Stye and chalazion
小结
定义
病史和体格检查
关键诊断因素
- 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
其他诊断因素
- chronic swelling of eyelid
- age 30-50 years
- history of blepharitis and ocular rosacea
- astigmatism and blurred vision
危险因素
- age 30-50 years
- blepharitis and ocular rosacea
- seborrheic dermatitis
- elevated serum cholesterol
- diabetes mellitus
- poor eyelid hygiene
- ethnic origin
- tuberculosis
诊断性检查
首要检查
- clinical diagnosis
需考虑的检查
- biopsy
- CT scan of face and orbits
治疗流程
stye
chalazion
撰稿人
作者
Christopher McStay, MD
Associate Professor of Emergency Medicine
Vice Chair of Clinical Operations
Department of Emergency Medicine
Columbia University Vagelos College of Physicians and Surgeons
New York
NY
利益声明
CM declares that he has no competing interests.
同行评议者
Nickisa Hodgson, MD, MAS
Assistant Professor
Oculoplastic Surgery
Downstate Medical Center
Brooklyn
NY
利益声明
NH declares that he has no competing interests.
Gus Gazzard, MA, MBBChir, MD, FRCOphth
Consultant Ophthalmic Surgeon
King's College Hospital
Honorary Research Fellow
Institute of Ophthalmology
London
UK
利益声明
GG declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
The College of Optometrists. Clinical management guidelines: hordeolum. Feb 2023 [internet publication].全文
Carlisle RT, Digiovanni J. Differential diagnosis of the swollen red eyelid. Am Fam Physician. 2015 Jul 15;92(2):106-12.全文 摘要
Gordon AA, Danek DJ, Phelps PO. Common inflammatory and infectious conditions of the eyelid. Dis Mon. 2020 Oct;66(10):101042. 摘要
The College of Optometrists. Clinical management guidelines: chalazion (meibomian cyst). Feb 2023 [internet publication].全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Blepharitis
- Dacryocystitis
- Dacryoadenitis
更多 鉴别诊断指南
- Clinical management guidelines: chalazion (meibomian cyst)
- Clinical management guidelines: hordeolum (stye)
更多 指南患者教育信息
Conjunctivitis
更多 患者教育信息
登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
内容使用需遵循免责声明