Hordeolum and Chalazion

Basics

Result from inflammatory processes involving the glands of the eyelid along the lash line:
- Hordeolum – acute glandular obstruction resulting in inflammation and abscess formation
- Chalazion – end result of inspissation of glandular contents and chronic granulomatous inflammation
Hordeolum:
- Develops owing to outflow obstruction in 1 or more of the glands of the eyelid
- Obstructed glands may become secondarily infected
- May progress to localized abscess formation or may be complicated by periorbital cellulitis
Chalazion:
- Chronic granulomatous inflammation in the meibomian gland:
  - Originates from inspissated secretions
  - Blockage of the gland's duct at the eyelid margin may result in release of the contents of the gland into the surrounding eyelid soft tissue
  - A lipogranulomatous reaction ensues
  - Occasionally, chalazia become secondarily infected
  - May evolve from incompletely drained internal hordeolum

Hordeolum:

May become secondarily infected:
- Staphylococcus most common
Predisposing conditions:
- Meibomian gland dysfunction
- Blepharitis
- Rosacea
- Previous hordeolum

There's more to see -- the rest of this topic is available only to subscribers.

All content is protected by copyright and may not be used for AI model training or other unauthorized purposes.