Pediatrics in Review
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(Pediatrics in Review. 1999;20:283-284. doi:10.1542/10.1542/pir.20-8-283)
© 1999 American Academy of Pediatrics
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Hordeola and Chalazia

C. Lederman, MD*
M. Miller, MD*
* Children's National Medical Center, Washington, DC
Hordeola and chalazia are the most common acquired lid lesions in childhood. Their sites of origin are the sebaceous glands of the eyelids—the meibomian glands and the glands of Zeis. These holocrine glands produce a lipid material that normally forms the superficial layer of the tear film. There are 20 to 30 meibomian glands in the upper lid and 10 to 20 in the lower. They are embedded in the tarsal plate, the collagenous supporting structure of the lids, and are independent of hair follicles. The glands of Zeis are associated with eyelash follicles.

A hordeolum, commonly referred to as a stye, is formed by the infection of a meibomian (internal hordeolum) or Zeis (external hordeolum) gland. . . . [Full Text of this Article]


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Pediatrics Pediatrics in Review
Copyright © 1999 by the American Academy of Pediatrics.