are found more frequently in persons who have the following:

Diabetes
Other debilitating illness
Chronic blepharitis
Seborrhea
High serum lipids (High lipid levels increase the blockage rate of sebaceous glands, but lowering of serum lipid levels in these patients has not decreased frequency of recurrence.)

Treatment

External
1. Hot packs
Internal
1. MSSA: Oral dicloxacillin + hot packs
2. MRSA: TMP/SMX-DS 2tabs PO BID
3. MRSA-HA: Linezolid 600mg BID

Complications

Untreated, the disease may spontaneously resolve or may progress to chronic granulation with formation of a painless mass (chalazion)
Generalized cellulitis of the eyelid

Source

Adapted from Pani

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
-Staphylococcus aureus is the infectious agent in 90-95% of cases of hordeolum.
+*Staphylococcus aureus (90-95%)
+*external hordeolum arises from a blockage and infection of Zeiss or Moll sebaceous glands
-An external hordeolum arises from a blockage and infection of Zeiss or Moll sebaceous glands. An internal hordeolum is a secondary infection of meibomian glands in the tarsal plate. Both types can arise as a secondary complication of blepharitis.
+*internal hordeolum is a secondary infection of meibomian glands in the tarsal plate
-Untreated, the disease may spontaneously resolve or it may progress to chronic granulation with formation of a painless mass known as a chalazion. Chalazia can be quite large and can cause visual disturbance by deforming the cornea. Generalized cellulitis of the eyelid may occur if an internal hordeolum is untreated.
 ==Risk Factors==
@@ Line 13: / Line 11: @@
 # Seborrhea
 # High serum lipids (High lipid levels increase the blockage rate of sebaceous glands, but lowering of serum lipid levels in these patients has not decreased frequency of recurrence.)
+==Treatment==
+#External
+##Hot packs
+#Internal
+##MSSA: Oral dicloxacillin + hot packs
+##MRSA: TMP/SMX-DS 2tabs PO BID
+##MRSA-HA: Linezolid 600mg BID
+==Complications==
+*Untreated, the disease may spontaneously resolve or  may progress to chronic granulation with formation of a painless mass (chalazion)
+*Generalized cellulitis of the eyelid
 ==Source==