Syn .: Hordeolum, barley.
Def .: Acute bacterial infection of the sebaceous or apocrine glands of the eyelid.
Etiol .: Golden Staphylococcus (Streptococcus aureus). The starting point of infection is the external gland orifices:
– Zeisa – small sebaceous glands attached to the eyelashes;
– Molla – apocrine glands of the eyelid;
– Meibomus – large sebaceous glands in the area of the eyelid.
Loc .: More often the upper eyelid, less often the lower eyelid.
Klin .: Jęczmyk has two clinical forms – external and internal:
– External barley – covers the superficial Zeis or Mole glands. An eruption is an eyelid rim or pustule pierced by an eyelash, and there may be eyelid edema. The lesion is painful, there is lacrimation. In the further course, the eruption ruptures, releasing purulent contents. The lesion is usually single, but there may be multiple lesions (horneolosis).
– Internal barley – covers the deep Meibomian glands. The eruption is larger and more painful. The rupture occurs from the side of the conjunctiva.
DR: Inflammation of the tear ducts (dacryocystitis), tumors of the sebaceous glands, carcinoma basocellulare of the eyelid margin.
Healing: Topical antibiotic therapy – ointments with erythromycin or bacitracin, eye drops with sulfacetamide. Internal barley requires ophthalmic treatment.
Year: Good. Frequent relapses.
Lit.: [1] Boguszakova J.: Hordeolum. Zdrav Actual 1983, 204; 202. [2] Diegel JT: Eyelid problems. Blepharitis, hordeola, and chalazia. Postgrad Med 1986, 80(2); 271-2
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House