What indicates systemic involvement in a hordeolum case?

In a case of hordeolum, or a stye, systemic involvement is indicated by signs that suggest the infection or inflammation has extended beyond the localized area of the eyelid and is affecting the overall system of the body. Protrusion of the eyeball can suggest an underlying issue such as abscess formation or orbital cellulitis, which may arise as a complication of the hordeolum.

Localized pain, ocular redness, and moderate swelling generally describe symptoms that are confined to the eyelid and the surrounding area. While these symptoms can indicate a hordeolum, they do not necessarily reflect systemic involvement. When the eyeball protrudes, it may indicate that the infection is more severe and has affected the deeper structures of the eye or orbit, signaling the need for further evaluation and potentially systemic treatment.