What is the <u>first line management</u>&nbsp;for <b>hordeolum</b>? <br><br>{{c1::Repeated warm compresses}}

Antibiotics may be indicated if there is acompanying cellulitis<br><br><table border="1" cellpadding="6" cellspacing="0" style="border-collapse: collapse; width: 100%; border-width: 1px; border-spacing: 0px;"><thead><tr><th style="width: 13.6259%;">Feature</th><th style="width: 44.1666%;">Chalazion</th><th style="width: 42.2088%;">Hordeolum (Stye)</th></tr></thead><tbody><tr><td style="width: 13.6259%;"><b>Image</b></td><td style="width: 44.1666%;"><div><img src="ad5fa9c98ca89285903479f25dd63e16.webp" style="width: inherit; height: 300px;"></div><div><div class="figure-citation" style="font-size: 10px;"><i><a href="http://commons.wikimedia.org/wiki/User:Podzemnik" title="User:Podzemnik">Michal Klajban</a>&nbsp;-&nbsp;<span class="int-own-work" lang="en">Own work</span>,&nbsp;<a href="https://creativecommons.org/licenses/by-sa/3.0" title="Creative Commons Attribution-Share Alike 3.0">CC BY-SA 3.0</a>,&nbsp;<a href="https://commons.wikimedia.org/w/index.php?curid=11037123">Link</a></i></div></div></td><td style="width: 42.2088%;"><div><img src="857c8596f317a428a1a5a9845ead3d50.webp" style="width: inherit; height: 300px;"></div><div><div class="figure-citation" style="font-size: 10px;"><i><a href="http://commons.wikimedia.org/wiki/User:Imrankabirhossain" title="User:Imrankabirhossain">Imrankabirhossain</a>&nbsp;-&nbsp;<span class="int-own-work" lang="en">Own work</span>,&nbsp;<a href="https://creativecommons.org/licenses/by-sa/4.0" title="Creative Commons Attribution-Share Alike 4.0">CC BY-SA 4.0</a>,&nbsp;<a href="https://commons.wikimedia.org/w/index.php?curid=59068838">Link</a></i></div></div></td></tr><tr><td style="width: 13.6259%;"><b>Cause</b></td><td style="width: 44.1666%;">Blocked meibomian gland</td><td style="width: 42.2088%;"><i>Staphylococcal</i> infection</td></tr><tr><td style="width: 13.6259%;"><b>Glands involved</b></td><td style="width: 44.1666%;">Meibomian</td><td style="width: 42.2088%;">Zeiss/Moll (external) or <br>Meibomian (internal)</td></tr><tr><td style="width: 13.6259%;"><b>Tenderness</b></td><td style="width: 44.1666%;">Usually non-tender</td><td style="width: 42.2088%;">Tender</td></tr><tr><td style="width: 13.6259%;"><b>Onset</b></td><td style="width: 44.1666%;">Chronic</td><td style="width: 42.2088%;">Acute</td></tr><tr><td style="width: 13.6259%;"><b>Discharge</b></td><td style="width: 44.1666%;">None</td><td style="width: 42.2088%;">Common</td></tr><tr><td style="width: 13.6259%;"><b>Association</b></td><td style="width: 44.1666%;">Blepharitis</td><td style="width: 42.2088%;">May accompany blepharitis</td></tr><tr><td style="width: 13.6259%;"><b>Treatment</b></td><td align="center" colspan="2" style="width: 86.3754%;">Warm compresses</td></tr><tr><td style="width: 13.6259%;"><b>Antibiotics</b></td><td align="center" colspan="2" style="width: 86.3754%;">Only indicated if cellulitis present</td></tr><tr><td style="width: 13.6259%;"><b>Procedure</b></td><td align="center" colspan="2" style="width: 86.3754%;">Incision &amp; drainage if persistent</td></tr></tbody></table>

<img src="99019b2aa55448afb6d51cba20838f42.webp">

<a href="https://tgldcdp-tg-org-au.eu1.proxy.openathens.net/viewTopic?etgAccess=true&amp;guidelinePage=Antibiotic&amp;topicfile=chalazion-hordeolum">Chalazion (meibomian cyst) and hordeolum (stye)</a> - Therapeutic Guidelines - Published March 2025 - Accessed 22 October 2025