A hordeolum usually does not respond solely to an antibiotic or steroid; the best treatment for them is intensive hot compresses (4x/day, 10 mins each time, as hot as you can tolerate without burning yourself, massaging the bump while it's on there). Sometimes it may take up to 3 weeks of doing this daily before it will go away. If it doesn't then it may need to be opened up. A combination steroid/antibiotic may be needed for it if the inflammation is significant or if a secondary skin infection develops with it, but this is the exception, not the rule.
As far as episcleritis is concerned, about half of the time it is the result of some systemic auto-immune disorder such as psoriasis, inflammatory bowel disease, arthritis, etc. The other half the time we don't know what causes it. Episcleritis usually goes away on its own, but sometimes a mild steroid is useful in taking care of it. Scleritis is a deeper inflammation that needs an oral nsaid to take care of it, so the diagnoses are distinct.
Does that help address your concerns?
I am happy to be able to help you today. If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter. I will also be happy to answer any other questions until you have the information you need.
Any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. Thanks for your inquiry!
My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.