Post-Surgery Care for Styes: When to Use Medication on Eyelids - Ophthalmology

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I would like to ask about a stye.
After the surgery, the doctor prescribed Betaderm ointment to be applied to the outer eyelid wound and the inner eyelid.
After applying it for 10 days, I still feel a small chalazion swelling on my eyelid, but the surgical wound seems to be healing well.
Should I continue to apply the ointment to the inner eyelid only? Do I still need to apply it to the outer eyelid surgical site? The doctor mentioned to return for a follow-up if it hasn't resolved in 15 days.
Please help me with this.

Chen Yi-jie, 30~39 year old female. Ask Date: 2023/10/25

Dr. He Jianxian reply Ophthalmology


Mr.
Chen Yi-jie has questions regarding the use of the medication; it is recommended to consult the surgeon.
If there are any discomforts, he should return for an earlier consultation.
Director He Jian-xian, Ophthalmology Department, Nantou Hospital.

Reply Date: 2023/10/25

More Info


Post-surgery care for styes, particularly after surgical intervention, is crucial for ensuring proper healing and preventing complications. It sounds like you have been following your doctor's instructions regarding the application of the prescribed medication, specifically the ointment (比達爽藥膏). Here’s a comprehensive overview of your situation and some additional insights into post-surgical care for styes.

1. Medication Application: After surgery for a stye, it is common for doctors to prescribe topical ointments or medications to promote healing and prevent infection. In your case, the ointment is meant to be applied to both the external and internal surfaces of the eyelid. Since you have been applying it for 10 days and the surgical site is healing well, it is essential to continue applying the ointment as directed. If your doctor advised you to apply it to the inner eyelid, you should continue doing so, as this can help address any residual inflammation or infection that may be contributing to the small bump you are still experiencing.

2. Residual Bump: The presence of a small bump (霰粒) after surgery can be concerning, but it is not uncommon. Sometimes, a small cyst or residual stye can persist even after the main stye has been removed. This could be due to a few reasons, such as incomplete drainage of the stye or the formation of a new cyst. It is important to monitor this bump and report any changes to your doctor during your next visit.

3. External vs. Internal Application: You asked whether you should continue applying the ointment to the external eyelid. Yes, it is advisable to continue applying the ointment to the external surgical site as well, as this area may still require medication to prevent infection and promote healing. The external application can help soothe the skin and reduce inflammation, while the internal application targets any issues that may be present within the eyelid.

4. Follow-Up Care: Since your doctor mentioned that if the bump does not resolve in 15 days, you should return for a follow-up, it is crucial to adhere to this timeline. Follow-up appointments are vital for assessing the healing process and determining if any further intervention is necessary. If the bump persists or worsens, your doctor may consider additional treatments, such as drainage or further medication.

5. General Care Tips: In addition to applying the ointment as prescribed, here are some general care tips for post-surgery stye management:
- Keep the Area Clean: Gently clean the eyelid area with a mild soap and water solution to prevent any buildup of debris or bacteria.

- Avoid Touching: Refrain from touching or rubbing your eyes, as this can introduce bacteria and lead to infection.

- Warm Compresses: Applying warm compresses to the affected area can help reduce swelling and promote drainage. Make sure the compress is clean and not too hot.

- Avoid Makeup: It is advisable to avoid using eye makeup until the area has fully healed to prevent irritation or infection.

6. When to Seek Help: If you notice any signs of infection (such as increased redness, swelling, pain, or discharge), or if the bump continues to grow or does not improve, contact your healthcare provider immediately.

In summary, continue using the ointment as directed, apply it to both the internal and external eyelids, and keep an eye on the residual bump. Make sure to follow up with your doctor as advised to ensure proper healing and address any concerns. Your proactive approach to your recovery is commendable, and following these guidelines will help you achieve the best possible outcome.

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