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Hordeolum and Chalazion

Hordeolum and Chalazion is a topic covered in the 5-Minute Emergency Consult.

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  • 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


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

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Rosen, Peter, et al., editors. "Hordeolum and Chalazion." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion.
Hordeolum and Chalazion. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion. Accessed April 20, 2019.
Hordeolum and Chalazion. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion
Hordeolum and Chalazion [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 April 20]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Hordeolum and Chalazion ID - 307628 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -