Management practice for hordeolum and chalazion: a survey of KSOPRS members.

Journal: Korean Journal Of Ophthalmology : KJO
Published:
Abstract

To determine the current management pattern for hordeolum and chalazion among members of the Korean Society of Ophthalmic Plastic and Reconstructive Surgery (KSOPRS). An anonymous web-based survey was emailed to 260 current members of the KSOPRS. The survey comprised five sections: (1) differential diagnosis, (2) treatment strategies for hordeolum, (3) treatment strategies for chalazion, (4) postsurgical care, and (5) pediatric-specific approaches. Eighty KSOPRS members participated in this study (30.8% response rate). Redness, swelling, and pain were the most-important factors for differentiating hordeolum from chalazion. For hordeolum, topical antibiotics are preferred by 73.8% of respondents, with 83.7% considering them effective. Most (77.6%) pursue nonsurgical treatment for 5-14 days before considering incision and curettage. For chalazion, treatment practices are split between conservative management and invasive methods. Intralesional steroid injections are recommended by 68.8% of respondents, with a preference for diluted triamcinolone acetonide. Relative to hordeolum, chalazion treatment involves less-frequent antibiotic use, with only 26.3% of respondents always recommending antibiotic ointments. Tissue biopsy is considered for abnormal changes in the surrounding tissues (90%) and frequent recurrence (57.5%). The practices differ between pediatric and adult cases among 47.5% of respondents, with 81.4% extending conservative management and delaying surgical interventions in pediatric cases. Anesthesia preferences for pediatric cases varied, with 50% favoring local anesthesia, 23.8% opting for monitored anesthesia care, and 16.2% choosing general anesthesia. This survey of the management of hordeolum and chalazion by KSOPRS members has revealed several interesting common practices that are considered valuable by current practitioners.

Relevant Conditions

Tissue Biopsy, Eyelid Bump, Chalazion

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