Hordeolum (Stye)

Konstantinos E. Deligiannidis, MD, MPH, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • An acute inflammation or infection of the eyelid margin involving the sebaceous gland of an eyelash (external hordeolum) or a meibomian gland (internal hordeolum)

  • System(s) affected: ...

DIAGNOSIS

HISTORY

  • Localized inflammation (vs. involvement of the entire eyelid or surrounding skin)

  • Foreign body sensation in the eye

  • Prior episodes are common.

PHYSICAL EXAM

  • Localized inflammation of the ...

TREATMENT

GENERAL MEASURES

  • The hordeolum should not be expressed.

  • Warm compresses to the area of inflammation can help increase blood supply and encourage spontaneous drainage.

  • Good personal hygiene with...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

No restrictions 

Patient Monitoring

The patient should be seen within several weeks to assess the effectiveness of therapy or should at least call the physician’s o...

REFERENCES

1 Lindsley K, Nichols JJ, Dickersin K. Non-surgical interventions for acute internal hordeolum. Cochrane Database Syst Rev.  2017;(1):CD007742.  [View Abstract]
2 Wald ER. Periorbita...

ADDITIONAL READING

  • Bamford JT, Gessert CE, Renier CM, et al. Childhood stye and adult rosacea. J Am Acad Dermatol.  2006;55(6):951–955.  [View Abstract]

  • Hirunwiwatkul P, Wachirasereechai K. Effec...

CODES

ICD10

  • H00.019 Hordeolum externum unspecified eye, unspecified eyelid

  • H00.029 Hordeolum internum unspecified eye, unspecified eyelid

  • H00.039 Abscess of eyelid unspecified eye, unspecified eyelid

  • H00....

CLINICAL PEARLS

  • A hordeolum should not be expressed.

  • Warm compresses to the area of inflammation can encourage spontaneous drainage.

  • Application of an antibiotic ointment (e.g., erythromycin) to the mar...

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