Styes: Why Do They Appear Twice in One Week? - Ophthalmology

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Two needle marks appeared in one week?


Hello, doctor.
Last week, I developed a stye at the corner of my eye, which became infected, but I didn't pay much attention to it, and it resolved on its own.
Today, I have developed another larger one on my eyelid, and my vision is blurry.
Could you please explain what causes styes and why I might have developed two in one week?

Qingqing, 10~19 year old female. Ask Date: 2016/04/09

Dr. Wang Zhishun reply Ophthalmology


Hello, a stye is a bacterial infection.
It's important to pay attention to local hygiene and ensure adequate sleep.

Reply Date: 2016/04/09

More Info


Styes, also known as hordeola, are localized infections of the eyelid that typically occur when the oil glands or hair follicles become blocked and infected, often by bacteria such as Staphylococcus aureus. The appearance of styes can be quite bothersome, especially if they occur in quick succession, as you've described with two styes appearing within a week.

There are several factors that can contribute to the development of styes. First and foremost, poor hygiene is a significant risk factor. Touching your eyes with unwashed hands or using contaminated makeup can introduce bacteria to the eyelid area. Additionally, if you have a habit of rubbing your eyes, this can also increase the risk of infection.

Another factor to consider is the presence of underlying conditions. Individuals with conditions such as blepharitis (inflammation of the eyelid margins), rosacea, or seborrheic dermatitis may be more prone to developing styes. These conditions can lead to chronic inflammation and blockage of the oil glands, making styes more likely.

Stress and fatigue can also play a role in the immune system's ability to fight off infections. If you have been experiencing increased stress or lack of sleep, your body may be more susceptible to infections, including those that cause styes.

In your case, the rapid recurrence of styes could indicate that the initial infection was not fully resolved, or that you are experiencing a new infection due to one of the factors mentioned above. It is also possible that the first stye weakened the local defenses of your eyelid, making it easier for a second infection to take hold.

To manage and prevent styes, consider the following recommendations:
1. Maintain Good Hygiene: Wash your hands frequently and avoid touching your eyes. If you wear makeup, ensure that your products are clean and not expired.

2. Warm Compresses: Applying a warm compress to the affected area can help to alleviate discomfort and promote drainage of the stye. Do this several times a day for about 10-15 minutes.

3. Avoid Squeezing: Do not attempt to squeeze or pop the stye, as this can worsen the infection and lead to further complications.

4. Consult a Healthcare Provider: If the styes persist, become increasingly painful, or if you experience vision changes, it is important to seek medical attention. A healthcare provider may prescribe antibiotic ointments or, in some cases, may need to drain the stye if it does not resolve on its own.

5. Address Underlying Conditions: If you have chronic eyelid issues, consider consulting with an eye care professional to address any underlying conditions that may be contributing to the frequent occurrence of styes.

In summary, the appearance of two styes within one week can be attributed to a combination of hygiene practices, underlying conditions, and possibly stress. Taking proactive steps to maintain eyelid hygiene and addressing any underlying issues can help reduce the frequency of styes in the future. If the problem persists, do not hesitate to seek professional medical advice for further evaluation and treatment.

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