Hordeolum (Stye)

Document Type

Article

Publication Title

Hordeolum (Stye)

Abstract

A stye, or hordeolum, is an acute, painful ocular infection involving the sebaceous glands of the upper or lower eyelid. This lesion presents as a localized, pustular swelling with erythema and tenderness along the eyelid margin. While generally self-limiting and benign, hordeola can result in considerable discomfort and functional impairment.

Styes are commonly caused by bacterial infection, most often Staphylococcus aureus, which invades the sebaceous glands of the eyelid. Risk factors include poor eyelid hygiene, chronic blepharitis, immunosuppression, and conditions like diabetes. The lesion evolves from the obstruction and subsequent infection of the eyelid's sebaceous glands, leading to localized purulent inflammation and pustule formation.

Diagnosis is primarily clinical, based on the characteristic appearance of the eyelid. Treatment typically involves warm compresses, proper eyelid hygiene, and, in persistent cases, antibiotic ointments or oral antibiotics. Rarely, surgical drainage may be necessary. The prognosis is generally favorable, with most cases resolving within a week to 10 days without complications.

Publication Date

Winter 12-11-2024

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