Styes: Treatment Options and Possible Side Effects - Ophthalmology

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A stye?


Hello, doctor.
I have developed a stye on my upper eyelid and visited an ophthalmologist who prescribed "Gentamicin eye ointment" and "Winston's Genteal eye drops." After four days, the stye has significantly reduced and is no longer painful.
However, I noticed that the part of my upper eyelid that came into contact with the ointment has a lot of red blood vessels, which was a bit alarming.
I returned for a follow-up, and the doctor changed my medication to "Winston's Tobramycin eye ointment" and "Moxifloxacin eye drops." The doctor mentioned that I might be allergic to the previous medication.
Could you please tell me if these treatments for styes have any side effects, such as causing blood vessels in the eye to appear? I have been using the Moxifloxacin eye drops for two days now, but the redness has not improved much.
How long should I expect for my symptoms to recover? Thank you.

Ting Ting, 30~39 year old female. Ask Date: 2020/12/12

Dr. Gao Pilin reply Ophthalmology


Hello, Ting Ting: If it is an allergy, it may improve within a week, so there is no need to worry.
These blood streaks are also harmless; congestion occurs during allergic inflammation.
In Taiwan, the ophthalmology department at Puzi Hospital is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, you should visit a medical facility for treatment.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/12/12

More Info


Styes, or hordeola, are common eye conditions characterized by a painful lump on the eyelid caused by an infection of the oil glands. They can be uncomfortable and may lead to redness and swelling in the affected area. Treatment typically involves the use of topical antibiotics, warm compresses, and sometimes corticosteroids to reduce inflammation. In your case, you were prescribed "紫菌素眼用軟膏" (likely a topical antibiotic) and "溫士頓的佳必得眼藥水" (which may contain an antibiotic or anti-inflammatory agent).
It's not uncommon for patients to experience side effects from medications, including allergic reactions. The redness and bloodshot appearance of your eye after using the initial medication could indicate an allergic reaction or irritation caused by the ointment. Allergic reactions to topical medications can manifest as redness, swelling, itching, or even a burning sensation. If the symptoms persist or worsen, it is crucial to follow up with your healthcare provider, as they may need to adjust your treatment plan.

The second set of medications you received, "溫拿可通眼藥膏" and "麥敏眼藥水," may have different active ingredients and mechanisms of action. It's essential to monitor your symptoms closely while using these new treatments. If you continue to experience redness or discomfort, it could suggest that you are either having a reaction to the new medications or that the stye is not resolving as expected.

In terms of recovery time, styes typically resolve within a week or two with appropriate treatment. However, if the stye does not improve or if you develop additional symptoms such as increased pain, swelling, or discharge, it is essential to seek further medical evaluation. Sometimes, styes can lead to complications such as chalazia (a blocked oil gland) or even cellulitis (a more severe skin infection), which may require more aggressive treatment.

In summary, while topical medications for styes are generally safe and effective, they can cause side effects, including allergic reactions. The redness you are experiencing may be related to the initial treatment, and it is essential to communicate with your healthcare provider about any ongoing symptoms. Recovery from a stye can vary, but with appropriate treatment, most cases resolve within a couple of weeks. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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