ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTIxMzA4MC10cmVhdG1lbnQ=processing....Drugs&Diseases>OphthalmologyHordeolum Treatment&ManagementUpdated:Feb12,2021Author:MichaelPEhrenhaus,MD;ChiefEditor:EdselBIng,MD,MPH,FRCSC,PhD,MA more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsHordeolumSectionsHordeolumOverviewBackgroundPathophysiologyEpidemiologyShowAllPresentationHistoryPhysicalCausesShowAllDDxWorkupLaboratoryStudiesHistologicFindingsShowAllTreatmentMedicalCareSurgicalCareShowAllMedicationMedicationSummaryAntibioticsShowAllFollow-upFurtherOutpatientCareDeterrence/PreventionComplicationsPrognosisPatientEducationShowAllQuestions&AnswersReferencesTreatmentMedicalCareHordeolaareusuallyself-limited,spontaneouslyimprovingin1-2weeks.Medicaltherapyforhordeolaincludeseyelidhygiene(lidscrubs),warmcompressesofthelesionsfor10minutes4timesperday,andtopicalantibioticointmentintheinferiorfornixifthelesionisdrainingorifthereisanaccompanyingblepharoconjunctivitis.[9,10]Nonsurgicalremediesforhordeolum,althoughunproven,[11]donotseemtobeharmful.Ifanexternalhordeolumiscenteredaroundalashfollicle,thelashcanbepulledtoenhancedrainage.Systemicantibioticsmaybeindicatedifthehordeolaiscomplicatedbypreseptalcellulitis.Oraldoxycyclinemayalsobeaddedifthereisahistoryofmultipleorrecurrentlesionsorifthereissignificantandchronicmeibomitis.Internalhordeolamayoccasionallyevolveintochalazia,whichmayrequiretopicalsteroids,intralesionalsteroids,orsurgical