Hordeoleum is an acute inflammation of the cellular tissue of the lid leading to suppuration and pointing at the edge of the lid. The location of the inflammation is usually in the tissue surrounding a hair follicle. The outside or the inside of the eyelid can be affected.
External hordelum is an acute suppurative inflammation of lash follicle and zeis glands. Stye is common in young adults with refractive errors and extraocular muscular imbalance and may occur in crops. It is often caused by staphylococcus aureus.
Internal hordelum – It is a suppurative inflammation of the meibomian gland associated with blockage of the duct, which can occur due to secondary infection of a chalazion. It is less frequent but a more violent inflammation than stye. The gland is enlarged and causes enormous swelling on the lid. Occasionally, it may burst through the meibomian duct or the conjunctiva. An incision may be required to evacuate the pus.
Signs – The stage of cellulitis is characterised by a localised, firm, red, tender area. There is swelling at the lid margin associated with marked oedema. Usually , there is one stye, but occasionally there may be multiple ones.
- The stage of abscess formation is characterised by a visible pus point on the lid margin in relation to the affected
Symptoms – At first it appears as a hard, circumscribed redness and swelling, which frequently extends so that the whole lid will become oedematously swollen. There is at first much severe throbbing pain.
Occasionally there are two or more at the same time and they often occur in successive crops. It may include acute pain associated with swelling of lid, mild watering and photophobia.
A Case Of Hordeolum (Stye)
A woman of 21 visited my OPD on 15 Feb 2019. She was Hindu by religion, unmarried, educated as a Bsc. She was a resident of Jaipur, with the chief complaint of inflammation of right eye, redness and irritation in the eye. Pain in right eye and cheek . More lachrymation. Perspiration oily. All complaints started in the morning.
Physical generals –
Appetite – Normal
Bowel- Constipation occasionally
Perspiration- Oily , odourless
Mental generals- Anger trifle at, irritability
Case analysis –This is an acute case, so the acute totality is considered first.
The following rubrics were taken on the basis of the above –
Mind, anger trifles at
Stye – right side
Management plan – Natrum Muriaticum was the leading remedy and covered the rubrics in repertorisation. Patient was hot. Th remedy selected for the 1st prescription was Natrium muraticum.
Prescription – Natrium Muriaticum 200 BD X 1 DAY
PL 30 BD X 2 DAYS
Follow up – Medicine started in evening. In the morning she called me and said that there is 60% melioration in the lachrymation and pain . On the third day there was no pain or lachrymation. By the 4th day the problem resolved. The remedy was reduced gradually and stopped within a day.