5-Minute Emergency Consult
Hordeolum and Chalazion
Hordeolum and Chalazion is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
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:Etiology
- May become secondarily infected:
- Staphylococcus most common
- Predisposing conditions:
- Meibomian gland dysfunction
- Blepharitis
- Rosacea
- Previous hordeolum
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Basics
Description
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:Etiology
- May become secondarily infected:
- Staphylococcus most common
- Predisposing conditions:
- Meibomian gland dysfunction
- Blepharitis
- Rosacea
- Previous hordeolum
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Citation
Schaider, Jeffrey J., 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: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion. Accessed March 20, 2023.
Hordeolum and Chalazion. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307628/all/Hordeolum_and_Chalazion
Hordeolum and Chalazion [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 March 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
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