Summary
Definition
History and exam
Key diagnostic factors
- dor aguda somente na pálpebra
- pústula na margem da pálpebra
- pústula na conjuntiva tarsal
- nódulo palpável sem sensibilidade
- ausência de sintomas constitucionais
- ausência de dor ocular
- ausência de patologia intraocular
Other diagnostic factors
- inchaço crônico da pálpebra
- 30-50 anos de idade
- história de blefarite e rosácea ocular
- astigmatismo e visão turva
Risk factors
- 30-50 anos de idade
- blefarite e rosácea ocular
- dermatite seborreica
- colesterol sérico elevado
- diabetes mellitus
- higiene precária das pálpebras
- origem étnica
- tuberculose
Diagnostic investigations
1st investigations to order
- diagnóstico clínico
Investigations to consider
- biópsia
- tomografia computadorizada (TC) da face e órbitas
Treatment algorithm
terçol
calázio
Contributors
Authors
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
Disclosures
CM declares that he has no competing interests.
Peer reviewers
Nickisa Hodgson, MD, MAS
Assistant Professor
Oculoplastic Surgery
Downstate Medical Center
Brooklyn
NY
Disclosures
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
Disclosures
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.
References
Key articles
The College of Optometrists. Clinical management guidelines: hordeolum. Feb 2023 [internet publication].Full text
Carlisle RT, Digiovanni J. Differential diagnosis of the swollen red eyelid. Am Fam Physician. 2015 Jul 15;92(2):106-12.Full text Abstract
Gordon AA, Danek DJ, Phelps PO. Common inflammatory and infectious conditions of the eyelid. Dis Mon. 2020 Oct;66(10):101042. Abstract
The College of Optometrists. Clinical management guidelines: chalazion (meibomian cyst). Feb 2023 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Blefarite
- Dacriocistite
- Dacrioadenite
More DifferentialsGuidelines
- Clinical management guidelines: chalazion (meibomian cyst)
- Clinical management guidelines: hordeolum (stye)
More GuidelinesPatient information
Conjuntivite
More Patient information
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