20yrs / m , pain & swelling - 4 days , pain increased in last 2 days. Tenderness +. Vn 6/ 6 . f - nad . No Rx done . No trauma , no sticking. Dx & Rx ?

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Internal hordeolum can have a pus point at the MG opening on the lid margin like this. There can also be a pus point on the palepbral conjunctival area. Internal hordeolum is an infection of the MG.. it's usually limited to one or 2 glands. Acute meibomitis on the other hand usually involves almost the whole lid margin. There is will be pouting / inflamed MG openings with congestion of the lid margin, lid edema. Some times u can express out the secretions of the glands in oil droplet form or toothpaste like in severe cases. So I think this is an internal hordeolum rather than acute meibomitis.

Ok . Thank you sir.
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VETY SMALL CHLAZION UNLID SQUAMOUS BLEPHRITIS WITH PTYLOSIS COULD BE DUE TO DEF.DRUF ANTI DEDRUFF SHAMPO CLEAN LIDS WITH WRT COTYOM RUB OCUPLOX DX EYEBOINT ALONG LID MSRGINS MOXAFLOXINE LP EYE DTOPS IF PT HAS REF ERROR CORRECT IT

Meibomiaum duct inflammation with chelation upper lid .Press the duct between thumb and fore finger allow the content out ofloxacin eye oin at bed time 7 days for ibubrufen twice daily 3 days

Swelling seems to be just above lid margin,so dx may be infeccted chalazion.Anyway Rx remains same-hot compresses,oral antibiotic, i prefer Augmentin 625 bd,anti inflamatory & topical antibiotic drops,all for 3-5 days.

Oral antibiotics to b avoided . Indicated only if progress is to lid abscess
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Hordeolum externum.

It is bacterial infection of one of the meibomian glands in the left upper lid. Needs hot fomentation twice a day, antibiotic drops 4 times a day n antibiotic eye ointment at bed time fr 3 to 5 days. Only anti inflammatory drugs like Rutoheal D with panto per azole will suffice fr 3 days. Rule out diabetes, refractive error n emphasized avoiding hand eye contact n. To sleep well to build immunity.

Is it h. Internum or acute meibomianitis?
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Hardeolum externum

This is horde lum intern um. Treatment is same like u mentioned dr fr- horde lum internum or infected chalazion , hordeolum externum or stye n meibomian glad infection like in this case

Can you notice a yellow spot at one of the meiboman gland openings on lid margin near lateral canthus in 2nd photo ? This is suggestive of acute meibomianitis with pus draining through m. duct towards m.opening . There was no pus point on superior tarsal conjunctiva & swelling had developed recently with onset of pain.
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Cilicia 30, Markwave 30, Rustax 30 Ten tablets of magnesia sulf 3 in a cup of water soaked in cotton.

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Diseases Related to Discussion

Chalazion
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