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Welcome to question of the day #37

Eyetools question of the day #37

This is often reported by patients with one or more of the following:

  • Prior history of chalazia, hordeolae, or ‘styes’
  • Acne rosacea
  • Ocular rosacea
  • Acne vulgaris
  • Meibomianitis, often with generally ‘oily skin’.
  •  

Commonly the cause is an early or non-organized chalazion.

Management

  • Hot packs 4-5x daily for two weeks
  • Meibomian gland expression in the practice and/or, at home
  • Lid scrubs.

If these are unsuccessful then referral to a medical practitioner as oral tetracyclines or steroid injections (into the lid) are clinically warranted.