Stye (hordeolum): Difference between revisions
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==Treatment== | ==Treatment== | ||
*Warm compresses | *Warm compresses x 15min QID | ||
* | *[[Antibiotics]] | ||
**Consider oral | **Consider oral antibiotics (with [[staph]] coverage) if patient has concurrent [[preorbital cellulitis]] (rare) | ||
**Little evidence that topical | **Little evidence that topical antibiotics are helpful | ||
==Disposition== | ==Disposition== | ||
Revision as of 09:29, 3 June 2015
Background
- External - arises from blockage and infection of (sebaceous) Zeis or Moll (sweat glands)
- Internal - arises from blockage and infection of meibomian glands
Clinical Features
- Pustule accompanied by pain, edema, and erythema of the eyelid
Differential Diagnosis
Periorbital swelling
Proptosis
- Normal IOP
- Orbital cellulitis
- Orbital pseudotumor
- Orbital tumor
- Increased IOP
- Retrobulbar abscess
- Retrobulbar emphysema
- Retrobulbar hemorrhage
- Ocular compartment syndrome
- Orbital tumor
No proptosis
- Periorbital cellulitis/erysipelas
- Dacryocystitis (lacrimal duct)
- Dacryocele/Dacryocystocele
- Dacryostenosis
- Dacryoadenitis (lacrimal gland)
- Allergic reaction
- Nephrotic Syndrome (pediatrics)
Lid Complications
- Blepharitis (crusts)
- Chalazion (meibomian gland)
- Stye (hordeolum) (eyelash folicle)
Other
- Subperiosteal abscess
- Orbital abscess
- Cavernous sinus thrombosis
- Conjunctivitis
- Contact dermatitis
- Herpes zoster
- Herpes simplex
- Sarcoidosis
- Granulomatosis with polyangiitis
Treatment
- Warm compresses x 15min QID
- Antibiotics
- Consider oral antibiotics (with staph coverage) if patient has concurrent preorbital cellulitis (rare)
- Little evidence that topical antibiotics are helpful
Disposition
- Refer to ophtho if does not improve within 1-2wk or hardens into a chalazion