Posted on April 15, 2019


Chalazion and hordeolum are similar in appearance and often confused. Cleveland Clinic Journal of Medicine. May;83(5) Author(s):: Colm . A hordeolum is a common disorder of the eyelid. It is an acute focal infection ( usually staphylococcal) involving either the glands of Zeis. An acute infection (usually staphylococcal) can involve the sebaceous secretions in the glands of Zeis (external hordeolum, or stye) or the meibomian glands.

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Hordeolum also can be acute appearing suddenly and healing in a short time or chronic long lasting and occurring over time. We also manually jouranl the reference lists of potentially relevant studies to identify older studies that may not be included in electronic databases.

Interventions for acute internal hordeolum

Munomycin in hordeolum externum. Characteristics of excluded studies [ordered by study ID]. In we modified the search strategy to include broader terms related to hordeolum. Assessing risk of bias in included studies. Most cases of hordeolum are caused by a staphylococcal species; therefore antibiotics should be effective against the bacteria. The role of the meibomian glands in recurrent conjunctivitis.

If, in the future, relevant studies become available, we will undertake the following methods for updating this review. Data collection and analysis Two review authors independently assessed the references identified by electronic searches for inclusion in this review. The primary outcome for this review was the proportion of participants with complete resolution of hordeolum seven days after diagnosis.


The publisher’s final edited version of this article is available at Cochrane Database Syst Rev. Typically, the intent of these interventions is to reduce healing time while relieving the symptoms associated with the lesion. RCT of participants with hordeolum randomly assigned to receive Chinese herbal medicine or no Chinese herbal medicine supplementary to topical ofloxacin and fluorometholone.

Clinical evaluation of clindamycinpalmitate for ophthalmic infections of children.

Barza M, Baum J. We uordeolum not find any evidence for or against the effectiveness of nonsurgical interventions for the treatment of hordeolum. All of these 19 references, which reported 18 unique studies, were excluded.

British Journal of Ophthalmology. A total of references were identified by the electronic searches as of 21 June Studies of participants with external hordeolum styechronic hordeolum, or chalazion were excluded.

Japanese Journal of Antibiotics. Nonsurgical treatments for hordeolum include the application of warm or hot compresses, the use of lid scrubs and digital massage, the administration of antibiotics or steroids, or alternative medicine such as acupuncture and autohemotherapy. Not a controlled trial: Participants were hordeoluk by type of chalazia and were assigned to injections of corticosteroids with or without antibiotics, or to control Chen Not intervention of interest: Treatment with kenalog injections was compared with incision and curettage.

RCT of participants with internal and external hordeolum randomly assigned to bloodletting of the ear or no treatment Comstock Not population of interest: Blepharitis Fuchs ; Skorinacne rosacea De Jesustrichiasis, and cicatricial ectropion Moriarty are conditions frequently associated with internal hordeolum.

Interventions for acute internal hordeolum

Most of the references identified from the search for this review were related to external hordeola styes or chalazion. Effect of I-Scrub on signs and symptoms of chronic blepharitis.


Subgroups of interest include sex, age, use of contact lenses, including soft lenses versus hard lenses, and the frequency of hordeolum occurrences, coinfections, and other comorbidities at baseline. KL Data collection for the review: Hordeolum and chalazion treatment: If unresolved, acute internal hordeolum can become chronic or can develop into a chalazion. See other articles in PMC that cite the published article. The incidence of recurrence of hordeolum after six months and after one year.

Despite the common recommendation to employ heated compresses, their efficacy in treating hordeolum has not been systematically reviewed. Participants randomly assigned to warm compresses and lid scrubs, intralesional steroid injections, or both treatments Hatano Not population of interest: One review author will enter the data into Review Manager RevMan and a second review author will verify the data entry.

Common interventions for the treatment of acute internal hordeolum include warm compresses applied at home, topical medications and lid scrubs available over-the-counter, antibiotics or steroids, lid massages, and others.

Four of these participants underwent surgery at the time of first consult, and six received the antibiotic amikacin. Data extraction and management As no studies were identified for inclusion in this review, no data extraction or assessment of risk of bias was performed.