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.
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We did not find any evidence for or journwl the effectiveness of nonsurgical interventions for the treatment of hordeolum. It is also unclear whether medical treatment or lid hygiene is effective in treating acute internal hordeolum. The infection can be internal, affecting the meibomian glands, or external, affecting the glands of Zeis or Moll Wald Not a controlled trial: Intralesional corticosteroid injection for the treatment of chalazia.
In addition to resolving the presenting hordeolum, other aims of the interventions are to minimize the risk that the infection may worsen, may spread to other areas, or may become recurrent. We identified no trials for horddolum review, thus no evidence was found for or against journall effectiveness of common treatments for hordeolum. Sources of potential bias affecting the quality of a study will be divided into six domains that include:. Implications for research Generally, RCTs are considered the gold standard for comparing the efficacy of interventions.
Clinical practice decisions should be based on physician judgment, and available treatment options should be discussed with patients. We included trials that compared the hordwolum of hot or warm compresses, lid scrubs, antibiotics, or steroids with observation, placebo, or another active intervention for the treatment of acute internal hordeolum.
Interventions for acute internal hordeolum
The second study compared the effectiveness of a combined antibiotic ophthalmic solution with placebo in participants with internal and external hordeolum after surgical incision and curettage Hirunwiwatkul The selection criteria for this review included randomized or quasi-randomized clinical trials of participants diagnosed with acute internal hordeolum.
All participants received topical minocycline. Joyrnal participants received penicillin and streptomycin plus a polyvalent antigen Munomycin Oishi Not a controlled trial: Ocular infection and inflammation.
Dermatologic hodreolum allergic conditions of the eyelid. Common treatments for hordeolum include warm compresses applied at home, available over-the-counter topical medications and lid scrubs, antibiotics or steroids, lid massages, and others. All of these 19 references, which reported 18 unique studies, were excluded. Data were not reported separately for hordeolum cases Mathew Not population of interest: Participants randomly assigned to warm compresses and lid scrubs, intralesional steroid injections, or both treatments Hatano Not population of interest: We thank the Cochrane Eyes and Vision Group editorial team for assisting with preparation of the protocol and review.
Assessment of heterogeneity We will test for statistical heterogeneity using the I 2 statistic and will examine clinical heterogeneity using forest plots.
Quality of life data We planned to report quality of life data. Treating hordeola with systemic medications: In conjunction with lid scrubs, lid massage has been proposed to physically express secretions from the infected glands Driver ; Scobee Designing electronic search strategies: Not intervention of interest: Not population of interest: Jkurnal, interventions of interest would be provided during the first week after onset.
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Comparison with gentamicin eye drops. Effects of interventions No studies were included in this review, thus no effects of interventions were reported.
Characteristics of excluded studies [ordered by study ID].
RCT of participants with internal and external hordeolum randomly assigned to bloodletting of the ear or no treatment Comstock Not population of interest: Journal of the Medical Library Association. Two review authors will independently extract data using the data extraction forms created by the Cochrane Eyes and Vision Group. Acknowledgments We thank Iris Gordon and Lori Rosman jourbal devising and implementing the electronic search strategy for the review.