|The eyelids contain many
different glands which can become blocked and superinfected.
The resulting condition is termed
redness, swelling, and pain in the eyelid
they may be associated conjunctivitis
and purulent discharge
The visual acuity is normal unless the
swelling is big and right in the centre of the upper lid which can distort
vision through its mass effect on the cornea.
The swelling may be at the base
of an eyelash (sty or external hordeolum) or deep within the lid (meibomianitis
or internal hordeolum)
Topical antibiotic such as chloramphenicol
drop is instilled into the lower conjunctival sac four times a day.
If the lid swelling is extensive and
severe, consider superimposed orbital cellulitis which require systemic
Referrals are not neccessary as the
conditions resolves within
a few days.
Referred to the minor operating list
if the swelling fails to resolve after one week. This is mostly seen in
internal hordeolum in which a granuloma (chalazion) had developed. The
treatment is incision and curretage.
This patient has a right upper lid
chalazion. Note the localized nature of the
swelling. This can be treated with
topical chloramphenicol by the GP. If the
swelling fails to resolve, refer
the patient to the minor operating list for
incision and curettage
to swollen lids