Hordeolum (stye) toggle arrow icon. Definition: common acute ... Waltham, MA: UpToDate. http://www.uptodate.com/contents/blepharitis.ExpandallsectionsRegister/LoginWrittenandpeer-reviewedbyphysicians—butuseatyourownrisk.Readourdisclaimer.ambossTrustedmedicalanswers—inseconds.Getaccessto1,000+medicalarticleswithinstantsearchandclinicaltools.Tryfreefor5daysInflammationoftheeyelidsLastupdated:February23,2021SummaryTheeyelidscontainvariousglands(meibomian,Zeis,andMollglands),thesecretionsofwhichserveascomponentsofthetearfilmandaidinthelubricationoftheeyelids.Bacterialinfectionsoraccumulation/dysregulationofsecretionscanresultinthreecommoninflammatoryconditionsoftheeyelid:hordeolum(stye),blepharitis,andchalazion.Ahordeolumisanacuteeyelidinflammation(usuallyinfectious)associatedwithpainful,erythematous,andpus-fillednodules.Blepharitisisachronic(usuallyinfectious)inflammatoryconditionassociatedwithcrusty,scalyplaques,and/oroilydepositsonthemarginsoftheeyelids.Achalazionisafocalsterilegranulomatousswellingoftheeyelid'ssebaceousglandandmayresultfromeitherahordeolumorblepharitis.Diagnosisisusuallyclinical.Treatmentdependsontheparticularconditionandincludeseyelidhygiene,topicalantibioticsifaninfectiousetiologyissuspected,orsurgery.Hordeolum(stye)Definition:commonacuteinflammationofthetearglandoreyelashfollicles(Zeisormeibomianglands)EtiologyMainlyStaphylococcusaureus,rarelyStreptococcusIncreasedoccurrenceinindividualswithacnevulgarisanddiabetesmellitusClassificationExternalhordeolum::inflammationofMoll'sortheZeisglandatthelidmarginInternalhordeolum:inflammationofthemeibomiangland;usuallyvisibleatthepalpebralconjunctiva(lesscommon)ClinicalfeaturesPainful,erythematous,tenderpus-fillednoduleSpontaneousperforationandpurulentdischargeafterafewdaysDiagnostics:usuallyaclinicaldiagnosisTreatment:Moststyesareself-limitingandresolvespontaneouslyafter1–2weeks.WarmcompressandmassageEyelidmarginhygieneTopicalantibiotictreatment,e.g.,gentamicin,amoxicillin,erythromycinInthecaseofnon-respons