Stye

Question 1

What is a stye also known as?

Answer 1

Hordeolum

Question 2

What is a stye?

Answer 2

An acute infectious process involving abscess formation at the upper or lower eyelid in a lash follicle

Question 3

What are styes most commonly caused by?

Answer 3

Blockage of an oil gland at the base of the eyelash

Question 4

What is the most common causative organisms of styes?

Answer 4

1st = S. Aures
2nd = S. Epidermidis

Question 5

What are the risk factors for styes?

Answer 5

• Poor nutrition
• Sleep deprivation
• Lack of hygiene
• Lack of water
• Rubbing of eyes

Question 6

What is the first sign of a stye?

Answer 6

Small yellowish spot at the centre of a bump

Question 7

What are some symptoms of stye?

Answer 7

• Lump on top or bottom eye lid
• Localised swelling
• Localised pain
• Redness
• Crusting of eyelid margins
• Itchiness
• Blurred vision
• Mucous discharge
• Sensation of foreign body

Question 8

How are styes diagnosed?

Answer 8

Clinically

Question 9

What are the differentials for stye?

Answer 9

• Chalazion
• Blepharitis
• Dacrocystitis or dacroadenitis
• Peri-orbital cellulitis or orbital cellulitis
• Sebaceous and squamous cell carcinoma

Question 10

How do most styes resolve?

Answer 10

Spontaneously within 1-2 weeks

Question 11

How can styes be manage at home?

Answer 11

• Warm compress

- Simple analgesia

Question 12

What advice should patients be given with styes?

Answer 12

• Not puncture stye

- Avoid makeup and contact lenses until resolution

Question 13

What may be appropriate for a very large, painful stye?

Answer 13

Referral for incision and drainage

Question 14

What should be given if there is evidence of concurrent conjunctivitis?

Answer 14

Topical antibiotics

Question 15

What are the potential complications of a stye?

Answer 15

• Progression to chalazion

- Eyelid cellulitis