Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • acute pain of eyelid only
  • pustule at eyelid margin
  • pustule at tarsal conjunctiva
  • palpable nontender nodule
  • lack of constitutional symptoms
  • lack of eye pain
  • lack of intraocular pathology

Other diagnostic factors

  • chronic swelling of eyelid
  • age 30 to 50 years
  • history of blepharitis and ocular rosacea

Risk factors

  • age 30 to 50 years
  • blepharitis and ocular rosacea
  • seborrheic dermatitis
  • elevated serum cholesterol
  • diabetes mellitus

Diagnostic investigations

Investigations to consider

  • biopsy
  • CT scan of face and orbits
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Christopher McStay

Associate Professor of Emergency Medicine

Chief of Clinical Operations

Emergency Department

University of Colorado Hospital

University of Colorado School Of Medicine

Aurora

CO

Disclosures

CM declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Professor

Ophthalmology

University of New Mexico Medical School

Albuquerque

NM

Disclosures

BA declares that he has no competing interests.

Consultant Ophthalmic Surgeon

King's College Hospital

Honorary Research Fellow

Institute of Ophthalmology

London

UK

Disclosures

GG declares that he has no competing interests.

Director

Cornea, External Disease & Refractive Surgery

Long Island College Hospital Eye Center

Assistant Professor of Ophthalmology

SUNY Downstate Medical Center

Brooklyn

NY

Disclosures

ME declares that he has no competing interests.

Instructor in Clinical Medicine

Emergency Medicine Department

New York Presbyterian Hospital

Columbia University Medical Center

New York

NY

Disclosures

CT declares that he has no competing interests.

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