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.