Is Your Stye Getting Worse? When to Seek Further Eye Care - Ophthalmology

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It seems that the stye is getting better but then worsens again?


On February 4th, I visited an ophthalmologist near my home.
The doctor prescribed ointment, eye drops, and medication, and explained that if there is no pain, I could apply warm compresses and surgery might not be necessary.
Over the past couple of days, I noticed that the stye was no longer painful while applying the medication, so I started using warm compresses.
However, today I found that the stye has enlarged and is slightly painful to the touch.
Should I return for a follow-up appointment, or should I continue applying the ointment and eye drops (since it seems that if there is still pain, surgery might not be an option)?

h.c.r., 20~29 year old female. Ask Date: 2017/02/13

Dr. Chen Anping reply Ophthalmology


Dear Ms.
H.C.R.: Regarding the issue you raised, we recommend that you return for a follow-up appointment with your physician.
Thank you for your concern from the Hualien Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/13

More Info


If you notice that your stye is getting worse, it is important to seek further eye care. A stye, or hordeolum, is a common condition caused by an infection of the oil glands in the eyelid. While many styes can resolve on their own with home treatment, such as warm compresses and topical medications, there are certain signs that indicate the need for further medical evaluation.

In your case, since you have observed that the stye has increased in size and is now causing some pain upon touch, this could suggest that the infection is worsening or that there may be complications, such as the development of a chalazion (a blocked oil gland that can become inflamed) or even an abscess. If the stye is painful, swollen, or if you experience any changes in vision, increased redness, or discharge, it is advisable to return to your eye care provider for a re-evaluation.

Your doctor may perform a thorough examination to assess the stye and determine the best course of action. This may include prescribing stronger topical antibiotics or, in some cases, oral antibiotics if there is a significant infection. If the stye does not respond to conservative treatment, your doctor may recommend a minor surgical procedure to drain the stye, especially if it is causing significant discomfort or affecting your vision.

It is also important to continue following your doctor's instructions regarding the use of medications and warm compresses. Warm compresses can help to promote drainage and relieve discomfort, but if the stye is worsening, it is crucial to seek professional advice rather than relying solely on home treatment.

In summary, if your stye is getting larger and causing pain, it is best to return to your eye care provider for further evaluation and treatment. Early intervention can help prevent complications and ensure a quicker recovery. Remember, while many styes resolve without intervention, persistent or worsening symptoms warrant a professional assessment to rule out any serious issues.

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