Hordeolum

Hordeolum
	SYMPTOMS	Lid tenderness
	SIGNS	Lid swelling, redness
	WORK-UP	Thorough history. Slit lamp examination
	TREATMENT	(1) Lid cleaning BID (2) Warm compresses 15mins BID-TID (3) Maxitrol ung TID x 7 days (4) If severe, consider Doxycycline 100mg qD or BID or Augmentin 500mg BID x 7 days
	FOLLOW-UP	Frequent follow-ups are rarely necessary.
	ADDITIONAL LAB \| TESTS	None
	ETIOLOGY	Obstruction/inflammation/infection of a gland in the eyelid. Staphylococcal species are the most common bacterial source
	DIFFERENTIAL DX	Preseptal cellulitis, chalazion, sebaceous carcinoma, pyogenic granuloma
	NOTES	Internal hordeolum: infection of meibomian gland.
		External hordeolum: infection of gland of Zeis or Moll
		Association with dry eye syndrome and blepharitis.
Hordeola can develop into chalazion.