[3] Stye Flashcards
What is a stye also known as?
Hordeolum
What is a stye?
An acute infectious process involving abscess formation at the upper or lower eyelid in a lash follicle
What are styes most commonly caused by?
Blockage of an oil gland at the base of the eyelash
What is the most common causative organisms of styes?
1st = S. Aures 2nd = S. Epidermidis
What are the risk factors for styes?
- Poor nutrition
- Sleep deprivation
- Lack of hygiene
- Lack of water
- Rubbing of eyes
What is the first sign of a stye?
Small yellowish spot at the centre of a bump
What are some symptoms of stye?
- Lump on top or bottom eye lid
- Localised swelling
- Localised pain
- Redness
- Crusting of eyelid margins
- Itchiness
- Blurred vision
- Mucous discharge
- Sensation of foreign body
How are styes diagnosed?
Clinically
What are the differentials for stye?
- Chalazion
- Blepharitis
- Dacrocystitis or dacroadenitis
- Peri-orbital cellulitis or orbital cellulitis
- Sebaceous and squamous cell carcinoma
How do most styes resolve?
Spontaneously within 1-2 weeks
How can styes be manage at home?
- Warm compress
- Simple analgesia
What advice should patients be given with styes?
- Not puncture stye
- Avoid makeup and contact lenses until resolution
What may be appropriate for a very large, painful stye?
Referral for incision and drainage
What should be given if there is evidence of concurrent conjunctivitis?
Topical antibiotics
What are the potential complications of a stye?
- Progression to chalazion
- Eyelid cellulitis
