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 Eyelid Styes Manual – Upper Eyelid Stye Treatment and Causes

Eyelid Hordeolum Treatment and Surgery

Hordeolum externum is one of the most common eyelid disorders also known as stye. The infection usually caused by a staphylococcus of the glands of Zeis or less commonly to the meibomian glands is called hordeolum in medical terms. When the infection involves the glands of Zeis the condition is called external hordeolum and when it involves the meibomian glands it is referred to as internal hordeolum. Basically the external hordeolum is the same condition as the eye stye.

The disease is mainly caused by a specific type of streptococcus, Streptococcus Aureus. Hordeolum can also develop as a complication from blepharitis, meibomian gland dysfunction and ocular rosacea. People at risk of developing hordeolum are recommended to keep proper eye hygiene and especially women must remover makeup every day before going to sleep. Individuals with hordeolum may experience tenderness and redness of the eyelid or eye and also eye discharge. Most of the patients with this condition also experience pain.

Hordeolum has the appearance of a red bump, a tender subcutaneous nodule on the eyelid margin. Sometimes it may accumulate pus which can rupture or can better be drained by a specialist. The symptoms do not usually last more than two weeks even if external hordeolum treatment is not administrated. However, if the symptoms do not disappear within a relative short period of time, the medical opinion should be sought since the infection can spread to the surrounding areas and cause a preseptal cellulitis.

External hordeolum treatment usually consists in home remedies. The patients are advised to gently rub the affected eye with a warm water compress. If the symptoms persist, the doctor may prescribe antibiotics to kill the bacteria causing the infection. The most common types of antibiotics used are erythromycin or cephalexin. In rare cases, eyelid hordeolum surgery is performed. The eyelid hordeolum surgery is intended to remove the large lesions caused by hordeola.

Hordeolum is not a dangerous condition as it is self-limited in most cases. The symptoms usually disappear within two weeks and no further damage is caused. In rare cases hordeolum can however evolve to chalazion. Hordeolum chalazion differences consist in the fact that the first is an acute disorder while the latter is a chronic one. Chalazion is a more serious condition, quite difficult to treat and which requires medical attention. Hordeolum chalazion can require surgery as a treatment or even curettage. Most of the time, internal hordeolum evolves into chalazion and not the external stye.

The most common complication that can arise from hordeolum is the decreased vision. Large lesions of the upper eyelid can cause astigmatism or hyperopia due to the pressure they extent on the cornea. Hordeola are however recurred and patients who have suffered from this condition must pay more attention on their hygiene in order to prevent potential recurrent episodes.

All in all, the hordeolum externum is a common disorder of the eyelid that usually disappears with no medication in couples of weeks and which does not cause long lasting damage.


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