Hordeolum and Chalazion
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Basics
Description
- 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
- Chronic granulomatous inflammation in the meibomian gland:
Etiology
Hordeolum:- May become secondarily infected:
- Staphylococcus most common
- Predisposing conditions:
- Meibomian gland dysfunction
- Blepharitis
- Rosacea
- Previous hordeolum
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Basics
Description
- 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
- Chronic granulomatous inflammation in the meibomian gland:
Etiology
Hordeolum:- May become secondarily infected:
- Staphylococcus most common
- Predisposing conditions:
- Meibomian gland dysfunction
- Blepharitis
- Rosacea
- Previous hordeolum
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