Ophthalmology · UKMLA & AKT

Hordeolum (stye)

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • External hordeolum - painful red lump at eyelid margin, localised to base of an eyelash; yellow pustule visible at lash base
  • Internal hordeolum - greater pain and periorbital oedema; swelling within lid body; yellowish elevation visible on palpebral conjunctiva on lid eversion
  • Epiphora and foreign body sensation may occur
  • Systemic features (fever, malaise) are uncommon - if present, suspect spreading infection

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