Hordeolum H00.01

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 14.03.2022

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Synonym(s)

Barleycorn; Ciliary abscess

Definition
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Acute, painful, purulent folliculitis and perifolliculitis of the eyelids

  • The hordeolum externum is distinguished between the Zeiss and Moll glands
  • from
  • Hordeolum internum for infestation of the Meibomian glands.

Pathogen
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Usually Staphylococcus aureus

Clinical features
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Unilateral or bilateral, acute, painful inflammation in the area of the upper or lower lid edge with redness, swelling and purulent melting. Emptying of the pus to the outside.

Histology
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Follicular-associated abscessed inflammation.

Differential diagnosis
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Chalazion; folliculitis caused by Demodex folliculorum.

Therapy
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"Wait for maturation" of the abscess. Antibiotics externally and internally to protect the other eyelid and adjacent healthy skin. If necessary, puncture incision by the ophthalmologist.

Antibiotics: Zb neomycin or gentamicin eye ointment. They prevent the spread of inflammation to other eyelid margins. Antibiotics in tablet form are necessary only when the inflammation spreads towards the orbit or lacrimal gland.

Progression/forecast
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Spontaneous healing within a few days, rarely chronic course with recurrences.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 14.03.2022