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COLM McALINDEN, MB BCh, BSc MIGUEL GONZLEZ-ANDRADES, MD, PhD EIRINI SKIADARESI, MD, MSc, FEBO
(Hons), MSc, PhD Cornea and Refractive Surgery Service, Massachusetts Department of Ophthalmology, ABM University
31 Uplands Crescent, Uplands, Swansea, UK Eye and Ear Infirmary; Department of Ophthalmology, Health Board, Singleton Hospital, Swansea, UK
Harvard Medical School, Boston, MA
FIGURE 1. FIGURE 2.
TABLE 1
Differences between chalazion and hordeolum
Chalazion Hordeolum
Description Chronic lipogranuloma due to Acute abscess within an eyelid gland,
leakage of sebum from usually staphylococcal in origin. Subdi-
an obstructed meibomian gland vided into internal (meibomian gland)
and external (gland of Zeis or Moll)
Presentation Any age, gradually enlarging Any age, acute painful lesion
painless lesion
Suspected cancer
along the tarsal plates of the eyelid. The orbit- deolum, dacryocystitis), or systemic infections
al septum provides a barrier against the spread (eg, upper respiratory tract, middle ear). Clini-
of periorbital infection into the orbit (orbital cal features include malaise, fever, and pain-
cellulitis). The causes of preseptal cellulitis ful eyelid with periorbital edema. Any sign
include skin trauma (eg, lacerations, insect of proptosis, chemosis, painful restricted eye
bites), spread from local infections (eg, hor- movements, diplopia, lagophthalmos, or optic