Stye (hordeolum)

Background

• External - arises from blockage and infection of (sebaceous) Zeis or Moll (sweat glands)
• Internal - arises from blockage and infection of meibomian glands

Clinical Features

1. Pustule accompanied by pain, edema, and erythema of the eyelid

Treatment

1. Warm compresses x15min QID
2. Abx
   1. Consider oral abx (w/ staph coverage) if pt has concurrent preorbital cellulitis (rare)
   2. Little evidence that topical abx are helpful

Disposition

• Refer to ophtho if does not improve within 1-2wk or hardens into a chalazion

See Also

Chalazion

Source

• Tintinalli