How to Treat Black Spot After Stye Popped in a Child?

Q: How to Treat Black Spot After Stye Popped in a Child?

Hello, Xiao Tian： Usually, when a stye ruptures, the likelihood of leaving a scar is low if there is no further infection, and the dark spot will gradually fade away. <br>However, to rule out any potential infection, it is advisable to have an eye specialist examine it to determi

The pus from the stye has ruptured and turned into a black spot?

Hello Doctor, my child is six years old.
The pus from a stye burst the day before yesterday, and I cleaned it with a cotton swab, but the wound bled a little at the end.
The next day, the wound developed a black spot.
I would like to know what I should do now to prevent any scarring.
Will this black spot remain with her? Thank you, and I look forward to your reply!

Xiao Tian, 30~39 year old female. Ask Date: 2020/02/20

Dr. Gao Pilin reply Ophthalmology

Hello, Xiao Tian: Usually, when a stye ruptures, the likelihood of leaving a scar is low if there is no further infection, and the dark spot will gradually fade away.
However, to rule out any potential infection, it is advisable to have an eye specialist examine it to determine if medication is necessary.
In Taiwan, the ophthalmology department at Puzi Hospital is available: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2020/02/20

More Info

When dealing with a black spot left after a stye (hordeolum) has popped in a child, it is essential to understand the nature of the healing process and the potential for scarring. A stye is an infection of the oil glands in the eyelid, which can lead to swelling, redness, and sometimes the formation of pus. When the stye ruptures, it can leave behind a wound that may bleed slightly, as you have observed.
The black spot you see is likely a result of a few factors. It could be a scab that has formed over the healing wound, or it may be a form of hyperpigmentation, which is common after skin injuries. Hyperpigmentation occurs when the skin produces excess melanin in response to inflammation or injury, leading to dark spots. In children, this is often temporary and can fade over time, but it can take several weeks to months for the skin to return to its normal color.

To minimize the risk of scarring and promote healing, here are some steps you can take:
1. Keep the Area Clean: Gently clean the area around the eye with mild soap and water. Avoid using harsh chemicals or scrubbing the area, as this can irritate the skin further.

2. Avoid Picking or Scratching: It is crucial to prevent your child from picking at the scab or the black spot, as this can lead to further irritation and increase the risk of scarring.

3. Moisturize: Applying a gentle, fragrance-free moisturizer can help keep the area hydrated. This can promote healing and may help reduce the appearance of scars.

4. Sun Protection: Protecting the area from sun exposure is vital. UV rays can darken scars and hyperpigmentation. Use a broad-spectrum sunscreen with an SPF of at least 30 when your child is outdoors, and consider using a wide-brimmed hat to shield the face.

5. Topical Treatments: If the black spot persists, you might consider using over-the-counter treatments that contain ingredients like silicone gel, which can help reduce the appearance of scars. However, consult with a pediatric dermatologist before applying any new products, especially near the eye area.

6. Consult a Pediatric Dermatologist: If the black spot does not improve or if you have concerns about scarring, it is advisable to consult a pediatric dermatologist. They can assess the area and may recommend treatments such as topical retinoids or other therapies that can help with pigmentation issues.

7. Patience: Lastly, it’s important to be patient. Skin healing can take time, and many children’s skin will naturally resolve discoloration without intervention.
In conclusion, while the black spot may be concerning, it is often a normal part of the healing process after a stye. By following the steps outlined above, you can help promote healing and minimize the risk of scarring. If you have any ongoing concerns, do not hesitate to seek professional medical advice.

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