Hordeolum

Question 1

What causes a hordeolum

Answer 1

Staphylococcal abscess

Question 2

What increases the incidence of a hordeolum

Answer 2

1. History of blepharitis
2. Rosacea
3. Seborrheic dermatitis
4. Poor hygiene
5. Hormonal changes

Question 3

What are the signs of a hordeolum

Answer 3

Localized, red, swollen, acutely tender area
1. Discharge, tearing, mild blurry vision, burning, or scratchy sensation
2. Upper or lower eyelid

Question 4

How is a hordeolum diagnosed

Answer 4

Clinically

Question 5

What is an internal hordeolum

Answer 5

1. Meibomian gland abscess that points towards the conjunctival surface of the lid
2. Evert eyelid to visualize

Question 6

What is an external hordeolum

Answer 6

AKA “sty”
1. Glands in eyelash follicles or on lid margin
*glands of Zeis or Moll

Question 7

What is the treatment of a hordeolum

Answer 7

Supportive care, warm compresses
1. Meticulous eyelid hygiene

Question 8

Does ABx ointment help with the healing of a hordeolum?

Answer 8

No

Question 9

When to consider to send a patient to the ophthalmologist

Answer 9

If signs worsen, persists beyond expected time period
*I and D considered

Question 10

What are the complication of a hordeolum

Answer 10

Internal hordeolum can lead to chalzion and generalized, peri-orbital cellulitis of the lid

Question 11

What are some aspects of meticulous eyelid hygiene

Answer 11

1. Wash hands
2. No touching
3. Do not wear contact lenses
4. Do not share eye meds, cosmetics, contact lenses, discard and change
5. Do not press or squeeze
6. Clean eyelids with wet/warm cotton balls, Q-tips, baby shampoo