Info hordeolum

A hordeolum is the result of an acute bacterial infection of one or more eyelid glands.

Hordeolum

Definition
A hordeolum is the result of an acute bacterial infection of one or more eyelid glands.

Epidemiology and etiology:
Staphylococcus aureus is a common cause of hordeolum.
External hordeolum involves infection of the glands of Zeis or Moll.
Internal hordeolum arises from infection of the meibomian glands.
Hordeolum is often associated with diabetes, gastrointestinal disorders, or acne.

Symptoms and diagnostic considerations:
Hordeolum presents as painful nodules with a central core of pus.
External hordeolum appears on the margin
 of the eyelid where the sweat glands are located
Internal hordeolum of a sebaceous gland is usually only revealed by everting the eyelid and usually accompanied by a more severe reaction such as conjunctivitis or chemosis
 of the bulbar conjunctiva.
Pseudoptosis and swelling of the preauricular lymph nodes may also occur.

Differential diagnosis:
Chalazion (tender to palpation) and inflammation of the lacrimal glands (rarer and more painful).

Treatment:
Antibiotic ointments and application of dry heat (red heat lamp) will rapidly heal the lesion.

Clinical course and prognosis:
After eruption and drainage of the pus, the symptoms will rapidly disappear.
The prognosis is good. An underlying internal disorder should be excluded in cases in which the disorder frequently
 recurs.

Sumber : Lang Oftalmologi 2000

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