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
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)
Notes on Medicine/Surgery 