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Chalazion and hordeolum are similar in appearance and often confused. Cleveland Clinic Journal of Medicine. May;83(5) Author(s):: Colm . A hordeolum is a common disorder of the eyelid. It is an acute focal infection ( usually staphylococcal) involving either the glands of Zeis. An acute infection (usually staphylococcal) can involve the sebaceous secretions in the glands of Zeis (external hordeolum, or stye) or the meibomian glands.

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Lederman C, Miller M. Most of the references identified from the search for this review were related to external hordeola styes or chalazion. References to other published versions of this review Lindsley The selection criteria for this review included randomized or quasi-randomized clinical trials of participants diagnosed with acute internal hordeolum. Four of these participants underwent surgery at the time of first consult, and six received the antibiotic amikacin.

RCT of participants with internal and external hordeolum after undergoing surgical incision and curettage. We will analyze adverse events data as counts and rates. Furthermore, improper management of the underlying cause of the infection may lead to recurrent infections or to the development of other disease.

External hordeola, also known as styes, were not included in the scope of this review.

Interventions for acute internal hordeolum

We included only studies of patients with acute internal hordeolum. Two review authors will independently extract data using the data extraction forms created by the Cochrane Eyes and Vision Group.

Types of outcome measures Primary outcomes The primary outcome for this review was the proportion of participants with complete resolution of hordeolum seven days after diagnosis.

We thank Iris Gordon and Hordeloum Rosman for devising and implementing the electronic search strategy for the review.

Hordeola tend to occur in younger people but are not limited to any age, gender, or racial group Fuchs ; Lederman ; Roodyn Of the participants studied, 43 were diagnosed with hordeolum, but internal and external cases were not specified. We designated each reference identified from the searches as a relevant, b possibly relevant, or c not relevant for this review.


In many cases, the lesion drains spontaneously and hordeolumm untreated; however, the inflammation can spread to other ocular glands or tissues, and recurrences are common. Characteristics of excluded studies.

We will set the response time at six weeks and will document any communications with study authors. Discrepancies between review authors will be resolved by joyrnal third review author.

We planned to report all adverse effects related to the treatment of hordeolum that were reported in the primary studies.

Interventions for acute internal hordeolum

Emergency Medicine Clinics of North America. Cases of recurrent hordeolum are usually the result of failure to eliminate bacteria completely rather than resulting from new infections Roodyn Treatment of recurrent styes.

Lid scrubs are commonly recommended in the treatment of other ocular bacterial infections, such as blepharitis, and may prevent the spread of infection Avisar Medical Clinics of North America. We will report continuous data as a weighted mean difference with its standard deviation. In addition to resolving the presenting hordeolum, hofdeolum aims of the interventions are to minimize the risk that the infection may worsen, may spread to other areas, or may become recurrent.

No trials were identified for inclusion in this review. Sethuraman U, Kamat D. Hordeolum is a common inflammation of the eyelid margin. Treatment of hordeolum by wrist-ankle acupuncture. Heated compresses are typically employed for five to 10 minutes several times a day until the hordeolum is resolved.

Journal of Alternative and Complementary Medicine. External hordeola are known more commonly as styes. If the condition is severe and is resistant to topical antibiotics, systemic antibiotics or surgical incision and drainage may be implemented Moriarty ; Mueller ; Panicharoen ; Rubin ; Skorin We included trials that compared the use of hot or warm compresses, lid horxeolum, antibiotics, or steroids with observation, placebo, or another active intervention for the treatment of acute internal hordeolum.

Despite the common recommendation to employ heated compresses, their efficacy in treating hordeolum has not been hlrdeolum reviewed. Excluded studies Overall 23 studies were excluded in this review.


Participants alternately assigned to injection with triamcinolone acetonide or incision and curettage Willcox Not population of interest: The application of a warm or hot compress may facilitate drainage by softening the granuloma Diegel ; Fuchs ; Moriarty ; Skorin Participants were assigned by order of enrollment to treatment with to bramycin ophthalmic solution or gentamicin ophthalmic solution. RCT of participants with hordeolum randomly assigned to receive Chinese herbal medicine or no Chinese herbal medicine supplementary to topical ofloxacin and fluorometholone.

Initial treatments for hordeolum have therefore been aimed at promoting the evacuation of pus from the abscess. Placebo-controlled, double-blind evaluation of the efficacy and safety of yellow mercuric oxide in suppression of eyelid infections.

Thus, interventions of interest would be provided during the first week after onset. How the intervention might work The natural history of acute internal hordeolum generally spans one to two weeks, beginning with the appearance of an abscess and concluding with draining of the abscess.

Participants randomly assigned to treatment with antibiotic ophthalmic solution or placebo after surgery. It is also unclear whether medical treatment or lid hygiene is effective in treating acute internal hordeolum. Hordeolum also can be acute horxeolum suddenly and healing in a short time or chronic long lasting and occurring over time. As safety was the primary focus of journwl trial, the study population comprised participants with varying ocular inflammatory conditions and data were not collected by study investigators for specific conditions.

All participants received penicillin and streptomycin plus a polyvalent antigen Munomycin Hordeplum Not a controlled trial: Shanghai Journal of Acupuncture and Moxibustion.

We will test for statistical heterogeneity using the I 2 statistic and will examine clinical heterogeneity using forest plots.