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.

Author: Bragis Fenrizragore
Country: Georgia
Language: English (Spanish)
Genre: Marketing
Published (Last): 13 December 2010
Pages: 358
PDF File Size: 19.62 Mb
ePub File Size: 6.37 Mb
ISBN: 232-3-54946-195-4
Downloads: 87316
Price: Free* [*Free Regsitration Required]
Uploader: Kalabar

Treatment of hordeolum by wrist-ankle acupuncture. Of the 23 excluded studies, six were randomized controlled trials RCTs that included patients with acute internal hordeolum. Jouranl and exclusion were determined by using the definition of the disease given in the full text article.

For every study included in the review, we will assess each domain grouping to have a low risk of bias, b unclear or not reported risk of bias, or c high risk of bias. Data on the proportion of participants requiring surgical incision horddeolum drainage after treatment, the proportion of participants developing a chalazion after treatment, the proportion of participants with recurrent hordeola, and the number of secondary hordeola will also be analyzed as dichotomous data. We identified no trials for this review, thus no evidence was found for or against the effectiveness of common treatments for hordeolum.

Initial treatments for hordeolum have therefore been aimed at promoting the evacuation of pus from the abscess. We will summarize counts and rate data in rate ratios when the event is rare, and as continuous outcome data when the event is more common.

We will report loss to follow-up when available. Treatment of chalazia with corticosteroid injections.

Participants randomly assigned to treatment with antibiotic ophthalmic solution or placebo after surgery Jacobs Not population of interest: Four of these participants underwent surgery at the time of first consult, and six received the antibiotic amikacin Hirunwiwatkul Not intervention of interest: Controlled clinical trials would be useful hordeolim determining which interventions are effective for the treatment of acute internal hordeolum.


We will analyze adverse events data as counts and rates.

Objectives The objective of this review was to investigate the effectiveness and safety of nonsurgical treatments for acute internal hordeolum compared with observation or placebo. All participants received topical minocycline.

Interventions for acute internal hordeolum

Participants alternately assigned to injection with triamcinolone acetonide or incision hordeolu curettage. Although the course of the disease is relatively short, instances of internal hordeolum are painful and bothersome.

Risk of bias in included studies No studies were included in this review, thus no risk of bias assessment was done. Each article was then independently assessed by two people and was classified as 1 include in review, 2 awaiting classification, or 3 exclude from review. Antibiotics can be administered locally at the site of infection or may be given systemically. Data extraction and management As no studies were identified joyrnal inclusion in this review, no data extraction or assessment of risk of bias was performed.

All ojurnal these 19 references, which reported 18 unique studies, were excluded. Lid scrubs are commonly recommended in the hofdeolum of other ocular bacterial infections, such as blepharitis, and may prevent the spread of infection Avisar Not population of interest: Ocular infection and inflammation. Evaluation of amikacin BB-K8 in ophthalmological field.

Hordeolu, and Allergy Clinics of North America. For the update of this review, we identified additional references from electronic searches as of 26 July Cases of recurrent hordeolum are usually the result of failure to eliminate bacteria completely rather than resulting from new infections Roodyn Journal of School Health. Controlled clinical trials would be useful in showing which treatments help people with acute internal hordeolum.

Most cases of hordeolum are caused by a staphylococcal species; therefore antibiotics should be effective against the bacteria.

Interventions for acute internal hordeolum

If unresolved, acute internal hordeolum can become chronic or can develop into a chalazion. We included trials that compared the use of hot or warm compresses, lid scrubs, antibiotics, or steroids with observation, placebo, or another active intervention for the treatment of acute internal hordeolum.


Cochrane Database of Systematic Reviews. Most of the references identified from our search reported on external hordeola or chronic internal hordeola. Two review authors will independently assess the risk of horreolum of included studies based on the methods provided in Chapter 8 of the Cochrane Handbook for Systematic Reviews of Interventions Higgins RCT of participants with active eyelid infection styes and blepharitis determined by cultures taken from the base of the eyelashes.

If no informative response is received within 6 weeks, we will hordeoluj the study on the basis of available information. Journal of the Medical Library Association.

Lederman C, Miller M. However, because of the relative mildness and short duration of the disease, study participants may be limited to more severe cases that are not representative of the general population; recruitment of participants at onset may be challenging.

We were interested in studies of participants with a diagnosis of acute internal hordeolum. Intralesional corticosteroid therapy of chalazia: Effects of interventions No studies were included in this review, thus no effects of interventions were reported.

Author information Copyright and License information Disclaimer. The first included pediatric participants with lid inflammation and was conducted to evaluate the journnal of loteprednol etabonate 0.

Laboratory and clinical evaluation of clindamycin. The few references specific to acute internal hordeolum reported mostly recommendations for treatment or were reports of interventional case series, case studies, jokrnal other types of observational study designs and were published more than 20 years ago.

Ophthalmological application of minocycline.