Doctor insights on:
Treatments For Internal Hordeolum
How does one tell on physical exam the difference between an internal hordeolum and a marginal chalazion? I'm a 4th yr med student @ Wayne State. TY
4th Year: Is that WSU, Michigan? Spent many years there. Two things: 1; Please carefully read what you can regarding your concern. 2: Once read, please discuss this with doctor with whom are following. He/she will help to the extent possible or refer you to a specialist. Hope you learn a lot! PS: Enjoy graduation!
Most hordeolums: Or styes drain themselves if you apply enough warm compresses to the eyelid several times a day. Using some antibiotic eyedrops also seem to help, though I think they are over-prescribed by physicians in an attempt to make sure the eye does not get infected. Thanks for trusting in healthTap.
Can a chalazion occur without a stye and/or internal hordeolum? I have had no inflammation; however, suddenly feel a 2mm size nodule in the upper lid
Yes: Some Chalazia simply appear without a symptomatic precursor although a stye must have occurred without causing symptoms.
Not dangerous: Internal hordeolum is a clogged oil gland of the eyelid margin. It is not an infection. It will usually drain or go away on its own. Worst case it may become a cellulitis (very uncommon, but needs treated) or skin infection, or a nodule in the eyelid that will have to be removed surgically.See 1 more doctor answer
Warm compresses: A hordeoulum is due to the orifice of an oil gland (mebomian gland) in the eyelid margin becoming inflamed, and clogged forming a nodule, internal protrudes towards the eye. Warm compresses (wash cloth with hot water and hold it on the stye for 5-10 minutes, reheating as needed), or surgical incision and drainage, or steroid have been the only effective treatments demonstrated get rid of a stye.See 1 more doctor answer
Sometimes: A stye is the common term for a pimple like inflammation of the lid and lid margin. If located on the edge it is termed an external hordeolum and if in the substance of the lid, it is termed internal hordeolum. Your ophthalmologist can recommend the best treatment for this.See 2 more doctor answers
Different stages: Hordeolum is another name for a stye. These ;are active, red and inflamed. Chalazia are the end results of the bodies attempt to clean up a stye in which case it simply walls it off leaving a cystic, pea like nodule in the lid. These are usually not tender, not inflamed and not red. They can be removed surgically if desired.
No: An internal hordeoulm is the acute clogging of an oil gland in the eyelid margin (mebomian gland), it is not an infection. It is usually red, sore, and swollen. A chalazion is the chronic form of a hordeoulm, but the tissue becomes granulated, and is not red, painful, and inflamed, but there is still a nodule or bump.See 1 more doctor answer
Active vs inactive: An internal hordeolum is an active infection of an oil producing gland in the lid and is characterized by a painful bump on the eyelid. A chalazion can occur after the resolution of this infection and is a result of the body walling off the infected gland to prevent spreading of the infection. Chalazia are not painful.
Similar: Both of these are styes. Hordeolum is the $64 dollar word for a stye. If it is in the substance of the lid, it is internal. If it is on the edge of the lid, it is external. They are both the same process in a different location.
No.: Most of the time it will resolve with lid scrubbing followed by hot soaks.
Try heat: Use very warm soaks over the eye 4-5 times per day for 5 minutes each over the next several days./ This will usually make a stye disappear. If not see your ophthalmologist for further treatment.
Stye: An internal hordeolum is caused by a blocked oil gland in the eyelid which becomes infected. The common name is a stye. These are treated with warm compresses and topical antibiotic, such as bacitracin. They typically clear in 2-3 weeks. If they do not clear, sometimes styes need to be drained.See 2 more doctor answers
Clogged oil gland: A stye is a clogged oil gland found in the eyelid margin, it produces oil for the surface of the eye. When the orifice of this gland becomes blocked, the oil will back up and form what is called a stye. Typically a stye is from inflammation causing the opening (orifice) to occlude causing the stye. A stye is typically not an infected oil gland, but can occur due bacteria causing inflammation.See 1 more doctor answer
I have a internal hordeolum. Some of the pus came out and went in my eye. My lower lid hurts and I collect pus from the corner of my eye. What to do?
Can I use potassium iodide to get rid of an internal hordeolum? If so, do I apply it right to the eyelid?
Hot compresses: Start with hot compresses 10 mins at least twice a day. If it does not improve after a week, go see your eye md for further evaluation and treatment.