H00.025

Clinical Causes: Bacterial infection, predominantly caused by Staphylococcus bacteria Obstruction of the meibomian gland opening due to clogged oil glands Poor eyelid hygiene leading to bacterial buildup Increased oil production or hormonal changes that affect gland function Previous history of eyelid infections or recurrent styes Use of contaminated makeup or eye cosmetics Contact lens use or improper handling of lenses

Key Symptoms: Localized swelling of the eyelid, often tender to touch Redness and warmth around the affected area A small, painful lump within the eyelid tissue Possible eyelid swelling that can impair vision temporarily Discomfort or a sensation of pressure in the eyelid In some cases, yellowish pus may develop if the infection drains Increased sensitivity to light or tearing

Diagnosis Path: Diagnosis of hordeolum internum involves a clinical examination by an eye care professional. The healthcare provider will inspect the eyelid for characteristic signs such as swelling, redness, and the presence of a lump. No specialized laboratory tests are usually necessary unless there is suspicion of alternative infections or underlying conditions. Visual acuity assessment may be performed to evaluate any impact on vision. Differential diagnoses, such as chalazion or other eyelid lesions, may be considered based on examination findings.

Treatment Protocols: Treatment strategies focus on relieving symptoms and promoting healing. Common approaches include: - Warm compresses applied to the affected eyelid several times a day to encourage drainage and reduce swelling - Maintaining eyelid hygiene by gently cleaning the area with a mild cleanser - Avoiding eyelid makeup or contact lenses until the infection resolves - Over-the-counter pain relievers can help alleviate discomfort - In some cases, a healthcare provider may prescribe topical antibiotics or ointments if the infection persists or worsens - In rare circumstances, an ophthalmologist may need to perform an incision and drainage procedure for persistent or large internal styes It is essential to follow medical advice and not attempt to squeeze or puncture the cyst, as this can lead to further infection or complications.