Stye (hordeolum): Difference between revisions
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==Background== | ==Background== | ||
*External - arises from blockage and infection of (sebaceous) | *External - arises from blockage and infection of Zeis (sebaceous) or Moll (sweat) glands | ||
*Internal - arises from blockage and infection of meibomian glands | *Internal - arises from blockage and infection of meibomian glands | ||
[[File:Stye02.jpg|thumb|External stye]] | [[File:Stye02.jpg|thumb|External stye]] | ||
[[File:2048px-Hordeolum.JPG|thumb|Internal stye]] | [[File:2048px-Hordeolum.JPG|thumb|Internal stye]] | ||
*Pustule accompanied by pain, edema, and erythema | |||
==Clinical Features== | |||
*Pustule of eyelid | |||
**Usually accompanied by pain, edema, and erythema | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Periorbital swelling DDX}} | {{Periorbital swelling DDX}} | ||
== | ==Diagnosis== | ||
*Warm compresses | *Clinical diagnosis, based on history and physical exam | ||
==Management== | |||
*Warm compresses | |||
*[[Antibiotics]] | *[[Antibiotics]] | ||
**Consider oral antibiotics (with [[staph]] coverage) if patient has concurrent [[periorbital cellulitis]] (rare) | **Consider oral antibiotics (with [[staph]] coverage) if patient has concurrent [[periorbital cellulitis]] (rare) | ||
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==Disposition== | ==Disposition== | ||
*Refer to ophtho if does not improve within 1-2 weeks | *Discharge | ||
**Refer to ophtho if does not improve within 1-2 weeks | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<References/> | |||
[[Category:Ophtho]] | [[Category:Ophtho]] | ||
[[Category:ID]] | [[Category:ID]] | ||
Revision as of 05:42, 11 August 2015
Background
- External - arises from blockage and infection of Zeis (sebaceous) or Moll (sweat) glands
- Internal - arises from blockage and infection of meibomian glands
Clinical Features
- Pustule of eyelid
- Usually accompanied by pain, edema, and erythema
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
Diagnosis
- Clinical diagnosis, based on history and physical exam
Management
- Warm compresses
- Antibiotics
- Consider oral antibiotics (with staph coverage) if patient has concurrent periorbital cellulitis (rare)
- Little evidence that topical antibiotics are helpful
Disposition
- Discharge
- Refer to ophtho if does not improve within 1-2 weeks