Hordeolum (stye) and Chalazion (meibomian cyst)

Hordeolum/Stye

  • A small abscess collection in the Meibomian glands (internal) or eyelash follicle/associated gland (external); usually caused by staphylococcus
  • Causing pain, redness, swelling within the eye lid
  • Often managed with reassurance +/- hot compression; topical antibiotics are not recommended and incision and drainage are rarely required (most resolve within a couple of days)
    • Eyelash epilation can be done for troublesome external styes

stye internalstye internal

Chalazion/Meibomian cyst

  • Chronic lipogranulomatous inflammation of the meibomian gland usually caused by blockage
  • Painless, nodular lesion; nontender, firm, within the eyelid (NB can appear identical to stye)
    • Can rarely become large enough to press on the globe (may impair vision)
  • Management is with hot compression (antibiotics not advised)
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