Do You Need Surgery for a Stye Without Discomfort? - Ophthalmology

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Is surgery necessary for a stye if there is no discomfort?


About a week ago, I developed a stye.
After three to four days, the swelling subsided and there was no pain, but there is a slight swelling in one area that does not have a noticeable hard lump upon touch; it is only visible upon close inspection.
This has persisted until today.
About three days ago, I visited an ophthalmology clinic where the doctor prescribed antibiotic eye drops and ointment, but there has been no improvement.
Considering that surgery still carries risks, is it necessary to undergo surgery if there are no discomforting symptoms? Will continuing to apply the medication help?

Niming, 20~29 year old female. Ask Date: 2024/03/27

Dr. Gao Pilin reply Ophthalmology


Hello: Under normal circumstances, if infection is properly controlled and symptoms do not worsen, antibiotic eye drops and ointments can be used without the need for surgery.
The current lump may gradually decrease in size, and applying warm compresses can help accelerate the softening and disappearance of the lump.

Reply Date: 2024/03/27

More Info


When it comes to managing a stye, or hordeolum, the decision to pursue surgical intervention largely depends on the symptoms and the individual’s overall condition. A stye is typically caused by a bacterial infection of the oil glands in the eyelid, leading to localized swelling, redness, and discomfort. However, in your case, it appears that the stye has resolved significantly, with no pain or discomfort, which is a positive sign.

In general, if a stye is asymptomatic and shows signs of improvement, surgery is usually not necessary. Surgical intervention is typically reserved for cases where the stye is persistent, painful, or does not respond to conservative treatments such as warm compresses and topical medications. Since you mentioned that the swelling has decreased and there is no significant discomfort, it is likely that your body is resolving the infection on its own.

The use of antibiotic eye drops and ointments prescribed by your ophthalmologist is a common approach to treating styes. These medications can help eliminate any residual bacteria and promote healing. However, if you find that the topical treatments are not yielding results, it may be worth discussing this with your doctor. They might consider alternative treatments or reassess the need for surgical drainage if the stye does not improve over time.

Surgery for a stye typically involves making a small incision to drain the pus and relieve pressure. While this procedure is generally safe and performed under local anesthesia, it does carry some risks, including infection, scarring, and potential damage to surrounding tissues. Therefore, if there are no significant symptoms, the risks may outweigh the benefits of surgery.

Continuing to apply warm compresses can be beneficial, as they help to soothe the area and promote drainage of the gland. This method can often lead to spontaneous resolution of the stye without the need for surgical intervention. If you notice any changes, such as increased redness, swelling, or pain, it would be advisable to seek further evaluation from your ophthalmologist.

In summary, if your stye is asymptomatic and improving, it is generally not necessary to pursue surgery. Continuing with the prescribed medications and supportive care, such as warm compresses, is a reasonable approach. However, if you have concerns or if the condition does not improve, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice based on your specific situation and help determine the best course of action.

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