🎧Deep Dive: STYE(Hordeolum) — What’s That Eyelid Bump?

Youknow that feeling — you wake up and there’s a tender little bump on your eyelid👁️. It’s red, sore, maybe a bit crusty. Yup, that’slikely a stye, or more formally, a hordeolum. In this episode, we’re breaking it all down intoa crystal-clear, super practical revision session — ideal for MSRA prep or clinical life.

🧠What You’ll Learn inThis Episode:

🔎Definition

A stye is a localised infection of an eyelidgland — most often the glands of Zeis(external) or meibomian glands(internal). It's basically a pus-filled, painfulbump at the lid margin.

👁️TWO Types to Remember— E for External, I for Internal

• External stye = base of an eyelash (Zeis gland)
• Internal stye = deeper, meibomian gland (think "eye for inside")
  Mnemonic: E = Eyelash/External, I = Inside/Internal

🦠Causes

The usual suspect? Staphylococcus aureus.

Often triggered by:

🚿 Poor eyelid hygiene

💄 Contaminated cosmetics

📦 Poor contact lens care

🌡️ Hormonal changes

🧴 Skin conditions (e.g. rosacea)

🛡️ Weak immune system

💡 Mnemonic: "Dirty Hands, Makeup Mess, Skin Stress, Hormone HESS,Immune Distress"

⚠️DifferentialDiagnoses

Not every eyelidlump is a stye. Think:

• Chalazion (painless blocked gland)
• Preseptal cellulitis (diffuse infection)
• Blepharitis (chronic eyelid inflammation)
• Rarely: orbital cellulitis, sebaceous cysts, malignancy

📊How Common?

Very common acrossall age groups — often seen in primary care. Most resolve without intervention.

👀Symptoms

• Painful, red bump near lash line
• Localised tenderness
• Swelling of the lid
• White/yellow pus head may be visible
• Foreign body sensation

Diagnosis?✅ Clinical. No tests needed unless it’s recurrent oratypical.

🧯Management — FirstLine Is Simple

🧼Warm compresses:

– 5–10 mins, 3–4times/day

– Promotes drainage& healing

💡 Memory tip: “Warmth Helps the Pus Push”

🧽Eyelid hygiene

– Avoid eye makeup& contact lenses

– Use lid wipes ifneeded

💊Topical antibiotics:

– Only if infectionis severe or not resolving

– Chloramphenicolointment often used

✂️Surgical drainage:

– Rarely needed

– Only for large,persistent or recurrent styes

– Performed by anophthalmologist

📈Prognosis

🌟 Excellent.

Most resolve within1–2 weeks.

Relapses possible ifhygiene isn’t addressed.

🚨Complications (Rarebut Serious)

– Preseptal cellulitis

– Chalazion (chronic granuloma)

– Orbital cellulitis (rare but urgent)

💡 Remember: Don’t squeeze it!That can worsen spread.

📚Explore More STYEResources:

📝 Revision Notes:

https://www.passthemsra.com/topic/stye-revision-notes/

🃏 Flashcards:

https://www.passthemsra.com/topic/stye-flashcards/

📂 Accordion Q&A Notes:

https://www.passthemsra.com/topic/stye-accordion-qa-notes/

🧪 Rapid Quiz:

https://www.passthemsra.com/topic/stye-rapid-quiz/

🧠 Practice Questions:

https://www.passthemsra.com/quizzes/stye/

📈 For more focused MSRA resources, revision packs,and mock questions:

👉https://www.passthemsra.com

🎁 For free materials and high-yield clinical tips:

👉https://www.freemrsra.com

Thanksfor joining us for this quick-fire Deep Dive into STYE — remember, a little bump can teach you a lot! 😄 Until next time.

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