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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

Although the terms chalazion, stye, and hordeolum are used interchangeably, they really are different, yet related conditions. A hordeolum, also known as a stye, is a local, acutely inflamed lesion of the eyelid. It occurs at 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, 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 age group, race, or sex. Chalazia are more common in adults and men.

Patients with rosacea, seborrheic dermatitis, psoriasis, and blepharitis 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

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

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: 06/21/2018
Last Updated: 01/03/2019
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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 (Chalazion) : Eyelid edema, Eyelids, Periorbital edema, Smooth nodule
Clinical image of Hordeolum and chalazion
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