HEENT 16: Hordeolum

Question 1

What is a hordeolum (stye)?

Answer 1

bacterial infection to one or more eyelid glands

Question 2

What is the most common causative organism?

Answer 2

S. aureus

Question 3

What are the contributing factors?

Answer 3

• underlying medical conditions – rosacea, seborrheic dermatitis
• other – makeup

Question 4

What are the signs and symptoms?

Answer 4

• single painful lesion
• unilateral, localized redness, inflammation
• acute onset

Question 5

What is an external hordeolum?

Answer 5

• involves glands of Moll and/or Zeis
• smaller

Question 6

What is an internal hordeolum?

Answer 6

• involves meibomian glands
• larger
• more pronounced swelling

Question 7

What is the general treatment?

Answer 7

non-pharm treatment to alleviate symptoms, reduce exacerbations, and help prevent recurrence

• external hordeolum: 2-3 days
• internal hordeolum: 1 week

Question 8

When is referral required?

Answer 8

if hordeolum does not being to drain or resolve:

• external hordeolum: 2-3 days
• internal hordeolum: 1 week