Stye: Difference between revisions
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A stye must be differentiated from:<ref>{{Cite web | title = Stye | url =http://eyewiki.aao.org/Stye }}</ref> | A stye must be differentiated from:<ref>{{Cite web | title = Stye | url =http://eyewiki.aao.org/Stye }}</ref> | ||
*[[Xanthelasma]] | *[[Xanthelasma]] | ||
*Papilloma | *[[Papilloma]] | ||
*Cyst | *[[Cyst]] | ||
*Pyogenic Granuoloma | *[[Pyogenic Granuoloma]] | ||
*Amyloid Deposition | *[[Amyloid]] Deposition | ||
==Risk Factors== | ==Risk Factors== | ||
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===History and Symptoms=== | ===History and Symptoms=== | ||
The first signs are tenderness and redness in the affected area. Symptoms of a stye include: | The first signs are tenderness and redness in the affected area. Symptoms of a stye include: | ||
*Swelling | *[[Swelling]] | ||
*Watering of the eye | *Watering of the eye | ||
*Sensitivity to light | *Sensitivity to light | ||
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*A yellowish bump may be noted. | *A yellowish bump may be noted. | ||
====Lymph Nodes==== | ====Lymph Nodes==== | ||
*Adjacent lymph nodes may be palpable.<ref>{{Cite web | title = Stye | url =http://eyewiki.aao.org/Stye }}</ref> | *Adjacent [[lymph nodes]] may be palpable.<ref>{{Cite web | title = Stye | url =http://eyewiki.aao.org/Stye }}</ref> | ||
====Gallery==== | ====Gallery==== | ||
======Head====== | ======Head====== | ||
Revision as of 13:55, 10 September 2015
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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, a hordeolum 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.[3] They can be triggered by stress, poor nutrition or lack of sleep.[4] A stye may be secondary to blepharitis.
Differential Diagnosis
A stye must be differentiated from:[5]
- Xanthelasma
- Papilloma
- Cyst
- Pyogenic Granuoloma
- Amyloid Deposition
Risk Factors
Common risk factors in the development of hordeola are:[6]
- Dry eyes
- Chronic blepharitis
Epidemiology & Demographics
Styes are particularly common in infants, though they may occur at any age.[3]
Diagnosis
History and Symptoms
The first signs are tenderness and redness in the affected area. Symptoms of a stye include:
- Swelling
- Watering of the eye
- Sensitivity to light
- Discomfort during blinking
Physical examination
Eyes
- A localized and tender area with a pointing eruption may be seen in the affected area.[7]
- A yellowish bump may be noted.
Lymph Nodes
- Adjacent lymph nodes may be palpable.[8]
Gallery
Head
-
![Hordeolum. With permission from Dermatology Atlas.[9]](/images/a/a9/Hordeoli_01.png)
Hordeolum. With permission from Dermatology Atlas.[9] -
![Hordeolum. With permission from Dermatology Atlas.[9]](/images/f/f3/Hordeoli_02.png)
Hordeolum. With permission from Dermatology Atlas.[9]
![Hordeolum. With permission from Dermatology Atlas.[9]](/index.php/File:Hordeoli_01.png){kind=small}
![Hordeolum. With permission from Dermatology Atlas.[9]](/index.php/File:Hordeoli_02.png)
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[10]
- 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.
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 3.2 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".
- ↑ "Stye".
- ↑ "Stye".
- ↑ "Stye".
- ↑ "Stye".
- ↑ 9.0 9.1 "Dermatology Atlas".
- ↑ "Managing Eye Infections in Older Adults".