Hordeolum external

Figure 23-7 Greasy lashes and scurf in seborrheic blepharitis. Note the external hordeolum (stye) on the lower lid margin black arrow). (From Kanski JJ. EyeUds. In Clinical ophthalmology a systematic approach. Philadelphia Butterworth-Heinemann, 2003 10.)...

External hordeolum, also called a stye, is often self-treated by the patient. However, the optometrist or other primary care clinician may be consulted because of its painful and cosmetically displeasing course. 

An external hordeolum is an acute focal inflammation with abscess formation, most often caused by a S. aureus infection of the glands of Zeis and Moll. It may occasionally be associated with staphylococcus blepharitis and can be recurrent. 

The application of hot compresses several times daily serves to hasten pointing and drainage. Generally, this is all that is necessary for resolution.Topical application of antibiotic solutions or ointments may prevent infection of surroimding lash follicles but does not affect the course of the external hordeolum itself. One of the best methods to hasten drainage is to epilate the involved lash, which creates an effective drainage channel. 

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