Żylak
Diagnostyka i diagnoza

Żylak (hordeolum) to ostry, bolesny, czerwony guzek na brzegu powieki, będący wynikiem bakteryjnego zakażenia gruczołów łojowych lub mieszków rzęsowych, najczęściej wywołany przez Staphylococcus aureus (90-95%) lub Staphylococcus epidermidis. Diagnostyka opiera się głównie na badaniu klinicznym, w tym ocenie lokalizacji zmiany (zewnętrzna lub wewnętrzna powieka), bolesności przy dotyku, obecności żółtawej ropnej wydzieliny oraz stopnia zaczerwienienia i obrzęku. Różnicowanie z gradówką (chalazion), zapaleniem gruczołu łzowego, zapaleniem woreczka łzowego oraz rakiem podstawnokomórkowym jest kluczowe, przy czym bolesność i szybki rozwój (kilka dni) sugerują żylaka. W razie potrzeby stosuje się lampę szczelinową, badania bakteriologiczne, biopsję lub badania obrazowe (TK, MRI) w przypadkach atypowych, nawracających lub podejrzenia powikłań.

Diagnostyka żylaka (stye)

Żylak (ang. stye, hordeolum) to ostre, bolesne, czerwone zgrubienie na brzegu powieki, które powstaje w wyniku zakażenia bakteryjnego gruczołów łojowych lub mieszków rzęsowych. W diagnostyce tego schorzenia okuliści i lekarze pierwszego kontaktu stosują kilka metod umożliwiających prawidłowe rozpoznanie choroby oraz zaplanowanie skutecznego leczenia.123

Badanie kliniczne jako podstawa diagnozy

Diagnostyka żylaka najczęściej opiera się na dokładnym badaniu klinicznym. Lekarz zwykle stawia diagnozę po wizualnej ocenie powieki pacjenta. W trakcie badania lekarz może wykorzystać specjalne źródło światła oraz szkło powiększające (lupę) do dokładniejszego obejrzenia zmienionej chorobowo powieki.12 Badanie kliniczne pozwala na zaobserwowanie charakterystycznego, czerwonego, bolesnego guzka przypominającego czyraka, który zazwyczaj jest zlokalizowany na brzegu powieki przy nasadzie rzęsy.1

Podczas diagnostyki lekarz zwraca szczególną uwagę na kilka kluczowych czynników:23

  • Lokalizację zmiany (zewnętrzna lub wewnętrzna część powieki)
  • Obecność bolesności przy dotyku – żylaki (hordeola) są zwykle bolesne w badaniu palpacyjnym, w przeciwieństwie do gradówek (chalazion)
  • Obecność żółtawej wydzieliny przypominającej ropę
  • Stopień zaczerwienienia i obrzęku powieki

45

Rozpoznanie różnicowe w diagnostyce żylaka

Podczas stawiania diagnozy lekarz musi różnicować żylaka z innymi podobnymi schorzeniami powiek, takimi jak:12

  • Gradówka (chalazion) – przewlekły, nieinfekcyjny stan zapalny spowodowany reakcją ziarninową na sebum uwolnione z gruczołów Meiboma; w przeciwieństwie do żylaka jest zwykle niebolesny
  • Zapalenie gruczołu łzowego (dacryoadenitis) – lokalizacja w górnej bocznej części powieki
  • Zapalenie woreczka łzowego (dacryocystitis) – infekcja występująca przyśrodkowo do kąta oka
  • Rak podstawnokomórkowy – szczególnie w przypadku przewlekłych, nawracających zmian

34

Kluczowym elementem różnicującym żylaka od gradówki jest bolesność – żylak jest zwykle bolesny przy dotyku, podczas gdy gradówka zwykle nie powoduje bólu. Ponadto żylak ma tendencję do ropienia i zwykle rozwija się szybciej (w ciągu kilku dni), w przeciwieństwie do gradówki, która rozwija się wolniej i może utrzymywać się przez wiele tygodni lub miesięcy.12

Specjalistyczne metody diagnostyczne

Badanie z użyciem lampy szczelinowej

W niektórych przypadkach lekarz może zdecydować się na badanie za pomocą lampy szczelinowej (biomikroskopu), która umożliwia dokładniejsze obejrzenie powieki i ocenę stopnia zaawansowania infekcji. Jest to mikroskop o dużym powiększeniu wyposażony w silne źródło światła, który pozwala na szczegółową ocenę struktur oka.12

Badanie bakteriologiczne

W przewlekłych lub nawracających przypadkach lekarz może zlecić pobranie wymazu do badania bakteriologicznego i posiewu. Diagnostyka mikrobiologiczna pomaga zidentyfikować konkretny patogen odpowiedzialny za infekcję. W 90-95% przypadków przyczyną żylaka jest bakteria Staphylococcus aureus, a w drugiej kolejności Staphylococcus epidermidis.12

Warto jednak zaznaczyć, że w rutynowej diagnostyce żylaka rzadko wykonuje się wymazy i posiewy, gdyż leczenie empiryczne jest zwykle wystarczające.12

Badania dodatkowe w diagnostyce

W większości przypadków żylak nie wymaga dodatkowych badań diagnostycznych poza badaniem klinicznym. Jednakże w przypadku:12

  • Nawracających żylaków
  • Atypowego wyglądu zmiany
  • Braku odpowiedzi na standardowe leczenie
  • Podejrzenia poważniejszego schorzenia (np. nowotworu)

Lekarz może zlecić dodatkowe badania, takie jak:12

  • Biopsja – w przypadku zmian nietypowych, nawracających lub podejrzenia zmian złośliwych
  • Badania obrazowe (TK, MRI) – rzadko konieczne, stosowane głównie przy podejrzeniu szerzenia się infekcji na tkanki oczodołu
  • Badanie poziomu glukozy we krwi – w przypadku nawracających żylaków, dla wykluczenia cukrzycy jako czynnika sprzyjającego infekcjom
  • Badanie dna oka (fundoskopia) – w celu wykluczenia innych patologii ocznych

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Diagnostyka ciężkich powikłań

W rzadkich przypadkach żylak może prowadzić do poważnych powikłań, które wymagają dodatkowej diagnostyki. Do najważniejszych należą:12

Zapalenie tkanki łącznej powiek (cellulitis)

W przypadku podejrzenia zapalenia tkanki łącznej, które objawia się znacznym obrzękiem całej powieki, zaczerwienieniem, gorączką i bólem, konieczne może być:12

  • Pilna konsultacja okulistyczna
  • Badania laboratoryjne krwi (morfologia, OB, CRP)
  • Badania obrazowe (TK, MRI) – dla oceny stopnia rozprzestrzeniania się infekcji

Zapalenie spojówek

Jeśli infekcja rozprzestrzeni się na spojówkę, może być konieczna dodatkowa diagnostyka w postaci:1

  • Badania okulistycznego spojówki
  • Wymazu ze spojówki do badania bakteriologicznego

Kiedy należy skonsultować się z lekarzem?

Pacjent powinien zgłosić się do lekarza w przypadku:123

  • Gdy żylak nie ustępuje po 48 godzinach stosowania ciepłych kompresów
  • Jeśli żylak utrzymuje się dłużej niż 1-2 tygodnie
  • Gdy towarzyszy mu silny ból, obrzęk lub zaczerwienienie całej powieki
  • Jeśli wpływa na ostrość widzenia
  • W przypadku towarzyszącej gorączki
  • Gdy żylak nawraca
  • Jeśli oko jest zaciśnięte z powodu obrzęku
  • W przypadku wycieku ropy, krwi lub nietypowej wydzieliny z oka

Specjaliści zajmujący się diagnostyką żylaka

Diagnostyką żylaka mogą zajmować się:123

  • Lekarz rodzinny/pierwszego kontaktu – w większości przypadków może postawić diagnozę i rozpocząć leczenie
  • Okulista (oftalmolog) – specjalista w zakresie chorób oczu, szczególnie istotny w przypadkach nietypowych, nawracających lub opornych na leczenie
  • Optometrysta – w niektórych krajach może uczestniczyć w wstępnej diagnostyce i skierować pacjenta do odpowiedniego specjalisty
  • Chirurg okulistyczny/okuloplastyczny – w przypadkach wymagających interwencji chirurgicznej

Przebieg procesu diagnostycznego

Standardowa ścieżka diagnostyczna żylaka obejmuje następujące kroki:123

  1. Wywiad medyczny – lekarz zbiera informacje dotyczące objawów, czasu ich trwania, historii wcześniejszych epizodów, czynników ryzyka i chorób współistniejących
  2. Badanie fizykalne – obejmuje wzrokową ocenę powieki, określenie lokalizacji i charakteru zmiany, ocenę bolesności podczas badania palpacyjnego
  3. Badanie okulistyczne – w tym badanie z użyciem lampy szczelinowej, ewentualne wywinięcie powieki w celu obejrzenia jej wewnętrznej powierzchni
  4. Badania dodatkowe – w przypadkach atypowych lub nawracających (wymazy, posiewy, biopsja)
  5. Rozpoznanie różnicowe – wykluczenie innych patologii o podobnym obrazie klinicznym
  6. Ustalenie planu leczenia – w zależności od diagnozy i ciężkości objawów

Trudności diagnostyczne

Czasami diagnostyka różnicowa może być utrudniona, zwłaszcza w początkowym stadium rozwoju żylaka lub gradówki, gdzie objawy kliniczne mogą być podobne. W pierwszych 2 dniach rozwoju zmiany może być trudno odróżnić żylaka od gradówki.1 Dodatkowe wyzwania diagnostyczne mogą stanowić nietypowe lokalizacje zmian lub współistniejące inne schorzenia powiek, jak zapalenie brzegów powiek (blepharitis).2

Diagnostyka żylaka u dzieci

Żylaki występują częściej u dzieci niż u dorosłych. Diagnostyka w przypadku pediatrycznym opiera się na tych samych zasadach, co u dorosłych, jednak wymaga szczególnej uwagi i delikatności podczas badania. Lekarz pediatra lub okulista dziecięcy przeprowadzi wywiad z rodzicami/opiekunami i zbada dziecko, oceniając stan powiek.12

W przypadku dzieci należy zwrócić szczególną uwagę na:1

  • Objawy towarzyszące, takie jak gorączka, która może wskazywać na bardziej uogólnione zakażenie
  • Trudności w ocenie objawów subiektywnych u młodszych dzieci
  • Konieczność uspokojenia dziecka podczas badania

Postępowanie po diagnozie

Po postawieniu diagnozy żylaka, lekarz zazwyczaj zaleca następujące postępowanie:12

Leczenie zachowawcze

W większości przypadków żylak nie wymaga specyficznego leczenia i ustępuje samoistnie w ciągu 1-2 tygodni. Stosowanie ciepłych kompresów może przyspieszyć proces gojenia. Kompres należy przykładać do zamkniętej powieki na 10-15 minut, 3-4 razy dziennie.12

Antybiotykoterapia

W przypadku utrzymującego się żylaka lub pogłębiających się objawów lekarz może przepisać:12

  • Miejscowe antybiotyki w postaci maści lub kropli (najczęściej erytromycyna)
  • Doustne antybiotyki w przypadku rozszerzania się infekcji

Zabieg chirurgiczny

Jeśli żylak nie ustępuje pomimo leczenia zachowawczego, lekarz może zdecydować o konieczności wykonania nacięcia i drenażu. Zabieg wykonuje się w znieczuleniu miejscowym i polega na wykonaniu małego nacięcia w celu usunięcia ropy i zmniejszenia ciśnienia.123

Wczesna i prawidłowa diagnoza żylaka pozwala na skuteczne wdrożenie odpowiedniego leczenia i zapobiega potencjalnym powikłaniom. W większości przypadków rokowanie jest dobre, a infekcja ustępuje bez długotrwałych konsekwencji.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Stye (sty) – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/sty/diagnosis-treatment/drc-20378022
    Your doctor will usually diagnose a stye just by looking at your eyelid. Your doctor may use a light and a magnifying device to examine your eyelid. […] What kinds of tests do I need? […] Are there any treatments for my stye?
  • #1 Stye (sty) – Diagnosis & treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/sty/diagnosis-treatment/drc-20378022?_escaped_fragment_=&p=1
    Your doctor will usually diagnose a stye just by looking at your eyelid. Your doctor may use a light and a magnifying device to examine your eyelid. […] Start by seeing your family doctor or a general practitioner if your stye is painful or doesn’t start to get better in two days. In some cases, your doctor may refer you to a specialist who treats eye diseases and conditions (ophthalmologist). […] What kinds of tests do I need?
  • #1 Stye (sty) // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/stye-sty
    A stye (sty) is a bacterial infection involving one or more of the small glands near the base of your eyelashes. It is similar to a boil or a pimple and is often painful. […] Your doctor will usually diagnose a stye just by looking at your eyelid. Your doctor may use a light and a magnifying device to examine your eyelid. […] In most cases, a stye doesn’t require specific treatment, but using warm compresses can hasten the healing. A stye typically goes away on its own. Recurrences are common. […] For a stye that persists, your doctor may recommend treatments, such as: Antibiotics. Your doctor may prescribe antibiotic eyedrops or a topical antibiotic cream to apply to your eyelid. If your eyelid infection persists or spreads beyond your eyelid, your doctor may recommend antibiotics in tablet or pill form. […] Surgery to relieve pressure. If your stye doesn’t clear up, your doctor may make a small cut in it to drain the pus.
  • #1 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/214
    Styes (hordeola) are typically tender to palpation, while chalazia are not. […] Dacryoadenitis (infection or inflammation of the lacrimal gland) and dacryocystitis (infection of the lacrimal sac) can be confused with stye; their respective locations (lateral upper lid and inferior to the medial epicanthus) are key. […] Most styes and chalazia resolve with warm compresses and topical antibiotics. […] Recurrent lesions may require biopsy to exclude carcinomas. Recurrent chalazia may require excision. […] A stye, also known as a hordeolum, is caused by an acute infectious process involving localised abscess formation at the upper or lower eyelid. […] One of 3 glands is typically infected: the meibomian glands or the glands of Zeis and Moll (ciliary glands). […] Staphylococcus aureus (most common) and S epidermidis are typically involved, and the eyelid appears erythematous and swollen in addition to being tender to palpation.
  • #1 Pictures of Styes and Chalazia in Your Eye
    https://www.webmd.com/eye-health/ss/slideshow-guide-stye-chalazion
    Its a small, painful lump that can pop up inside or outside your eyelid. It may look like a pimple at the base of your eyelashes. Styes under the eyelid may be less noticeable at first. But both can make your eyelid red, swollen, and tender to the touch. Your eye might feel scratchy and sore, too. […] The problem is bacteria. It infects an oil gland inside the eyelid or the hair follicle of an eyelash. Those germs can come from anything that touches or rubs your eyes, like your hands or eye makeup. You may tend to get more styes during allergy season when eyes get itchy. Youre also more likely to get them if you have blepharitis, a type of inflammation around the edges of your eyelids. […] It can be hard to tell, but there are differences. In general, a stye is infected and a chalazion is not. Infection can cause a small pus spot at the tip of a stye (shown here) that looks like a pimple. It can make your eye painful, crusty, scratchy, watery, and more sensitive to light. It may even make your whole eyelid swell. A chalazion usually doesnt hurt and may make the eyelid swell early on. But you may not even notice it at first. If theres no longer an infection, or the oil glands get clogged without being infected, its called a chalazion.
  • #1 Sty (Stye) on Eyelid: Causes, Eyedrops, Symptoms, Contagious & Pictures
    https://www.emedicinehealth.com/sty/article_em.htm
    A stye (or sty) is an acute infection of the sebaceous glands of the eyelids. […] How Do Health Care Professionals Diagnose a Stye? […] The eyes and eyelids will be examined, including the inside surface of the eyelid. An ophthalmologist may use a slit lamp (a microscope-like device with a powerful light) to examine the eye. […] There are varieties of treatments for stye. These include self-care measures, pain medication, antibiotics, and surgery. […] Most styes go away on their own in five to seven days with home remedies. […] If one has a stye that has not responded to medical treatment or if one experiences complications resulting from a stye, a surgical procedure may be required. […] The stye usually goes away within one week. Reevaluation is required if the stye lasts for more than three weeks.
  • #1 Hordeolum (Stye) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459349/
    A stye, or hordeolum, is an acute, painful ocular infection involving the sebaceous glands of the upper or lower eyelid. This lesion presents as a localized, pustular swelling with erythema and tenderness along the eyelid margin. While generally self-limiting and benign, hordeola can result in considerable discomfort and functional impairment. […] Diagnosis is primarily clinical, based on the characteristic appearance of the eyelid. Treatment typically involves warm compresses, proper eyelid hygiene, and, in persistent cases, antibiotic ointments or oral antibiotics. Rarely, surgical drainage may be necessary. The prognosis is generally favorable, with most cases resolving within a week to 10 days without complications. […] Hordeola arise from an acute bacterial infection of the sebaceous glands of the eyelid. Around 90% to 95% of the lesions are due to Staphylococcus aureus, with Staphylococcus epidermidis being the 2nd most common cause. An external hordeolum represents a localized abscess formation of the follicle of an eyelash, whereas an internal hordeolum is an acute bacterial infection of the meibomian glands of the eyelid.
  • #1 Overview: Styes and chalazia (inflammation of the eyelid) – InformedHealth.org – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK557372/
    Eyelid inflammations can occur if a gland along the edge of the eyelid becomes inflamed. This leads to swelling. If its caused by bacteria, this can happen very quickly and hurt. It is then known as a stye (hordeolum) a pus-filled swelling on the eyelid, caused by an infection. […] Styes are caused by bacteria that infect a gland in the eyelid. […] It is easy to diagnose styes and chalazia based on what they look like and the symptoms they cause: If the inflamed area doesnt hurt, even when you push against it, its probably a chalazion. […] Because styes are normally caused by staphylococcus bacteria, there’s usually no need to do a swab test to find out whats causing the infection.
  • #1 Hordeolum (Stye) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459349/
    The primary diagnostic tool for styes is a careful clinical examination. History should include questions about the duration, pain, swelling, and any prior episodes. […] Clinical examination suffices for the diagnosis and management of uncomplicated styes. For recurrent and atypical cases, laboratory tests (eg, cultures and glucose testing) and imaging (eg, CT and MRI) may be required. […] A stye is usually a self-limiting condition, with resolution occurring spontaneously within a week. Internal and external hordeola are treated similarly. Warm compresses and erythromycin ophthalmic ointment applied twice a day are usually sufficient to hasten recovery and prevent the spread of infection. […] Most styes resolve within 1 to 2 weeks with proper conservative care. […] The prognosis for a stye is generally excellent with appropriate management. Most cases resolve spontaneously or require only conservative treatment and do not produce significant complications.
  • #1 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/214
    Chalazia are noninfectious inflammatory conditions caused by a foreign body reaction to sebum released by meibomian glands. […] Key diagnostic factors include acute pain of eyelid only, pustule at eyelid margin, pustule at tarsal conjunctiva, palpable nontender nodule, lack of constitutional symptoms, lack of eye pain, and lack of intraocular pathology. […] Other diagnostic factors include chronic swelling of eyelid, age 30-50 years, history of blepharitis and ocular rosacea, astigmatism and blurred vision. […] 1st tests to order include clinical diagnosis. […] Tests to consider include biopsy and CT scan of face and orbits.
  • #1 Stye (Eyelid Infection): Symptoms, Causes, and Treatment
    https://patient.info/eye-care/swollen-eyelid/stye
    Very occasionally the infection can spread. It may spread to the surface of the eye, causing conjunctivitis, which may need antibiotic ointment or drops to clear the infection. […] An extremely rare complication of a stye occurs when the infection spreads to involve the whole eyelid and tissues surrounding and behind the eye. This is called orbital cellulitis.
  • #1 Eye Stye Removal & Treatment · Top Eye Doctor, Ophthalmologist · NYC
    https://www.eyedoctorophthalmologistnyc.com/treatment/eye-stye/
    Eye stye that doesnt go away on its own can lead to a condition called pre-septal cellulitis, which can cause more a more serious infection. Pre-septal cellulitis can only be treated successfully in the hospital with intravenous antibiotics. […] If you are having any abnormal symptoms, you should always be evaluated with a thorough consultation and examination by your local New York optometrist or ophthalmologist in NYC for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition. […] A stye should always be evaluated with a thorough consultation and examination by local optometrist or ophthalmologist for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition. […] An ophthalmologist is a trained eye doctor who typically can tell if you have a stye or some other type of eye condition just by looking at you. A magnifier may be used to confirm the diagnosis.
  • #1 Stye (Sty): What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17658-stye
    Styes are usually harmless. They may cause some minor irritation and discomfort, but they typically go away on their own. Stye self-care measures like warm compresses can help speed up the healing process. […] You should see your healthcare provider if: Your eye is swollen shut. […] If the stye persists and doesn’t seem to be getting any better with at-home treatment, contact an eye care specialist.
  • #1 Chalazion and Hordeolum (Stye) – Eye Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/eye-disorders/eyelid-and-lacrimal-disorders/chalazion-and-hordeolum-stye
    Chalazia and hordeola (styes) are sudden-onset localized swellings of the eyelid. Diagnosis is clinical. Diagnosis of chalazion and both kinds of hordeola is clinical; however, during the first 2 days, they may be clinically indistinguishable. Chronic chalazia that do not respond to treatment require biopsy to exclude tumor of the eyelid.
  • #1 Styes in Children – Stanford Medicine Children’s Health
    https://www.stanfordchildrens.org/en/topic/default?id=styes-in-children-90-P02102
    A stye is a sore red bump on the edge of your child’s eyelid. […] A stye is caused by an infection in the oil-producing (sebaceous) or sweat glands in the eyelid. The infection is often caused by bacteria called Staphylococcus aureus. […] Symptoms can happen a bit differently in each child. The can include: Swelling of the eyelid, Redness at the edge of the eyelid, Pain over the affected area, Soreness, Drainage of yellow fluid. […] The symptoms of a stye may look like symptoms of other conditions. Have your child see his or her healthcare provider for a diagnosis. […] Your child’s healthcare provider will ask you about your child’s health history. He or she will also give your child an exam. […] A stye is an inflammation or infection on the edge of your child’s eyelid. […] Styes happen more often in children than in adults. […] Treatment may include putting warm, wet compresses on your child’s eye. You may need to do this several times a day for 15 minutes at a time. […] Sometimes a serious infection can form with a stye. This is called cellulitis. If this happens, your child will need to take antibiotics by mouth.
  • #1 Stye (Sty)
    https://healthhub.cpcmg.net/docs/es/sty
    It is also called a sty and a hordeolum (medical term). A red lump or pimple on the edge of the eyelid. It is an infection in the hair follicle of the eyelash. It is usually a bacterial infection. It can occur on one eyelid or more. […] What are the symptoms of a stye? It is a red, painful bump. It is often tender to the touch. It may cause swelling of the eyelid. It may look like an eyelid pimple. It may cause discharge or watering of the eye. It may cause crusting of the eyelid. Your child may tell you it feels scratchy or itchy. Your child may tell you it feels like something is in their eye. They may say that light bothers the eye. […] What is the treatment for a stye? It is okay to give your child Tylenol or ibuprofen as needed. Warm compresses are helpful. Use of a gel pack 15 minutes four times a day is recommended. Avoid touching, rubbing, or trying to pop it. It usually will resolve on its own. In some cases, antibiotics are needed to get rid of the infection. Your child should avoid using make-up or contact lenses until the stye has resolved. […] When to contact your child’s healthcare team: Your child has eye pain and a fever. Your child has eyelid swelling and a fever. Your child’s symptoms are getting worse. Your child is complaining of trouble with vision. You think your child needs to be seen. You have any other questions or concerns.
  • #1 Stye (sty) | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/stye-sty?content_id=CON-20378001
    A stye (sty) is a painful red bump along the eyelash line that can often be treated with home remedies. […] A stye is a bacterial infection involving one or more of the small glands near the base of your eyelashes. […] A stye (sty) is a red, painful lump near the edge of your eyelid that may look like a boil or a pimple. […] Your doctor will usually diagnose a stye just by looking at your eyelid. Your doctor may use a light and a magnifying device to examine your eyelid. […] In most cases, a stye doesn’t require specific treatment, but using warm compresses can hasten the healing. […] For a stye that persists, your doctor may recommend treatments, such as: Antibiotics. Your doctor may prescribe antibiotic eyedrops or a topical antibiotic cream to apply to your eyelid. […] If your stye doesn’t clear up, your doctor may make a small cut in it to drain the pus.
  • #2 Stye (Sty): What It Is, Causes, Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17658-stye
    A stye is a painful red bump on the edge of your eyelid. A stye forms when a tiny oil-producing gland in your eyelash follicle or eyelid skin becomes blocked and a bacterial infection develops. […] A stye usually lasts one to two weeks and will typically go away on its own. But in cases where it doesn’t, you may need to rely on an eye care provider to drain it. […] A bacterial infection in your eyelids oil-producing glands causes most styes. […] If your vision seems to be affected or if your stye seems to be getting worse instead of better, contact a provider. […] During your appointment, your provider will examine your eyelid and ask about any additional symptoms you’re having. They’ll be able to diagnose a stye based on this eye exam. […] If after 48 hours of stye self-care, your pain and swelling aren’t getting any better, it’s time to call your eye care provider. Stye treatment by a medical provider may include: A small cut (incision) to drain your stye in the office (under local anesthesia).
  • #2 Hordeolum (Stye) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459349/
    A stye, or hordeolum, is an acute, painful ocular infection involving the sebaceous glands of the upper or lower eyelid. This lesion presents as a localized, pustular swelling with erythema and tenderness along the eyelid margin. While generally self-limiting and benign, hordeola can result in considerable discomfort and functional impairment. […] Diagnosis is primarily clinical, based on the characteristic appearance of the eyelid. Treatment typically involves warm compresses, proper eyelid hygiene, and, in persistent cases, antibiotic ointments or oral antibiotics. Rarely, surgical drainage may be necessary. The prognosis is generally favorable, with most cases resolving within a week to 10 days without complications. […] Hordeola arise from an acute bacterial infection of the sebaceous glands of the eyelid. Around 90% to 95% of the lesions are due to Staphylococcus aureus, with Staphylococcus epidermidis being the 2nd most common cause. An external hordeolum represents a localized abscess formation of the follicle of an eyelash, whereas an internal hordeolum is an acute bacterial infection of the meibomian glands of the eyelid.
  • #2 Hordeolum (Stye) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459349/
    The primary diagnostic tool for styes is a careful clinical examination. History should include questions about the duration, pain, swelling, and any prior episodes. […] Clinical examination suffices for the diagnosis and management of uncomplicated styes. For recurrent and atypical cases, laboratory tests (eg, cultures and glucose testing) and imaging (eg, CT and MRI) may be required. […] A stye is usually a self-limiting condition, with resolution occurring spontaneously within a week. Internal and external hordeola are treated similarly. Warm compresses and erythromycin ophthalmic ointment applied twice a day are usually sufficient to hasten recovery and prevent the spread of infection. […] Most styes resolve within 1 to 2 weeks with proper conservative care. […] The prognosis for a stye is generally excellent with appropriate management. Most cases resolve spontaneously or require only conservative treatment and do not produce significant complications.
  • #2 Differential Diagnosis of the Swollen Red Eyelid | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/0715/p106.html
    The swollen red eyelid is a common presentation in primary care. […] A well-defined mass at the lid margin is often a hordeolum or stye. […] Hordeolum or stye: Hordeolum: infection of the meibomian (sebaceous) glands. […] A hordeolum, or stye, is a well-defined, often painful mass at the eyelid margin, commonly caused by bacterial infection of the follicle of the eyelash. […] A hordeolum is an infection of the internal meibomian (sebaceous) gland, whereas a stye (external hordeolum) is an infection of the external Zeis (sweat) gland. […] These localized masses appear as papules and furuncles located distally at the lid edge. […] They typically resolve spontaneously within a few days or weeks, and warm compresses can help. […] Chronic hordeola can lead to chalazia.
  • #2 Pictures of Styes and Chalazia in Your Eye
    https://www.webmd.com/eye-health/ss/slideshow-guide-stye-chalazion
    Your doctor can usually diagnose a stye or chalazion just by looking at your eye, sometimes under a light with magnification. If a stye is big and painful or hasnt gotten smaller after 1-2 weeks, they may drain it. Theyll numb the area, then make a small cut to let the pus out. In some cases, doctors prescribe an antibiotic cream to put on a stye. If its a chalazion, you may get a steroid shot to ease some of the swelling.
  • #2 Styes Diagnosis and Tests – WelcomeCure
    https://www.welcomecure.com/diseases/styes/tests-and-diagnosis
    Stye is a condition that can be diagnosed clinically by a qualified medical professional. The steps usually followed are: […] Symptoms of patient: What the patient feels and complains about help to differentiate between different eyelid diseases like stye, chalazion or blepharitis. […] Examination of eyes: A complete examination of the area around the eye and conjunctiva (thin membrane inside the eyelid) is done by the medical professional. Careful inspection should be done of the eyelids to distinguish an external and internal hordeolum. […] Other tests: Tests such as Slit lamp and Fundoscopic examination may be required to rule out other pathology of eyelids.
  • #2 When to See a Doctor for a Stye? – K Health
    https://www.khealth.com/learn/stye/when-to-see-a-doctor/
    Most styes are caused by a bacterial infection. In fact, 90%-95% of styes are caused by the Staphylococcus aureus bacteria. […] If your stye does not improve within two weeks, you should reach out to your medical provider for care. Depending on your eye health, your provider may recommend one of the following treatment options: Antibiotic ointments, Oral antibiotics, Steroid injection, Surgery. […] Most primary care providers can diagnose a stye and prescribe antibiotic treatments when needed. However, you may also be referred to an ophthalmologist (a physician who specializes in eye and vision care) or an oculoplastic surgeon for treatment. […] If left untreated, a stye can lead to the development of a chalazion a swollen bump on the eyelid that can cause blurry vision when it gets too large. In rare cases, an untreated stye can also cause the infection to spread to other parts of the face.
  • #2 Stye Causes, Treatment, and Prevention
    https://www.healthline.com/health/eye-health/what-causes-a-stye
    A doctor can usually diagnose a stye by looking at it. […] Because styes are typically caused by staphylococcus bacteria, theres usually no need for testing to determine the cause of the infection.
  • #2 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/214
    Chalazia are noninfectious inflammatory conditions caused by a foreign body reaction to sebum released by meibomian glands. […] Key diagnostic factors include acute pain of eyelid only, pustule at eyelid margin, pustule at tarsal conjunctiva, palpable nontender nodule, lack of constitutional symptoms, lack of eye pain, and lack of intraocular pathology. […] Other diagnostic factors include chronic swelling of eyelid, age 30-50 years, history of blepharitis and ocular rosacea, astigmatism and blurred vision. […] 1st tests to order include clinical diagnosis. […] Tests to consider include biopsy and CT scan of face and orbits.
  • #2 Stye – Wikipedia
    https://en.wikipedia.org/wiki/Stye
    Stye complications occur in very rare cases. However, the most frequent complication of styes is progression to a chalazion that causes cosmetic deformity, corneal irritation, and often requires surgical removal. Complications may also arise from the improper surgical lancing, and mainly consist of disruption of lash growth, lid deformity or lid fistula. Large styes may interfere with one’s vision. Eyelid cellulitis is another potential complication of eye styes, which is a generalized infection of the eyelid. Progression of a stye to a systemic infection (spreading throughout the body) is extremely rare, and only a few instances of such spread have been recorded. […] Most cases of styes resolve on their own within one to two weeks, without professional care. The primary treatment is application of warm compresses. As a part of self-care at home, people may cleanse the affected eyelid with tap water or with a mild, nonirritating soap or shampoo (such as baby shampoo) to help clean crusted discharge. People with styes should avoid eye makeup (e.g., eyeliner), lotions, and wearing contact lenses, since these can aggravate and spread the infection. People are advised not to lance the stye themselves, as serious infection can occur. Pain relievers such as acetaminophen may be used.
  • #2 Stye | healthdirect
    https://www.healthdirect.gov.au/stye
    A stye is a small, painful lump on your eyelid, sometimes filled with pus. […] Styes are generally caused by bacterial infections of eyelash follicles. […] You should see your doctor right away if you have signs of cellulitis, a rare but serious complication. […] Styes are caused by a bacterial infection affecting the eyelash follicle. […] A stye is a small red lump on your eyelid, the glands become blocked and get infected. […] You should see a doctor if the stye obstructs your vision. […] Sometimes, antibiotic ointments or oral antibiotics may be needed if the skin surrounding the stye becomes infected (cellulitic). […] If a stye doesn’t go away by itself, a doctor might need to drain it with a needle. […] If the infection from the stye spreads to the surrounding skin, this is called cellulitis. […] You should see your doctor straight away if you notice complications or treatment isn’t working.
  • #2 Stye
    https://www.nhs.uk/conditions/stye/
    A stye is a small, painful lump on the eyelid. […] A stye is a small, painful lump on or inside the eyelid or around the eye. […] The stye is a yellow lump on the upper lid by the eyelashes. […] A stye usually only affects 1 eye, but it’s possible to have more than 1 at a time and on both eyes. […] It’s probably not a stye if: there’s no lump if your eye or eyelid is swollen, red and watery it’s more likely to be conjunctivitis or blepharitis. […] Non-urgent advice: See a GP if: a stye does not get better within a few weeks. […] Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if: a stye is very painful or swollen. […] If you have a stye, the GP may: burst the stye with a thin, sterilised needle. […] Styes are often caused by bacteria infecting an eyelash follicle or eyelid gland.
  • #2 Internal Stye: Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/24478-internal-stye
    An internal stye (hordeolum) is an inflamed and infected oil gland on the inner edge of your eyelid. Symptoms include eyelid pain, tenderness and swelling. Your eye may also tear up a lot. Treatment starts with home remedies like using a warm compress. If the stye doesnt go away in about a week, you may need a minor procedure to drain the stye. […] An internal stye (hordeolum) is an inflamed oil gland on the inner edge of your eyelid. A bacterial infection is the usual cause. […] When you have an internal stye, an oil gland swells up and forms an abscess (pocket of pus). This leads to pain and other symptoms. While the stye may go away on its own, some people need a minor procedure to drain the pus and clear the inflammation. […] Primary care providers often see and diagnose styes. Your provider may refer you to an ophthalmologist or optometrist if your stye isnt going away or is getting worse.
  • #2 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/214
    Styes (hordeola) are typically tender to palpation, while chalazia are not. […] Dacryoadenitis (infection or inflammation of the lacrimal gland) and dacryocystitis (infection of the lacrimal sac) can be confused with stye; their respective locations (lateral upper lid and inferior to the medial epicanthus) are key. […] Most styes and chalazia resolve with warm compresses and topical antibiotics. […] Recurrent lesions may require biopsy to exclude carcinomas. Recurrent chalazia may require excision. […] A stye, also known as a hordeolum, is caused by an acute infectious process involving localized abscess formation at the upper or lower eyelid. […] One of 3 glands is typically infected: the meibomian glands or the glands of Zeis and Moll (ciliary glands). […] Staphylococcus aureus (most common) and S epidermidis are typically involved, and the eyelid appears erythematous and swollen in addition to being tender to palpation.
  • #2 Styes in Children
    https://www.nationwidechildrens.org/conditions/health-library/styes-in-children
    A stye is a sore red bump on the edge of your child’s eyelid. […] A stye is caused by an infection in the oil-producing (sebaceous) or sweat glands in the eyelid. The infection is often caused by bacteria called Staphylococcus aureus. […] The symptoms of a stye may look like symptoms of other conditions. Have your child see their healthcare provider for a diagnosis. […] Your child’s healthcare provider will ask you about your child’s health history. They will also give your child an exam. […] A stye is inflammation or infection on the edge of your child’s eyelid. […] Styes happen more often in children than in adults. […] Treatment may include putting warm, wet compresses on your child’s eye. You may need to do this several times a day for 10 to 15 minutes at a time. […] Sometimes a serious infection can form with a stye. This is called cellulitis. If this happens, your child will need to take antibiotics by mouth.
  • #2 Stye – Virginia Ophthalmology Associates
    https://voaeye.com/stye/
    Eye doctors usually diagnose styes by looking at your eyelid. He or she may use a magnifying device and light for a more thorough examination. […] In most cases, a stye does not need any specific treatment; it will go away by itself. If you feel pain or discomfort, gently apply a warm washcloth to your eyelid. However, if the stye persists, then your doctor may prescribe antibiotics. A stye that is filled with pus may be drained surgically to relieve pressure and pain.
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  • #2
    https://www.aao.org/eye-health/diseases/what-are-chalazia-styes
    A stye (also called a hordeolum) is a small painful lump that grows from the base of your eyelash or under the eyelid. Most styes are caused by a bacterial infection. […] A stye is very painful. It often appears at the eyelids edge, usually caused by an infected eyelash root. It often swells, sometimes affecting the entire eyelid. […] Stye symptoms can include: a very painful red bump along the edge of the eyelid at the base of the eyelashes. It may make the entire eyelid swell. […] Your ophthalmologist may prescribe an antibiotic for an infected stye. […] If your stye or chalazion affects vision or does not go away, you may need to have it drained. This surgery is usually done in the doctors office using local anesthesia (medicine that blocks pain).
  • #2 Stye – Wikipedia
    https://en.wikipedia.org/wiki/Stye
    Although styes are harmless in most cases and complications are very rare, styes often recur. They do not cause intraocular damage, meaning they do not affect the eye. Styes normally heal on their own by rupturing within a few days to a week causing the relief of symptoms, but if one does not improve or it worsens within two weeks, a doctor’s opinion should be sought. Few people require surgery as part of stye treatment. With adequate treatment, styes tend to heal quickly and without complications.
  • #3 Diagnosing Stye | NYU Langone Health
    https://nyulangone.org/conditions/stye/diagnosis
    NYU Langone ophthalmologists, or eye specialists, are skilled at diagnosing and treating styes, a common condition. A stye is a red bump, resembling a pimple, that can form on the upper or lower eyelid. This bump, also known as a hordeolum, occurs when one of the oil glands that line your eyelid becomes blocked and then infected with bacteria. […] A stye can also occur if a hair follicle at the base of your eyelash becomes infected. The infection causes the oil gland to swell and redden. The resulting bump is tender to the touch. […] Styes can be painful, but they usually resolve on their own or with simple home treatment. Rarely, they become severely infected or persist despite treatment. If this occurs, they may require surgical drainage. […] Your ophthalmologist can diagnose a stye or a chalazion simply by looking at it or looking under your eyelid.
  • #3 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/214
    Styes (hordeola) are typically tender to palpation, while chalazia are not. […] Dacryoadenitis (infection or inflammation of the lacrimal gland) and dacryocystitis (infection of the lacrimal sac) can be confused with stye; their respective locations (lateral upper lid and inferior to the medial epicanthus) are key. […] Most styes and chalazia resolve with warm compresses and topical antibiotics. […] Recurrent lesions may require biopsy to exclude carcinomas. Recurrent chalazia may require excision. […] A stye, also known as a hordeolum, is caused by an acute infectious process involving localized abscess formation at the upper or lower eyelid. […] One of 3 glands is typically infected: the meibomian glands or the glands of Zeis and Moll (ciliary glands). […] Staphylococcus aureus (most common) and S epidermidis are typically involved, and the eyelid appears erythematous and swollen in addition to being tender to palpation.
  • #3 What Is a Stye? Symptoms, Causes, Diagnosis, Treatment, and Prevention
    https://www.everydayhealth.com/stye/
    The medical term for stye is hordeolum, and its simply an oil gland in the eyelid that becomes blocked and inflamed, says Nicole Bajic, MD, an ophthalmologist at the Cleveland Clinic in Ohio. […] A stye is like a pimple on the eyelid, and so the appearance is pretty similar to a pimple as well, says Bajic. […] There is usually no diagnostic testing with a stye; its a clinical diagnosis, which means your doctor diagnoses it on the basis of your health history, physical exam, and symptoms. Its typically a fairly simple diagnosis, says Bajic. […] In rare cases what looks like a stye is actually cancer, says Bajic. If a patient has a chronic one in the same eyelid that keeps showing up, especially if they are older, they really should have an eye exam to make sure theres nothing more sinister going on, she says.
  • #3 When to See a Doctor for a Stye? – K Health
    https://www.khealth.com/learn/stye/when-to-see-a-doctor/
    If the stye has not improved within two weeks or is causing significant pain or blurred vision, reach out to your medical provider for care. […] There are several treatments a provider may recommend for a stye, including antibiotics, steroid injections, and minor surgery. […] Antibiotics are not usually needed to treat styes. In some cases, your provider may recommend applying topical antibiotics to your eye area to help clear the infection. Antibiotics are generally recommended if your stye has not improved on its own with at-home care. […] If your stye is not causing any significant symptoms, such as blurred vision, pain, or sensitivity to light, you can likely treat your stye at home with warm compresses. However, if you’re experiencing symptoms that are causing significant pain or discomfort, you can seek care from an urgent care center, your primary care provider, or an eye specialist.
  • #3 Eye Stye Removal & Treatment · Top Eye Doctor, Ophthalmologist · NYC
    https://www.eyedoctorophthalmologistnyc.com/treatment/eye-stye/
    Eye stye that doesnt go away on its own can lead to a condition called pre-septal cellulitis, which can cause more a more serious infection. Pre-septal cellulitis can only be treated successfully in the hospital with intravenous antibiotics. […] If you are having any abnormal symptoms, you should always be evaluated with a thorough consultation and examination by your local New York optometrist or ophthalmologist in NYC for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition. […] A stye should always be evaluated with a thorough consultation and examination by local optometrist or ophthalmologist for an accurate diagnosis and treatment plan as it may be a symptom or sign of a serious illness or condition. […] An ophthalmologist is a trained eye doctor who typically can tell if you have a stye or some other type of eye condition just by looking at you. A magnifier may be used to confirm the diagnosis.
  • #3 Stye (Sty): Causes, Symptoms, Home Remedies & More
    https://www.medicinenet.com/sty_stye/article.htm
    Styes occur when a gland in or on the eyelid becomes plugged or blocked. […] A sty is a pimple-like bump that forms on or in the lower or upper eyelid as the result of a blocked gland. […] What tests diagnose styes? A health care professional will examine the lids to locate the opening of the plugged gland. This helps distinguish between a hordeolum and a chalazion. […] What are the symptoms of a sty (stye)? Signs of a sty include: The presence of a lump or bump (like a pimple) on the edge of the eyelid. […] What tests diagnose styes? A health care professional will examine the lids to locate the opening of the plugged gland. […] If a sty appears infected, oral antibiotics may be necessary. […] Treatment of the underlying cause of the sty is also important to prevent a recurrence. […] The best way to prevent a sty is to keep the eyelids and eyelashes clean. […] Is a sty communicable? A sty itself is not communicable, but the bacteria that causes the sty can be transmitted from person to person by direct contact or by touching infected surfaces.
  • #3 Styes (Chalazia) | Ohio State Medical Center
    https://wexnermedical.osu.edu/eye-care-ophthalmology/conditions-and-services/oculoplastics/styes
    A persistent stye (chalazion) may require prescription eye ointments or drops, oral antibiotics, a steroid injection or, in extremely rare cases, hospitalization with intravenous antibiotics to treat a secondary infection. […] If a stye has persisted for a couple of weeks or becomes hard to the touch, you may need to have it drained or surgically removed. […] If nonsurgical treatments were unsuccessful, your doctor may consider surgical alternatives to remove your stye. Surgical removal of a stye starts with flipping the eyelid. A small incision is made to the inside of the eyelid to drain the oil and pus. Scar tissue may also be cut out to decrease the reoccurrence of another chalazion forming. […] After surgery, the incision is left open to continue draining the wound. […] Your doctor may prescribe antibiotic eyedrops or ointments following surgery. If youre on antibiotics, remember to finish the full prescribed course of the medication. Your eyelid can appear better but may not be completely healed under the surface. […] As treatment for a medical condition, procedures to remove styes (chalazia) are typically covered by accepted insurance.
  • #4 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/214
    Styes (hordeola) are typically tender to palpation, while chalazia are not. […] Dacryoadenitis (infection or inflammation of the lacrimal gland) and dacryocystitis (infection of the lacrimal sac) can be confused with stye; their respective locations (lateral upper lid and inferior to the medial epicanthus) are key. […] Most styes and chalazia resolve with warm compresses and topical antibiotics. […] Recurrent lesions may require biopsy to exclude carcinomas. Recurrent chalazia may require excision. […] A stye, also known as a hordeolum, is caused by an acute infectious process involving localised abscess formation at the upper or lower eyelid. […] One of 3 glands is typically infected: the meibomian glands or the glands of Zeis and Moll (ciliary glands). […] Staphylococcus aureus (most common) and S epidermidis are typically involved, and the eyelid appears erythematous and swollen in addition to being tender to palpation.
  • #4 Chalazion vs. Stye: Differences and Treatment
    https://www.verywellhealth.com/chalazion-vs-stye-5197580
    Understanding the differences between a chalazion versus a stye can help you figure out which one you may have. A stye, or hordeolum, develops where your eyelashes start or under your eyelid. Bacterial infections usually cause styes. […] Symptoms of a stye include: Crustiness on the eyelid margin, The feeling of something in your eye, Pain in the affected eyelid, A pimple-like appearance, A scratchy feeling in the eye, Sensitivity to light, Swelling that usually goes away after three days, Tearing in the affected eye. […] A provider can use a bright light to get a closer look at the eyelids to help determine if it is a chalazion, stye, or something else (for example, a type of cancer called basal cell carcinoma). […] A stye tends to be more painful and uncomfortable than a chalazion (which often does not cause symptoms).
  • #4 Hordeolum (Stye) – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK459349/
    The primary diagnostic tool for styes is a careful clinical examination. History should include questions about the duration, pain, swelling, and any prior episodes. […] Clinical examination suffices for the diagnosis and management of uncomplicated styes. For recurrent and atypical cases, laboratory tests (eg, cultures and glucose testing) and imaging (eg, CT and MRI) may be required. […] A stye is usually a self-limiting condition, with resolution occurring spontaneously within a week. Internal and external hordeola are treated similarly. Warm compresses and erythromycin ophthalmic ointment applied twice a day are usually sufficient to hasten recovery and prevent the spread of infection. […] Most styes resolve within 1 to 2 weeks with proper conservative care. […] The prognosis for a stye is generally excellent with appropriate management. Most cases resolve spontaneously or require only conservative treatment and do not produce significant complications.
  • #5 Stye and chalazion – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/214
    Chalazia are noninfectious inflammatory conditions caused by a foreign body reaction to sebum released by meibomian glands. […] Key diagnostic factors include acute pain of eyelid only, pustule at eyelid margin, pustule at tarsal conjunctiva, palpable nontender nodule, lack of constitutional symptoms, lack of eye pain, and lack of intraocular pathology. […] Other diagnostic factors include chronic swelling of eyelid, age 30-50 years, history of blepharitis and ocular rosacea, astigmatism and blurred vision. […] 1st tests to order include clinical diagnosis. […] Tests to consider include biopsy and CT scan of face and orbits.