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Hordeolum and chalazion in Adult
See also in: Cellulitis DDx,External and Internal Eye
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Hordeolum and chalazion in Adult

See also in: Cellulitis DDx,External and Internal Eye
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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

Hordeolum and chalazion (Chalazion) : Eyelid edema, Eyelids, Periorbital edema, Smooth nodule
Chalazion
Although the terms chalazion, stye, and hordeolum are used interchangeably, they refer to two different, yet related, conditions.
  • 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.
There may be bacterial contamination and infection, especially in hordeola. These infections are generally caused by Staphylococcus species and may be associated with blepharitis. Pain, tenderness, swelling, and discharge from the lesion may all be noted by the patient.

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

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Best Tests

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Management Pearls

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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.

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References

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Last Reviewed:08/21/2019
Last Updated:08/27/2019
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Hordeolum and chalazion in Adult
See also in: Cellulitis DDx,External and Internal Eye
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A medical illustration showing key findings of Hordeolum and chalazion (Chalazion) : Eyelid edema, Eyelids, Periorbital edema, Smooth nodule
Clinical image of Hordeolum and chalazion - imageId=4768064. Click to open in gallery. caption: 'A brightly erythematous and somewhat yellowish nodule on the upper eyelid.'
A brightly erythematous and somewhat yellowish nodule on the upper eyelid.

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