Hordeolum

Almost everyone knows timbilen or timbil which in medical language is called Hordeolum. This disease can affect anyone, from children to parents. Mentioned that the incidence in adulthood more than children. There was no difference in the incidence (incidence rate) among women with men. Sometimes a person really easy experience timbilen (recurring). Proverbial, recovering one, and then reappear somewhere else timbil.
Hordeolum (the style) is an infection or inflammation of the gland at the edge of the upper eyelid and the bottom is caused by bacteria, usually by the Staphylococcal bacteria (Staphylococcus aureus). Hordeolum can occur in 1 or more eyelid gland. Eyelid gland include Meibom gland, gland Zeis and Moll.
Based on the place, hordeolum divided into 2 types:
1. Hordeolum internal, occurs in Meibom gland. In this internal hordeolum bump leads to the conjunctiva (the lining of the inner eyelid).
2. Hordeolum externa, occurs in the lymph gland Zeis and Moll. The lump appeared from the outside on the outside of the eyelid skin (palpebra).

SYMPTOMS
Hordeolum signs are very easily identifiable, ie visible lump on the upper eyelids or below, reddish. Occasionally visible whitish or yellowish spots accompanied by swelling of the eyelids.
In internal hordeolum, bumps will appear more clearly with open eyelid.
Complaints are often felt by people with such a sense hordeolum prop the eyelids, pain and more pain say when bent. Sometimes eyes watery and sensitive to light.
Hordeolum can form an abscess in the eyelid and rupture with release of pus.

TREATMENT
In general hordeolum can heal themselves (self-limited) in 1-2 weeks. But often require special treatment, topical medications (antibiotic ointment or eye drops) or in combination with oral antibiotics (taken).
Hordeolum treatment sequence is as follows:
Warm compresses for about 10-15 minutes, 4 times daily.
Topical antibiotics (ointments, eye drops), for example: Gentamycin, Neomycin, Polimyxin B, Chloramphenicol, Dibekacin, Fucidic acid, and others. Topical medications used for 7-10 days, as recommended by your doctor, especially in the phase of inflammation.
Oral antibiotics (taken), for example: Ampicillin, Amoxicillin, Erythromycin, Doxycyclin. Oral antibiotics are used if hordeolum showed no improvement with topical antibiotics. The drug is administered for 7-10 days. The use and choice of oral antibiotics only upon the recommendation of a doctor according to the examination.
The antibiotic dose in children based on body weight according to each type of antibiotic and the severity of hordeolum.
Symptomatic medications (to reduce complaints) can be given to relieve pain, such as acetaminophen, mefenamic acid, ibuprofen, and the like.

Recommendation FOR PATIENTS
Avoid rubbed or pressed-ucek hordeolum.
Do not squeeze hordeolum. Let hordeolum broke by itself, then clean with sterile gauze when out pus or fluid from hordeolum.
Close your eyes when cleaning hordeolum.
To temporarily stop the use of make-up of the eye.
Remove contact lenses (contact lenses) during the treatment period.
When was performed incision?
It is recommended that the incision (cutting) and drainage on hordeolum, if:
Hordeolum showed no improvement with topical antibiotic medications and oral antibiotics within 2-4 weeks.
Hordeolum who have already shown great or abscess phase.
After the incision is recommended controls in a week or more to the incision wound healing in order to really complete recovery.

PREVENTION
Keep your facial hygiene and hand washing before touching the face for hordeolum not easily repeated.
Wipe the eyelids gently with warm washlap to clean the gland excretion of fat.
Maintain cleanliness of equipment for eye makeup are not contaminated by germs.
Use goggles if traveling in dusty areas.