Stye: Difference between revisions

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VisualWikitext

Revision as of 19:37, 9 September 2015

Template:DiseaseDisorder infobox

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

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 effectively treated with lid hygiene and warm compression in most circumstances.

Physical examination

Gallery

Head

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=192>

url = http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=192>

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.
↑ 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".

[1] Eyelid lumps Retrieved March 19 2007

[pmid23633345-2] 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.

[pmid23601478-3] 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.

[urlVisionWeb-4] "VisionWeb".

[5] "Managing Eye Infections in Older Adults".

[1]

[2]

[3]

[4]

[5]

@@ Line 15: / Line 15: @@
 ==Causes==
-Styes are generally caused by a [[Staphylococcus aureus]] [[bacteria]] [[infection]] and are particularly common in infants, though people of any age may experience them. They can be triggered by stress, poor nutrition or lack of sleep.<ref name="urlVisionWeb">{{cite web |url=http://www.visionweb.com/content/consumers/dev_consumerarticles.jsp?RID=34 |title=VisionWeb |format= |work= |accessdate=}}</ref>
+A stye is usually caused by [[Staphylococcus aureus]] and is particularly common in infants, though it can occur at any age<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>. They can be triggered by stress, poor nutrition or lack of sleep.<ref name="urlVisionWeb">{{cite web |url=http://www.visionweb.com/content/consumers/dev_consumerarticles.jsp?RID=34 |title=VisionWeb |format= |work= |accessdate=}}</ref>. A stye may be secondary to [[blepharitis]].
-A stye can be secondary, caused by [[blepharitis]]. A blocked oil gland near the eye, a [[chalazion]], is often mistaken for a stye.<ref>[http://www.allaboutvision.com/conditions/styes.htm Styes], AllAboutVision.com. Retrieved August 20, 2006.</ref>
 ==Diagnosis==