Lid/Orbit
Hordeolum Internum
Also known as: internal hordeolum, internal stye
Filed as: Routine
Source-cited from the record's own evidence list. Clinical content programme led by Dr Ankit Mathur, PhD, Grad Cert Ocu Thera, B.S. Optom. How the clinical content is governed
Clinical decision support only
OptoGuide™ supports professional judgement and does not diagnose or replace clinician responsibility.
Overview
Acute infection of a meibomian gland causing a tender deeper tarsal lid lesion.
Recognition
Symptoms: what patients report
- Tender focal lid swelling
- Acute localised discomfort
Signs: what the examination shows
- Deep tarsal focal swelling
- Localised erythema
What OptoGuide™ covers for hordeolum internum
- Pattern reasoning: what this combination of findings points to, and its differentiators
- Don't-miss risks and escalation triggers
- Management tiers with linked Australian therapeutics
- Referral urgency, specialty, and letter drafting
Sources
- Hordeolum — College of Optometrists Clinical Management Guideline
- Anterior Eye Disease and Therapeutics A-Z (Bruce & Loughnan) — standard reference text
Standard texts: Kanski's Clinical Ophthalmology: A Systematic Approach, The Wills Eye Manual, Oxford Handbook of Ophthalmology, Oxford American Handbook of Ophthalmology, Signs in Ophthalmology: Causes & Differential Diagnosis.