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03-31-2008, 12:22 PM
Diagnosis:

Eyelid pain ,swelling and cellulitis.
Eye discomfort and burning sensation.
often drains anteriorly through the skin near the eyelash line.
Treatment:
Medical treatment :
1-Warm compresses, eyelid hygiene.
2-Topical anti-inflammatory medication.
Epifenac eye drops 3 times daily.
3-Topical and systemic antibiotic.
Emycin (erythromycin) oint 4 times in outer part eye lid.
Keflex(cefalexin):Adult Dose:250 mg PO qid or 500 mg PO bid for 7-10 d.
Pediatric Dose:20 mg/kg/d PO divided q8h for 7-10 d; in more serious infections, may increase dose to 40 mg/kg/d; not to exceed 1 g/d.
Surgical treatment:

In some cases, the eyelid lesion becomes chronic and cystlike, requiring surgical incision and curettage under topical anesthesia.
An incision through the conjunctiva and tarsus is performed when the inflammatory reaction is present on the posterior eyelid margin.
An incision through the skin and orbicularis muscle may be necessary when the inflammatory reaction is located anteriorly.
The specimen should be sent for histopathologic examination.