2020–2021 BCSC Basic and Clinical Science Course™
7 Oculofacial Plastic and Orbital Surgery
Part II: Periocular Soft Tissues
Chapter 10: Classification of Eyelid Disorders
Acquired Eyelid Disorders
Hordeolum
An acute infection (usually staphylococcal) can involve the sebaceous secretions in the glands of Zeis (external hordeolum, or stye) or the meibomian glands (internal hordeolum). In the case of external hordeola, the infection may appear to center around an eyelash follicle, and the eyelash can be epilated to promote drainage (Fig 10-16). Most hordeola resolve spontaneously, but diligent application of hot compresses and topical antibiotic ointment may be helpful. In rare cases, hordeola may progress to superficial cellulitis, or even abscesses, of the eyelid. In such cases, systemic antibiotic therapy and possible surgical incision and drainage may be required.
Excerpted from BCSC 2020-2021 series: Section 10 - Glaucoma. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.