Hordeolum and chalazion in Adult
See also in: Cellulitis DDx,External and Internal EyeAlerts and Notices
Synopsis

- A hordeolum, also known as a stye, is a local, acutely inflamed lesion of the eyelid. It occurs near the lid margin or farther up the lid on either the tarsal or skin side of the eyelid.
- A chalazion is the chronic form of a hordeolum, and its cellular makeup is composed of chronic inflammatory cells. Both the meibomian and sebaceous oil glands of the lid can be involved in this process, which begins with a blockage of the normal openings of these glands, leading to the swelling. Chalazia are often recurrent.
Hordeola may occur in any population. Chalazia are more common in adults and men.
Patients with rosacea, seborrheic dermatitis, psoriasis, and blepharitis, or any long-term inflammation of the eyelid, are especially at risk for hordeolum or chalazion.
Codes
ICD10CM:H00.019 – Hordeolum externum unspecified eye, unspecified eyelid
H00.19 – Chalazion unspecified eye, unspecified eyelid
SNOMEDCT:
1482004 – Chalazion
397513003 – Hordeolum
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Diagnostic Pearls
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Differential Diagnosis & Pitfalls
- Epidermoid cyst (sebaceous cyst)
- Blepharitis / meibomitis
- Early orbital cellulitis or preseptal cellulitis
- Herpes simplex virus (HSV) blepharitis
- Acute dacryocystitis
- Apocrine hidrocystoma
- Eccrine hidrocystoma
- Basal cell carcinoma
- Sebaceous gland carcinoma
- Squamous cell carcinoma
- Meibomian cell carcinoma
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Therapy
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.Subscription Required
References
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Last Reviewed:08/21/2019
Last Updated:08/27/2019
Last Updated:08/27/2019
Hordeolum and chalazion in Adult
See also in: Cellulitis DDx,External and Internal Eye