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Non-surgical interventions for acute internal hordeolum
Kristina Lindsley1, Jason J Nichols2, Kay Dickersin3
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Mail Room E6132, Baltimore, Maryland, USA, 21205.
The Cochrane Database of Systematic Reviews
|January 10, 2017
Summary
This review found no evidence on non-surgical treatments for acute internal hordeolum. More clinical trials are needed to determine effective interventions for this common eyelid inflammation.
Area of Science:
- Ophthalmology
- Evidence-Based Medicine
Background:
- Internal hordeolum is a painful bacterial infection of eyelid oil glands.
- It can resolve spontaneously but may recur or lead to chronic conditions.
- External hordeola (styes) were excluded from this review.
Purpose of the Study:
- To evaluate the effectiveness and safety of non-surgical treatments for acute internal hordeolum.
- Comparisons included observation or placebo.
Main Methods:
- Searched multiple databases (CENTRAL, MEDLINE, Embase, PubMed, LILACS, mRCT, ClinicalTrials.gov, WHO ICTRP) up to December 2016.
- Included randomized or quasi-randomized trials of acute internal hordeolum.
- Excluded studies on external hordeola, chronic hordeola, or chalazia.
Main Results:
- No relevant clinical trials were identified for the review.
- Searched references predominantly discussed external hordeola or chronic conditions.
- Few studies on acute internal hordeolum were observational or outdated.
Conclusions:
- There is a lack of evidence regarding non-surgical interventions for acute internal hordeolum.
- Controlled clinical trials are necessary to establish effective treatments.
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