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HordeolumH00.01
Synonym(s)
Barleycorn; Ciliary abscess
DefinitionThis section has been translated automatically.
Acute, painful, purulent folliculitis and perifolliculitis of the eyelids
- The hordeolum externum is distinguished between the Zeiss and Moll glands
- from
- Hordeolum internum for infestation of the Meibomian glands.
PathogenThis section has been translated automatically.
Usually Staphylococcus aureus
Clinical featuresThis section has been translated automatically.
Unilateral or bilateral, acute, painful inflammation in the area of the upper or lower lid edge with redness, swelling and purulent melting. Emptying of the pus to the outside.
HistologyThis section has been translated automatically.
Follicular-associated abscessed inflammation.
Differential diagnosisThis section has been translated automatically.
Chalazion; folliculitis caused by Demodex folliculorum.
TherapyThis section has been translated automatically.
"Wait for maturation" of the abscess. Antibiotics externally and internally to protect the other eyelid and adjacent healthy skin. If necessary, puncture incision by the ophthalmologist.
Antibiotics: Zb neomycin or gentamicin eye ointment. They prevent the spread of inflammation to other eyelid margins. Antibiotics in tablet form are necessary only when the inflammation spreads towards the orbit or lacrimal gland.
Progression/forecastThis section has been translated automatically.
Spontaneous healing within a few days, rarely chronic course with recurrences.