If the eye is dry or watery, which product is recommended for a hordeolum patient?

If the eye is dry or watery, which product is recommended for a hordeolum patient?

• A. PFATs qd-qid.
• B. Artificial tears hourly.
• C. Lubricating ointment at night.
• D. No lubrication.

Answer: (A)

When a hordeolum is present, soothing the ocular surface with a lubrication that won’t irritate inflamed tissue is most helpful. Preservative-free artificial tears provide moisture without the irritation risk that preservatives can cause in an inflamed lid margin or conjunctiva. Using them a few times a day (from once up to four times daily) keeps the eye comfortable and supports healing without introducing potential preservative toxicity. Other options are less ideal in this scenario. Regular artificial tears (if they contain preservatives) can irritate the inflamed lid area, and a schedule of hourly dosing isn’t necessary given the preservative exposure and practical considerations. Lubricating ointment at night helps overnight moisture but isn’t suitable for daytime use and can blur vision or interfere with lid function. No lubrication would leave dryness or tearing unaddressed, potentially increasing discomfort.

When a hordeolum is present, soothing the ocular surface with a lubrication that won’t irritate inflamed tissue is most helpful. Preservative-free artificial tears provide moisture without the irritation risk that preservatives can cause in an inflamed lid margin or conjunctiva. Using them a few times a day (from once up to four times daily) keeps the eye comfortable and supports healing without introducing potential preservative toxicity.

Other options are less ideal in this scenario. Regular artificial tears (if they contain preservatives) can irritate the inflamed lid area, and a schedule of hourly dosing isn’t necessary given the preservative exposure and practical considerations. Lubricating ointment at night helps overnight moisture but isn’t suitable for daytime use and can blur vision or interfere with lid function. No lubrication would leave dryness or tearing unaddressed, potentially increasing discomfort.