INTERNAL HORDEOLUM

• It is a suppurative inflammation of the meibomian gland, usually visible at the palpebral conjunctiva

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

• A localized, firm, red, tender swelling of the lid associated with marked oedema
• The point of maximum tenderness and swelling is away from the lid margin and the pus usually points on the tarsal conjunctiva and not on the root of cilia

• Usually clinical diagnosis is made
• Local examination of eye -localized, firm, red, tender swelling of the lid 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. 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
• Durva gritha Aschotana mixed with honey
• Pad and Bandage 1 day