Hordoleum Internum

Question 1

Description

Answer 1

Infection of the meibomian gland inside the tarsal plate, often deeper than an external hordeolum

Question 2

Differential diagnosis

Answer 2

• chalazion

• pre-septal cellulitis

• dacryocystitis

Question 3

Signs

Answer 3

• internal abscess / lump

• red eyelid

• swollen

Question 4

Symptoms

Answer 4

• pain, tender to touch

Question 5

Pathogenesis

Answer 5

• staphylococcus aureus infection

• blockage of meibomian gland leads to pus accumulation

Question 6

Treatment

Answer 6

• warm compress

• oral antibiotics

• incision and drainage if persistent