Stye (hordeolum): Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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**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) | ||
**Little evidence that topical antibiotics are helpful | **Little evidence that topical antibiotics are helpful | ||
*Avoid eye makeup | |||
==Disposition== | ==Disposition== | ||
Revision as of 18:52, 30 September 2017
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
Evaluation
- 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
- Avoid eye makeup
Disposition
- Discharge
- Refer to ophtho if does not improve within 1-2 weeks