DDx:
S&S | bact conj | viral conj | allerg conj | acute glaucoma | acute iridocyclitis | keratitis
pain
| -
| -
| -
| +++
| ++
| ++
| itching
| -
| -
| +++
| -
| -
| -
| halos
| -
| -
| -
| ++
| -
| -
| ciliary flush
| -
| -
| -
| +
| +
| +
| discharge
| +
| +
| +
| -
| -
| +/-
| corneal opacity
| -
| -
| -
| +
| -
| +
| periauricular LN
| -
| +
| -
| -
| -
| -
| abnormal pupil
| -
| -
| -
| +
| +
| +/-
| shallow ant chamber
| -
| -
| -
| +
| -
| -
| |
Chalazion
Tx: Hot compresses for 5 to 10 min 2 or 3 times a day can be used to hasten resolution of chalazia and external hordeola.
Incision and curettage or intrachalazion corticosteroid therapy (0.05 to 0.2 mL triamcinolone 25 mg/mL) may be indicated if chalazia are large, unsightly, and persist for more than several weeks despite conservative therapy.
Hordeolum
Tx: Incision with a sharp, fine-tipped blade. Systemic antibiotics (eg, dicloxacillin or erythromycin 250 mg po qid) are indicated when cellulitis accompanies a hordeolum.