Stye: Difference between revisions
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===Medical Therapy=== | ===Medical Therapy=== | ||
Most cases of hordeolum resolve without treatment. Supportive therapy for hordeolum consists of warm compresses. Antimicrobial ophthalmic ointments may be administered<ref name="pmid23601478">{{cite journal| author=Deibel JP, Cowling K| title=Ocular inflammation and infection. | journal=Emerg Med Clin North Am | year= 2013 | volume= 31 | issue= 2 | pages= 387-97 | pmid=23601478 | doi=10.1016/j.emc.2013.01.006 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23601478 }} </ref>. | |||
* '''Hordeolum'''<ref>{{ Cite web | title = Managing Eye Infections in Older Adults. | url = http://journals.lww.com/infectdis/Citation/1998/12000/Managing_Eye_Infections_in_Older_Adults_.5.aspx }}</ref> | * '''Hordeolum'''<ref>{{ Cite web | title = Managing Eye Infections in Older Adults. | url = http://journals.lww.com/infectdis/Citation/1998/12000/Managing_Eye_Infections_in_Older_Adults_.5.aspx }}</ref> | ||
:* 1. '''External hordeolum, for a single lesion''' | :* 1. '''External hordeolum, for a single lesion''' | ||
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::* Supportive therapy: warm compressess in conjugation with systemic antistaphylococcal antibiotics | ::* Supportive therapy: warm compressess in conjugation with systemic antistaphylococcal antibiotics | ||
::* Note (1): If the lesion do not respond to this regimen, incision and drainage are indicated. | ::* Note (1): If the lesion do not respond to this regimen, incision and drainage are indicated. | ||
::* Note (2): Chalazion effectively treated with lid hygiene and warm compression in most circumstances. | ::* Note (2): Chalazion is effectively treated with lid hygiene and warm compression in most circumstances. | ||
==Physical examination== | ==Physical examination== | ||
Revision as of 19:52, 9 September 2015
Template:DiseaseDisorder infobox
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]; Faizan Sheraz, M.D. [3]
Synonyms and keywords: Hordeolum
Overview
A stye (also known as a hordeolum) is a painful infection of the sebaceous glands at the base of the eyelashes on, inside, or under the eyelid.[1]. The infection may be internal or external. In many cases, the infection may resolve without treatment; however, the inflammation may spread to other ocular glands or recur. [2]
Causes
A stye is usually caused by Staphylococcus aureus and is particularly common in infants, though it can occur at any age[3]. They can be triggered by stress, poor nutrition or lack of sleep.[4]. A stye may be secondary to blepharitis.
Diagnosis
History and Symptoms
The first signs are tenderness, pain, and redness in the affected area. Later symptoms that arise include swelling, watering of the eye, sensitivity to light, and discomfort during blinking. A yellowish bump develops in the affected area.
Treatment
Medical Therapy
Most cases of hordeolum resolve without treatment. Supportive therapy for hordeolum consists of warm compresses. Antimicrobial ophthalmic ointments may be administered[3].
- Hordeolum[5]
- 1. External hordeolum, for a single lesion
- Supportive therapy: application of warm compresses 4-6 times/day.
- Note: Antibiotic therapy is questionable value for a single lesion and often not indicated.
- 2. External hordeolum, for multiple/recurrent lesions
- Preferred regimen (1): antistaphylococcal antibiotic therapy Bacitracin topical qd-tid
- Preferred regimen (2): Erythromycin topical ointment up to 6 times/day, along with lid hygiene.
- 3. Internal hordeolum
- Supportive therapy: warm compressess in conjugation with systemic antistaphylococcal antibiotics
- Note (1): If the lesion do not respond to this regimen, incision and drainage are indicated.
- Note (2): Chalazion is effectively treated with lid hygiene and warm compression in most circumstances.
Physical examination
Gallery
Head
References
- ↑ Eyelid lumps Retrieved March 19 2007
- ↑ Lindsley K, Nichols JJ, Dickersin K (2013). "Interventions for acute internal hordeolum". Cochrane Database Syst Rev. 4: CD007742. doi:10.1002/14651858.CD007742.pub3. PMC 4261920. PMID 23633345.
- ↑ 3.0 3.1 Deibel JP, Cowling K (2013). "Ocular inflammation and infection". Emerg Med Clin North Am. 31 (2): 387–97. doi:10.1016/j.emc.2013.01.006. PMID 23601478.
- ↑ "VisionWeb".
- ↑ "Managing Eye Infections in Older Adults".