HORDEOLUM OR STYE - Common staphylococcal abscess of eyelid - Painful, localized, small swelling along margin of eyelid - Management: Mostly responds to warm compresses If resolution does not begin in 48 hours incision and drainage performed May need antibiotic ointment such as bacitracin or erythromycin
CHALAZION - Initially painful swelling that progresses to a nodular rubbery lesion. - Chronic granulomatous condition—develops when a meibomian gland becomes obstructed. - Persistent or recurrent chalazion may be due to meibomian gland carcinoma (sebaceous carcinoma). Additionally, basal cell carcinoma (most common tumor of lid margin) frequently presents as a solitary nodule on the lid margin, and may initially be clinically difficult to distinguish from a chalazions. - Management: histopathologic examination to rule out malignancy Direct steroid injection and incision and curettage are used in symptomatic patients who did not respond to other modes of treatment after histopathologic analysis has ruled out malignancy
DACRYOCYSTITIS
- Infection of lacrimal sac - Usually in infants and adults >40 - Acute: sudden onset redness and pain in medial canthal region - Sometimes, purulent discharge is noted from punctum - Few present with fever, prostration and ↑ leukocyte count - Causative organisms: S. aureus and β-hemolytic streptococci - Rx: systemic antibiotics