Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a localized, painful, erythematous nodule on the [upper/lower] eyelid margin. Onset [duration] ago. Associated symptoms include localized tenderness, mild eyelid edema, and foreign body sensation. Denies visual acuity changes, proptosis, or orbital pain.
Clinical Examination Findings
External ocular exam reveals a tender, erythematous, indurated nodule at the eyelid margin consistent with a hordeolum. No evidence of preseptal cellulitis, conjunctival injection, or discharge. Extraocular movements intact. Visual acuity [20/XX] OU. Pupils equal, round, and reactive to light.
Treatment Protocol
Recommended conservative management: Warm compresses applied to the affected area for 10-15 minutes, 4 times daily. Gentle lid hygiene with diluted baby shampoo or lid scrubs. Topical antibiotic ointment (e.g., Erythromycin or Bacitracin) applied to the lid margin QID. Follow-up if no improvement in 1-2 weeks or if symptoms worsen.