External Hordeolum

External Hordeolum

  • Acute localized inflammation of the lash follicles.
  • Most commonly caused by Staphylococcus species infection.

Clinical features:

  • Symptoms: localized lid tenderness.
  • Signs:
    • Acute onset of lid swelling
    • Visible nodule within the lid with eryhtema of the overlying tissue
    • Pus may sometimes be visible at the glands orifice

Management:

  • Warm compress and gentle lid massage.
  • Antibiotics ointment such as erythromycin.
  • Surgical incision or drainage procedure for chronic cases.