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Hordeolum and Stye: Differential Diagnoses & Workup
Updated: Mar 11, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Chalazion
Conjunctivitis
Corneal Abrasion
Other Problems to Be Considered
Blepharitis
Eyelid neoplasms
Workup
Laboratory Studies
- No laboratory studies are indicated.
- Colonization with noninvasive bacteria is common, and bacterial cultures of material from the area generally do not correlate with clinical improvement.
- Conjunctival bacteria culture results are positive in as many as 70% of asymptomatic persons with a hordeolum. S aureus is the most likely organism discovered, but cultures of the eyelid are more likely to obtain Staphylococcus epidermidis. For this reason, eye cultures are of little clinical value.
- Blood tests are of no value in a simple hordeolum, but generalized eyelid cellulitis requires a more complete evaluation. If the infection is not well localized, a CBC and blood culture are required, and ophthalmologic consultation is indicated.
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Differential Diagnoses & Workup: Hordeolum and Stye |
| Treatment & Medication: Hordeolum and Stye |
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References
Barza M, Baum J. Ocular infections. Med Clin North Am. Jan 1983;67(1):131-52. [Medline].
Benton J, Karkanevatos A. Preseptal cellulitis due to Mycobacterium marinum. J Laryngol Otol. Jun 2007;121(6):606-8. [Medline].
Brafman AH. Styes: a curious chain. Br J Gen Pract. Dec 1992;42(365):537-8. [Medline].
Briner AM. Surgical treatment of a chalazion or hordeolum internum. Aust Fam Physician. Jun 1987;16(6):834-5. [Medline].
Briner AM. Treatment of common eyelid cysts. Aust Fam Physician. Jun 1987;16(6):828, 830. [Medline].
Diegel JT. Eyelid problems. Blepharitis, hordeola, and chalazia. Postgrad Med. Aug 1986;80(2):271-2. [Medline].
Hirunwiwatkul P, Wachirasereechai K. Effectiveness of combined antibiotic ophthalmic solution in the treatment of hordeolum after incision and curettage: a randomized, placebo-controlled trial: a pilot study. J Med Assoc Thai. May 2005;88(5):647-50. [Medline].
Jackson TL, Beun L. A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff. Br J Ophthalmol. Jul 2000;84(7):782-5. [Medline].
Lederman C, Miller M. Hordeola and chalazia. Pediatr Rev. Aug 1999;20(8):283-4. [Medline].
Olson MD. The common stye [published erratum appears in J Sch Health 1991 Mar;61(3):138]. J Sch Health. Feb 1991;61(2):95-7. [Medline].
Pavan-Langston D. Diagnosis and therapy of common eye infections: bacterial, viral, fungal. Compr Ther. May 1983;9(5):33-42. [Medline].
Raskin EM, Speaker MG, Laibson PR. Blepharitis. Infect Dis Clin North Am. Dec 1992;6(4):777-87. [Medline].
Further Reading
Keywords
chalazion, chalazia, infection of the eyelid margin, inflammation of the eyelid margin, external hordeolum, internal hordeolum, Staphylococcus aureus, Zeiss sebaceous glands, Moll sebaceous glands, meibomian glands, blepharitis, diabetes, seborrhea
Differential Diagnoses & Workup: Hordeolum and Stye