Understanding Hordeolum

Hordeolum is a condition when a painful nodule that looks like acne or boils grows on the edge of the eyelid. Most of the Hordeolum only appears on one eye. This condition also generally does not adversely affect the ability of vision of the person.Hordeolum usually occurs in the outer eyelid, but sometimes can also appear on the inside. The growing spots on the inside are more painful than those growing outside.
Symptoms of Hordeolum
Hordeolum indications are easily detectable from the growth of red lumps resembling ulcers on the eyelid. 
Other symptoms that accompany this condition include:
  • Watery eyes.
  • Eyes or eyelids are flushed.
  • Swollen eyelids and pain.
Almost all cases of Hordeolum do not require special medical treatment and can heal with his own. However, the risk of complications persists. Therefore, you should see your doctor if your Hordeolum shows no signs of improvement after 2 days and the swelling spreads to other parts of the face, such as the cheek.Causes and Risk Factors of HordeolumThe main cause of Hordeolum is Staphylococcal bacteria. Examples of bacterial infections that can trigger Hordeolum are infections that occur in the roots of eyelashes, oil glands, and sweat glands.Staphylococcal bacteria usually live on human skin without causing illness. But the risk of Hordeolum will increase if we touch the eyes with dirty hands. In addition, there are a number of other risk factors that include:
  • Using cosmetics that have expired.
  • Not cleaning cosmetics when going to bed.
  • Wear non-sterile contact lenses or your hands are not clean when installing them.
  • It has inflammation of the eyelids or blepharitis, especially chronic type. This condition can be caused by a bacterial infection or complication due to rosaseae skin disease.
Hordeolum Treatment
Most of the Hordeolum can heal by itself within 7 to 20 days. Hordeolum will heal after breaking and release pus. Nevertheless, never squeeze or break Hordeolum's own lump because it can trigger the spread of infection. Wait until the lump breaks naturally.There are simple steps you can take to reduce symptoms and discomfort due to the nodule. Some of them are:
  • Maintain eye hygiene, for example by avoiding the use of cosmetics for a while.
  • Warm water compresses for 5 to 10 minutes. Compress eyelids with warm water 2-3 times a day can reduce pain as well as speed healing.
  • Do not wear contact lenses. Avoid contact lenses until Hordeolum heals.
  • Analgesic. You can take analgesics or painkillers if needed.
If the Hordeolum does not heal and the pain gets worse, you should seek a doctor. Treatment steps are generally done is to remove the pus so that pressure on the eyes can be reduced.Although rare, antibiotic use may be recommended. Especially if you also have other complications, such as kalazion (a cyst caused by a blockage of one of the glands on the eyelid) or preseptal cellulitis (infection of the tissue around the eye).
Prevention of Hordeolum 
Maintaining eye hygiene is the most important step to avoid Hordeolum. The process can be done through simple steps as follows:
  • Do not rub your eyes. This action can trigger irritation and migration of bacteria to the eye.
  • Protect your eyes by always washing your hands before touching your eyes or wearing protective goggles when cleaning the house to avoid dust.
  • If you wear contact lenses, wash and sterilize before use. Make sure you do not forget to wash your hands before installing them.
  • Watch the cosmetics you use. Avoid out-of-date cosmetics, clean the makeup on your eyes before going to bed, and throw away cosmetics for the eyes you've used before and during Hordeolum.
  • Immediately treat infections or inflammation of the eyelid thoroughly.

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