Stye (hordeolum)

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:

1. Diabetes
2. Other debilitating illness
3. Chronic blepharitis
4. Seborrhea
5. 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

1. External
   1. Hot packs
2. 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