HORDEOLUM

(K4)

Nindy Claudia E.Y.

2121210024
 Hordeolum merupakan infeksi pada
pelpebra.
 Hordeolum internal : kelenjar meibomian
 Hordeolum eksternal (sty) : kelenjar zeis /
moll
HORDEOLUM EKSTERNAL
Eksternal Hordeolum

 It is an acute suppurative inflammation

of gland of the Zeis or Moll.
 etiologi
1. Predisposing factors:
 biasanya pada anak-anak dan dewaasa muda, serta
pada pasien dengan eye strain due to muscle
imbalance or refractive errors.
 Kebiasaan mengucek mata or fingering of the lids and
nose, chronic blepharitis and diabetes mellitus are
usually associated with recurrent styes.
 Faktor metabolic Metabolic factors, chronic debility,
excessive intake of carbohydrates and alcohol also act
as predisposing factors.
2. Causative organism commonly involved is
Staphylococcus aureus.
Manifestasi klinis

 Nyeri akut, edema palpebra, mild

watering and photophobia.
Tanda

 Stage of cellulitis is characterised by

localised, hard, red, tender swelling at
the lid margin associated with marked
oedema
 Stage of abscess formation is
characterised by a visible pus point on
the lid margin in relation to the affected
cilia.
Usually there is one stye, but occasionally,
these may be multiple.
Hordeolum externum (stye) upper eyelid.
Penatalaksanaan
 Hot compresses 2-3 times a day are very useful in
cellulitis stage.
 When the pus point is formed it may be
evacuated by epilating the involved cilia.
 Surgical incision is required rarely for a large
abscess. Atau tetap dalam 48 jam.
 Antibiotic eyedrops (3-4 times a day) and eye
ointment (at bed time) should be applied to
control infection.
 Anti-inflammatory and analgesics relieve pain
and reduce oedema.
 Systemic antibiotics may be used for early
control of infection. In recurrent styes, try to find
out and treat the associated predisposing
condition.
HORDEOLUM INTERNAL
Internal Hordeolum

 It is a suppurative inflammation of the

meibomian gland associated with
blockage of the duct.
 Etiology. It may occur as primary
staphylococcal infection of the
meibomian gland or due to secondary
infection in a chalazion (infected
chalazion).
Manifestasi klinis
 Clinical picture. Symptoms are similar to
hordeolum externum, except that pain is more
intense, due to the swelling being embedded
deeply in the dense fibrous tissue.
 On examination, it can be differentiated from
hordeolum externum by the fact that in it, the
point of maximum tenderness and swelling is
away from the lid margin and that pus usually
points on the tarsal conjunctiva (seen as
yellowish area on everting the lid) and not on the
root of cilia. Sometimes, pus point may be seen
at the opening of involved meibomian gland or
rarely on the skin.
Penatalaksanaan

 Treatment. It is similar to hordeolum

externum, except that, when the pus is
formed, it should be drained by a
vertical incision from the tarsal
conjunctiva.
Referensi

 Vaughan D. 2010. oftalmologi umum. Jakarta: EGC.

 Ilyas, Sidarta. 2010. Ilmu penyakit mata. Edisi ketiga.
Jakarta: FK UI.
 ____________. 2010. Atlas Ilmu Penyakit Mata. Jakarta:
Sagung seto.
 Kurana, AKA. 2007. komprehensif ophthalmology. New
delhi: New Age International Publisher.