Medical history (history of the patient) represents an important component in the diagnosis of hordeolum (sty). Family history What is the general health of your relatives? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What complaints have you experienced? How long have these changes existed? Have you noticed any reddened swelling on … Barleycorn, Hordeolum: Medical History
Eyes and eye appendages (H00-H59). Chalazion (hailstone). Dacryoadenitis (lacrimal gland inflammation).
The following are the most important diseases or complications that can be caused by a hordeolum (stye): Eyes and eye appendages (H00-H59). Chalcion (hailstone) Eyelid abscess – formation of an encapsulated collection of pus. Eyelid phlegmon – diffuse inflammation of the connective tissue. Recurrence (recurrence) of hordeolum
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin and mucous membranes Eyes [painful lump at the lid margin with redness and swelling, purulent secretion, pseudoptosis (apparent drooping of the eyelid), conjunctivitis (inflammation of the conjunctiva), chemosis … Barleycorn, Hordeolum: Examination
Therapeutic target Improvement of the symptomatology Therapy recommendations If necessary, antibiosis (antibiotic therapy; ointments/drops); hordeolum usually heals spontaneously without therapy Note: If the disease is chronic (prolonged) or recurrent (recurrent), this may indicate immunodeficiency (immune deficiency) or diabetes mellitus disease. See also under “Further therapy“. Supplements (dietary supplements; vital substances) Suitable dietary supplements should contain … Barleycorn, Hordeolum: Drug Therapy
Surgical therapy in the form of an incision may be necessary in cases of severe tension pain.
The following symptoms and complaints may indicate a hordeolum (sty): Leading symptoms of hordeolum externum. Painful lump on the lid margin with redness and swelling. Purulent secretion – may be expressed. Pseudoptosis – apparent lowering of the eyelid. Lymphadenopathy (lymph node enlargement) Leading symptoms of hordeolum internum Painful lump usually visible only after ectropiony (= … Barleycorn, Hordeolum: Symptoms, Complaints, Signs
Pathogenesis (development of disease) A hordeolum (sty) is a purulent inflammation of the eyelid glands. In a hordeolum externum, the pus erupts externally and the minor glands (sweat glands) or Zeis glands (sebaceous glands) are affected. In the case of a hordeolum internum, the pus breakthrough occurs inward, and here the meibomian glands (sebaceous glands … Barleycorn, Hordeolum: Causes
General measures Observance of the general hygiene measures! Physical therapy (including physiotherapy) The application of dry heat in the form of red light irradiation (red light therapy) is performed in addition to antibiotic therapy. Heat generation is lower, but the depth of penetration is higher than with “white” light.
