Stye: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 27: Line 27:
==Diagnosis==
==Diagnosis==
===History and Symptoms===
===History and Symptoms===
The first signs are tenderness, pain, and redness in the affected area. Later symptoms that arise include swelling, watering of the eye, sensitivity to light, and discomfort during blinking. A yellowish bump develops in the affected area.
The first signs are tenderness, pain, and redness in the affected area. Later symptoms that arise include swelling, watering of the eye, sensitivity to light, and discomfort during blinking.  
===Physical examination===
===Physical examination===
A yellowish bump may be seen in the affected area.
====Gallery====
====Gallery====
======Head======
======Head======

Revision as of 13:25, 10 September 2015

Template:DiseaseDisorder infobox

WikiDoc Resources for Stye

Articles

Most recent articles on Stye

Most cited articles on Stye

Review articles on Stye

Articles on Stye in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Stye

Images of Stye

Photos of Stye

Podcasts & MP3s on Stye

Videos on Stye

Evidence Based Medicine

Cochrane Collaboration on Stye

Bandolier on Stye

TRIP on Stye

Clinical Trials

Ongoing Trials on Stye at Clinical Trials.gov

Trial results on Stye

Clinical Trials on Stye at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Stye

NICE Guidance on Stye

NHS PRODIGY Guidance

FDA on Stye

CDC on Stye

Books

Books on Stye

News

Stye in the news

Be alerted to news on Stye

News trends on Stye

Commentary

Blogs on Stye

Definitions

Definitions of Stye

Patient Resources / Community

Patient resources on Stye

Discussion groups on Stye

Patient Handouts on Stye

Directions to Hospitals Treating Stye

Risk calculators and risk factors for Stye

Healthcare Provider Resources

Symptoms of Stye

Causes & Risk Factors for Stye

Diagnostic studies for Stye

Treatment of Stye

Continuing Medical Education (CME)

CME Programs on Stye

International

Stye en Espanol

Stye en Francais

Business

Stye in the Marketplace

Patents on Stye

Experimental / Informatics

List of terms related to Stye

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]; Faizan Sheraz, M.D. [3]

Synonyms and keywords: Hordeolum

Overview

A stye (also known as a hordeolum) is a painful infection of the sebaceous glands at the base of the eyelashes on, inside, or under the eyelid.[1]. The infection may be internal or external. In many cases, a hordeolum may resolve without treatment; however, the inflammation may spread to other ocular glands or recur. [2]

Causes

A stye is usually caused by Staphylococcus aureus.[3]. They can be triggered by stress, poor nutrition or lack of sleep.[4]. A stye may be secondary to blepharitis.

Risk Factors

Common risk factors in the development of hordeola are:[5]

Epidemiology & Demographics

Styes are particularly common in infants, though they may occur at any age.[3]

Diagnosis

History and Symptoms

The first signs are tenderness, pain, and redness in the affected area. Later symptoms that arise include swelling, watering of the eye, sensitivity to light, and discomfort during blinking.

Physical examination

A yellowish bump may be seen in the affected area.

Gallery

Head

Treatment

Medical Therapy

Most cases of hordeolum resolve without treatment. Supportive therapy for hordeolum consists of warm compresses. Antimicrobial ophthalmic ointments may be administered[3].

  • 1. External hordeolum, for a single lesion
  • Supportive therapy: application of warm compresses 4-6 times/day.
  • Note: Antibiotic therapy is questionable value for a single lesion and often not indicated.
  • 2. External hordeolum, for multiple/recurrent lesions
  • Preferred regimen (1): antistaphylococcal antibiotic therapy Bacitracin topical qd-tid
  • Preferred regimen (2): Erythromycin topical ointment up to 6 times/day, along with lid hygiene.
  • 3. Internal hordeolum
  • Supportive therapy: warm compressess in conjugation with systemic antistaphylococcal antibiotics
  • Note (1): If the lesion do not respond to this regimen, incision and drainage are indicated.
  • Note (2): Chalazion is effectively treated with lid hygiene and warm compression in most circumstances.

References

  1. Eyelid lumps Retrieved March 19 2007
  2. Lindsley K, Nichols JJ, Dickersin K (2013). "Interventions for acute internal hordeolum". Cochrane Database Syst Rev. 4: CD007742. doi:10.1002/14651858.CD007742.pub3. PMC 4261920. PMID 23633345.
  3. 3.0 3.1 3.2 Deibel JP, Cowling K (2013). "Ocular inflammation and infection". Emerg Med Clin North Am. 31 (2): 387–97. doi:10.1016/j.emc.2013.01.006. PMID 23601478.
  4. "VisionWeb".
  5. "Stye".
  6. 6.0 6.1 "Dermatology Atlas".
  7. "Managing Eye Infections in Older Adults".