Persistent Stye: Seeking Relief for Swollen Eyelids After Treatment

I have had a stye for almost a month, and despite seeing the doctor twice, it is still swollen?

Hello, doctor.
I initially developed a stye on my eyelid, which is swollen and red, and it feels a bit painful.
I went to see a doctor who diagnosed it as a hordeolum and prescribed medication, eye drops, and ointment.
However, after a week, there was no improvement, and it developed white pus.
I then went to a second clinic where the doctor used a needle to drain the pus and gave me more eye drops and medication.
Now, after two weeks, the wound has shrunk, but my eye is still red and swollen, although it no longer hurts (and there is no pus).
Since this recovery process has taken so long, I would like to ask how to reduce the redness and swelling of my eyelid.
Should I see a doctor again, continue using the prescribed eye drops, or would you recommend warm compresses? (Will the redness and swelling leave a scar?) Currently, my main concern is the swelling of my eyelid, which has a red spot (without scabbing), and I apply ointment before going to bed.

Manman, 20~29 year old female. Ask Date: 2021/07/10

Dr. Gao Pilin reply Ophthalmology

Hello, if the redness and swelling persist for two weeks, it is advisable to visit an ophthalmologist for an examination, as medication may still be necessary.
You can apply a warm compress, and ointment can be applied to the wound.
Online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if needed.
Gao Pilin

Reply Date: 2021/07/10

More Info

Hello! It sounds like you've been dealing with a persistent stye (hordeolum) that has not fully resolved despite treatment. Let's address your concerns and provide some guidance on managing the situation.

Understanding Styes and Their Treatment
A stye is an infection of the oil glands in the eyelid, typically caused by bacteria. They often present as a red, swollen bump on the eyelid, which can be painful and may produce pus. Treatment usually involves warm compresses, topical antibiotics, and in some cases, drainage of the pus if it becomes significant.

Current Situation
From your description, it seems that you initially received treatment for the stye, but after a week, the condition worsened with the formation of pus. After drainage, the swelling has decreased, but redness persists. Here are some points to consider:
1. Continued Redness and Swelling: It's not uncommon for the eyelid to remain red and slightly swollen even after the pus has been drained. This can be due to residual inflammation. However, if the swelling does not improve over time or worsens, it may require further evaluation.

2. Use of Medications: If your doctor prescribed antibiotic ointments or drops, it is important to continue using them as directed, even if the symptoms seem to improve. These medications help prevent further infection and promote healing.

3. Warm Compresses: Applying warm compresses to the affected area can be very beneficial. This helps to reduce swelling and promotes drainage of any residual fluid. Aim for 10-15 minutes, several times a day. Make sure the compress is clean to avoid introducing new bacteria.

4. Avoiding Irritation: Be cautious not to rub or touch the area excessively, as this can exacerbate inflammation and delay healing. Additionally, avoid using eye makeup until the area has fully healed.

5. When to Seek Further Medical Attention: If the redness and swelling do not improve within a week or if you notice any new symptoms (such as increased pain, fever, or changes in vision), it would be wise to return to your healthcare provider. They may need to reassess the situation and possibly consider other treatments, such as oral antibiotics or further drainage.

Scarring Concerns
Regarding your concern about scarring, most styes do not leave permanent scars, especially if they are treated promptly and appropriately. However, if there was significant tissue damage or if the stye was particularly large, there might be some residual discoloration or texture change. Keeping the area clean and following your doctor's advice will help minimize this risk.

Conclusion
In summary, continue with the prescribed medications, use warm compresses, and monitor the situation closely. If you have any doubts or if the condition does not improve, do not hesitate to seek further medical advice. Your eye health is important, and it's better to err on the side of caution. I hope this information helps you find relief and promotes a speedy recovery!

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