Current Pattern Treatment of Hordeolum by Ophthalmologists in Thailand†
Chutima Panicharoen MD*, Parima Hirunwiwatkul MD*
Affiliation : † This paper was presented in part at the 21st Asia-Pacific Association of Cataract and Refractive Surgeons (APACRS) Annual Meeting, November 27-30, 2008, Bangkok, Thailand * Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Objective : To assess the current pattern of treatment among ophthalmologists in Thailand.
Material and Method: A two-page Thai questionnaire was distributed to Thai ophthalmologists’ annual meeting. Other
questionnaires were sent to the eye institute or conducted by telephone interviews.
Results : Five hundred one physicians participated in the present study (49.17%). Warm compression usage was suggested
(n = 459; 91.62%). The prescription before I&C was combined topical and oral antibiotics, only oral antibiotics (n = 12;
2.4%), or no oral antibiotics (n = 21; 4.19%). I&C was performed only in cases with flocculated mass in irrespective size
(n = 271; 54%), mass size of 4.47 (range 2-10 mm) (n = 124; 24.76%), or requested by patients (n = 13; 2.59%). The
prescription after I&C was combined topical and oral antibiotics, no oral antibiotics (n = 74; 14.77%), or no antibiotics at
all (n = 14; 2.79%).
Conclusion : Warm compression was commonly used. I&C was administered if there was flocculated mass. Antibiotics usage
before and after I&C was the same. First choice antibiotics were combination of neomycin, polymyxin, and gramicidine eye
drop, chloramphenicol eye ointment, and oral dicloxacillin.
Keywords : Hordeolum, Antibiotics, Hordeolum treatment, Ophthalmologist, I&C, Questionnaires
