What is the site of onset for internal hordeolum?

Mar 30, 2024 Source: Cainiu Health
Dr. Wang Shuai
Introduction
Internal hordeolum may occur at the eyelid margin, tarsal plate, meibomian glands, or the skin of the eyelid margin. If bodily discomfort occurs, prompt medical attention is recommended. In daily life, while awaiting professional medical care, patients can apply warm compresses to the eyelids using warm water to help relieve pain and swelling; avoid rubbing the eyes with hands, maintain good eye hygiene, and refrain from using expired or contaminated cosmetics.

Internal hordeolum (meibomian gland infection) may occur in areas such as the eyelid margin, tarsal plate, meibomian glands, and periorificial skin of the eyelid. If bodily discomfort occurs, it is recommended to seek medical attention promptly. The details are as follows:

1. Eyelid margin: The lesion of internal hordeolum typically begins at the edge of the eyelid. This is because the meibomian glands are located along the eyelid margin, and this area is susceptible to external environmental influences.

2. Tarsal plate: The tarsal plate refers to the structure that contains the meibomian glands, which are distributed along the margins of the upper and lower eyelids. The oily secretions from these glands help moisten the ocular surface and prevent tear evaporation; therefore, normal function of the tarsal plate is crucial for eye health.

3. Meibomian glands: Internal hordeolum essentially involves chronic inflammation of the meibomian glands. These glands can become affected due to oil accumulation or blockage, leading to reduced quality and quantity of lipid secretion, thereby disrupting the normal composition of tears.

4. Eyelid margin skin: Inflammation may extend to the surrounding skin of the eyelid margin, causing redness, swelling, pain, or other dermatological symptoms at the eyelid edge.

In daily life, while awaiting professional medical care, patients may apply warm compresses with clean water to the eyelids to help alleviate pain and swelling. Avoid rubbing the eyes with hands, maintain good eye hygiene, and refrain from using expired or contaminated cosmetics.