Stye (hordeolum): Difference between revisions
| Line 4: | Line 4: | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Stye02.jpg|thumb]] | |||
*Pustule accompanied by pain, edema, and erythema of the eyelid | *Pustule accompanied by pain, edema, and erythema of the eyelid | ||
Revision as of 06:21, 7 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 periorbital cellulitis (rare)
- Little evidence that topical antibiotics are helpful
Disposition
- Refer to ophtho if does not improve within 1-2 weeks or hardens into a chalazion