Stye

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]; Faizan Sheraz, M.D. [3]

Synonyms and keywords: Hordeolum

Overview

A stye (also known as a hordeolum) is a painful infection of the sebaceous glands at the base of the eyelashes on, inside, or under the eyelid.. The infection may be internal or external. In many cases, the infection may resolve without treatment; however, the inflammation may spread to other ocular glands or recur.

Causes

A stye is usually caused by Staphylococcus aureus and is particularly common in infants, though it can occur at any age. They can be triggered by stress, poor nutrition or lack of sleep.. A stye may be secondary to blepharitis.

Diagnosis

History and Symptoms

The first signs are tenderness, pain, and redness in the affected area. Later symptoms that arise include swelling, watering of the eye, sensitivity to light, and discomfort during blinking. A yellowish bump develops in the affected area.

Treatment

Medical Therapy

• Hordeolum

• 1. External hordeolum, for a single lesion

• Supportive therapy: application of warm compresses 4-6 times/day.
• Note: Antibiotic therapy is questionable value for a single lesion and often not indicated.

• 2. External hordeolum, for multiple/recurrent lesions

• Preferred regimen (1): antistaphylococcal antibiotic therapy Bacitracin topical qd-tid
• Preferred regimen (2): Erythromycin topical ointment up to 6 times/day, along with lid hygiene.

• 3. Internal hordeolum

• Supportive therapy: warm compressess in conjugation with systemic antistaphylococcal antibiotics
• Note (1): If the lesion do not respond to this regimen, incision and drainage are indicated.
• Note (2): Chalazion effectively treated with lid hygiene and warm compression in most circumstances.

Physical examination

Gallery

Head

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