External Hordeolum

External Hordeolum is an acute localized inflammation of the lash follicles. It is most commonly caused by Staphylococcus species infection.

Clinical Features

• Symptoms: localized lid tenderness
• Signs:
  • Acute onset of lid swelling
  • Visible nodule within the lid with eryhtema of the overlying tissue
  • Pus may sometimes be visible at the glands orifice

Management

• Warm compress and gentle lid massage
• Antibiotics ointment such as erythromycin
• Surgical incision or drainage procedure for chronic cases