Styes: Causes, Symptoms, and Treatment Options - Ophthalmology

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Stye issue


My daughter developed a stye on her right eyelid in mid-September 2015 (before the Mid-Autumn Festival), which took until December to resolve.
On January 5, 2016, I noticed swelling below her right eye and took her to an ophthalmologist.
The doctor confirmed it was a stye and mentioned there were a total of three: one on the upper eyelid and one on the lower eyelid of the right eye, and one near the outer corner of the lower eyelid of the left eye.
What would be the best course of action?

Xiao Qing, 30~39 year old female. Ask Date: 2016/01/15

Dr. Gao Pilin reply Ophthalmology


Hello, Xiaoqing: I recommend that you follow the advice of the physician you consulted.
Whether to perform an incision and drainage or to pursue conservative treatment should be determined based on clinical examination.
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 Pilin.

Reply Date: 2016/01/15

More Info


Understanding styes, also known as hordeola, is essential for effective management and treatment. A stye is a common and usually harmless condition characterized by a painful, red bump on the eyelid, often resembling a pimple. Styes can occur on the inner or outer eyelid and are typically caused by bacterial infections, particularly from the Staphylococcus bacteria.


Causes of Styes
Styes develop when the oil glands at the base of the eyelashes become blocked or infected. This blockage can occur due to several factors, including:
1. Bacterial Infection: The most common cause is an infection of the hair follicle or oil gland, often due to bacteria that normally live on the skin.

2. Poor Hygiene: Not cleaning the eyelids properly can lead to the accumulation of oil, dirt, and bacteria.

3. Chronic Conditions: Conditions such as blepharitis (inflammation of the eyelids) or rosacea can increase the likelihood of developing styes.

4. Stress and Fatigue: These factors can weaken the immune system, making it easier for infections to take hold.

5. Use of Contaminated Cosmetics: Using old or contaminated eye makeup can introduce bacteria to the eyelids.


Symptoms of Styes
The symptoms of a stye typically include:
- A red, swollen bump on the eyelid
- Pain or tenderness in the affected area
- Swelling of the eyelid
- Discharge of pus or crusting around the eye
- Increased sensitivity to light
- A feeling of something being in the eye

Treatment Options
For your daughter, who has experienced multiple styes, the following treatment options can be considered:
1. Warm Compresses: Applying a warm, moist compress to the affected eyelid for about 10-15 minutes several times a day can help reduce swelling and promote drainage of the stye.

2. Good Eyelid Hygiene: Keeping the eyelids clean is crucial. This can be achieved by gently washing the eyelids with mild soap and water or using eyelid scrubs specifically designed for this purpose.

3. Avoid Squeezing: It is important not to squeeze or pop the stye, as this can spread the infection and worsen the condition.

4. Topical Antibiotics: If the stye is persistent or recurrent, a doctor may prescribe antibiotic ointments to help clear the infection.

5. Oral Antibiotics: In cases where the stye does not respond to topical treatments, oral antibiotics may be necessary.

6. Surgical Drainage: If the stye becomes very large or does not improve with other treatments, a healthcare provider may need to drain it surgically.

7. Avoid Eye Makeup: Until the styes have healed, it is advisable to avoid using eye makeup to prevent further irritation and contamination.


When to Seek Medical Attention
If your daughter experiences severe pain, vision changes, or if the styes do not improve with home treatment, it is important to consult an eye care professional. They can evaluate the situation and determine if further intervention is necessary.


Conclusion
Styes are generally self-limiting and can be managed effectively with proper care and hygiene. However, recurrent styes may indicate an underlying issue that requires further investigation. Maintaining good eyelid hygiene and addressing any contributing factors can help prevent future occurrences. If you have any concerns about your daughter's condition or treatment options, please consult her healthcare provider for personalized advice.

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