External hordeolum stye

This is a small abscess caused mainly by acute staphylo-coccal infection of a lash follicle or its associated glands. Examination shows a tender, inflamed swelling in the lid margin, at the base of an eyelash. This condition is common in patients with blepharitis. Most styes resolve spontaneously with or without discharge of their contents. Hot compresses and antibiotic ointments may aid resolution. If there is acute pain and a pointing abscess, removal of the infected eyelash allows drainage of the pus, and quick resolution of pain. Surgical incision and drainage (I&D) is only required in the rare instance of a large abscess formation.

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