Persistent Eye Pimple: Seeking Relief After Multiple Doctor Visits

Q: Persistent Eye Pimple: Seeking Relief After Multiple Doctor Visits

Hello Ms. <br>Chen： Your symptoms are likely indicative of a stye. <br>If it does not improve, you should continue to see an ophthalmologist for examination and medication adjustment until the doctor confirms that you are healed. <br>You can apply warm compresses, be mindful of y

I have a growth on my lower eyelid, and I have seen a doctor three times, but it hasn't improved?

I have a bump on the inner side of my lower eyelid near the corner of my eye.
It started off red, swollen, and oozing pus, and I wasn't sure if it was a stye or something else.
I read online that if it's oozing, it might be healing, so I didn't pay much attention to it.
However, after some time, it didn't improve, so I went to see a doctor.
The doctor prescribed eye drops and erythromycin ointment.
I noticed that after applying the ointment before bed, the redness and swelling subsided by the morning, and there was no more pus.
Upon closer inspection, there was still slight redness, but it wasn't severe.

As time went on, the swelling and pus returned, but applying the ointment helped reduce the symptoms.
I tried applying the ointment throughout the day, and even though it still swelled in the afternoon or evening, it wasn't as painful as when I didn't apply the ointment.
However, when I didn't apply it, there was more pus, and the swelling was accompanied by a burning sensation, which was alleviated by the ointment.

During my second visit to the doctor, he squeezed out some pus, but shortly after, it started oozing again, and I still felt a burning sensation that was painful to the touch.
In the first two visits, I was prescribed erythromycin, and during the third visit, the doctor prescribed Tobramycin.
He advised me to apply it before bed.
Is it okay for me to apply the ointment two to three times a day? What exactly are my symptoms, and when can I expect this to resolve? Is there anything else I should do to alleviate the symptoms, such as warm compresses? Thank you, doctor!

Chen, 20~29 year old female. Ask Date: 2015/11/26

Dr. Gao Pilin reply Ophthalmology

Hello Ms.
Chen: Your symptoms are likely indicative of a stye.
If it does not improve, you should continue to see an ophthalmologist for examination and medication adjustment until the doctor confirms that you are healed.
You can apply warm compresses, be mindful of your diet by avoiding high-fat foods, and maintain local cleanliness.
Using the ointment two to three times a day is acceptable.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
We hope to have the opportunity to serve you.
Best regards, Gao Pi-Lin.

Reply Date: 2015/11/26

More Info

It sounds like you are experiencing a persistent issue with a pimple-like bump on your lower eyelid, which has been causing discomfort and has not resolved despite multiple visits to the doctor. From your description, it seems like you may be dealing with a chalazion or a stye (hordeolum), both of which can cause redness, swelling, and pus formation.
A chalazion occurs when a meibomian gland in the eyelid becomes blocked, leading to a localized swelling that can become red and tender. A stye, on the other hand, is an infection of the eyelash follicle or oil gland, often resulting in a painful, swollen bump that may produce pus. Both conditions can be exacerbated by factors such as poor hygiene, stress, or underlying skin conditions.

Given that you have already seen a doctor and have been prescribed antibiotic ointments (like erythromycin) and other treatments, it’s important to follow their recommendations closely. Here are some additional insights and suggestions that may help you manage your symptoms:
1. Medication Use: It is generally safe to apply topical medications like erythromycin or the other ointment prescribed (温拿可通) multiple times a day, as long as you follow the instructions provided by your doctor. If you feel that the ointment is helping to reduce the swelling and pain, continuing to apply it as directed is advisable. However, if you notice any adverse reactions or if the condition worsens, you should contact your healthcare provider.

2. Warm Compresses: Applying a warm compress to the affected area can help alleviate discomfort and promote drainage if there is a blockage. Use a clean cloth soaked in warm water and apply it to the eyelid for about 10-15 minutes, several times a day. This can help reduce inflammation and encourage the gland to open up.

3. Hygiene Practices: Maintaining good eyelid hygiene is crucial. Make sure to wash your hands before touching your face or eyes, and avoid rubbing your eyes. You can also gently clean your eyelids with a mild soap or eyelid scrub to reduce the risk of infection.

4. Avoid Makeup and Contact Lenses: While you are experiencing this issue, it is best to avoid wearing eye makeup and contact lenses to prevent further irritation and potential infection.

5. Monitor Symptoms: Keep track of any changes in your symptoms. If the swelling, redness, or pain worsens, or if you develop fever or vision changes, seek medical attention promptly.
6. Follow-Up: If your symptoms persist despite treatment, it may be necessary to revisit your doctor or seek a second opinion from an ophthalmologist. They may consider other treatment options, such as drainage of the chalazion or stye if it does not resolve with conservative measures.

In conclusion, while it can be frustrating to deal with a persistent eye issue, following your doctor's advice, maintaining good hygiene, and using warm compresses can help manage your symptoms. If you have any concerns about the medications or your condition, don’t hesitate to reach out to your healthcare provider for further guidance.

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