EXTERNAL HORDEOLUM

• It is a common acute suppurative inflammation of lash follicle and its associated glands of Zeis or Moll
• Red, swollen lumps that form along the edge of the eyelid, close to the lashes, usually affecting unilaterally at a time may be a stye

Causative organism commonly involved is staphylococcus aureus and rarely streptococcus

Predisposing factors:

• Age: common in children and young adults
• Habitual rubbing of the eyes
• Metabolic factors
• Chronic debility
• Excessive intake of carbohydrates and alcohol

Symptoms

• Acute pain associated with swelling of the lid
• Mild watering
• Photophobia

Signs

• Stage of cellulitis is characterised by localised, firm, red, tender swelling at the lid margin associated with marked oedema
• Stage of abscess formation is characterised by a visible pus point on the lid margin about the affected cilia.

• Usually a clinical diagnosis is made
• Local examination of the eye -localised, firm, red, tender swelling at the lid margin associated with marked oedema

• Hot compresses
• Surgical incision
• Antibiotic eye drops
• Systemic anti-inflammatory and analgesics

Ayurvedic Treatment

• Treatment for the cause to avoid recurrence – e.g. a refractive error
• Advice to avoid frequent rubbing of eyes, intake of oily food etc

Internal Medicines

• Guduchyadi kashaya
• Patoladi kashaya
• Guggulu panchapala choorna
• Amrutarishta
• Punarnavasava

Procedures

• Local mild Fomentation with Sigru leaves or Tamarind leaves
• Purambada (Bidalaka) with Mukkadigulika +Honey/ milk – in swelling
• Incision and drainage- When Pus point is seen
• Kshalana with Triphala kashaya
• Aschotana - Durva gritha + honey
• Pad and Bandage 1 day