Persistent Eye Swelling: Effective Remedies for Stye Relief - Ophthalmology

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Swelling in the lower right eye?


I have a painful bump in the lower right part of my eye.
I went to see a doctor who diagnosed it as a stye and prescribed some ointment for me to apply.
However, my eye is still swollen and painful.
I visited another clinic, and they prescribed the same ointment for me to apply.
It has been two weeks, but my eye continues to swell and hurt.
What can I do to reduce the swelling?

Ya, 10~19 year old female. Ask Date: 2016/09/25

Dr. Gao Pilin reply Ophthalmology


Hello, if that's the case, it may be necessary to perform an incision and drainage to reduce the swelling.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2016/09/25

More Info


Persistent eye swelling, particularly in the case of a stye (hordeolum), can be quite uncomfortable and frustrating, especially when initial treatments do not yield the expected results. A stye is typically caused by a bacterial infection of the oil glands in the eyelid, leading to localized swelling, redness, and pain. Here are some effective remedies and considerations for managing persistent stye symptoms:
1. Warm Compresses: One of the most effective home remedies for a stye is applying a warm compress to the affected area. This helps to increase blood circulation, promote drainage, and reduce swelling. Use a clean cloth soaked in warm (not hot) water, wring it out, and place it over the eye for about 10-15 minutes, several times a day. This can help soften the stye and encourage it to drain naturally.

2. Good Hygiene Practices: Maintaining proper hygiene is crucial in managing a stye. Make sure to wash your hands thoroughly before touching your eyes. Avoid squeezing or popping the stye, as this can spread the infection. Additionally, refrain from using eye makeup or contact lenses until the stye has completely healed to prevent further irritation.

3. Topical Antibiotics: If your doctor has prescribed topical antibiotic ointments, ensure you are applying them as directed. If there has been no improvement after two weeks of treatment, it may be necessary to follow up with your healthcare provider. They might consider a different antibiotic or evaluate for other underlying issues.

4. Oral Antibiotics: In some cases, if the stye is particularly severe or does not respond to topical treatments, your doctor may prescribe oral antibiotics. This can help to address the infection more effectively.

5. Avoid Irritants: Stay away from irritants such as smoke, dust, and allergens that could exacerbate the swelling and discomfort. If you have allergies, managing them effectively can also help reduce the frequency of styes.

6. Over-the-Counter Pain Relief: If the pain is significant, over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Always follow the recommended dosage instructions.

7. Consult an Eye Specialist: If the stye persists despite home treatments and prescribed medications, it may be time to consult an ophthalmologist. They can assess the situation more thoroughly and may recommend procedures such as drainage if the stye has formed a cyst or is particularly large.

8. Consider Underlying Conditions: Persistent styes can sometimes be a sign of underlying conditions such as blepharitis (inflammation of the eyelid margins) or meibomian gland dysfunction. If you have a history of recurrent styes, discussing these possibilities with your doctor may be beneficial.

9. Avoid Touching or Rubbing the Eyes: This can introduce more bacteria and worsen the situation. Be mindful of your habits and try to avoid touching your face, especially your eyes.

In summary, while styes can be bothersome, they often resolve with appropriate care. If you have been following your doctor's advice and still experience persistent swelling and pain, it is essential to seek further evaluation. Your healthcare provider may need to explore additional treatment options or investigate other potential causes for your symptoms. Remember, patience is key, as some styes can take time to heal completely.

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