What is the treatment for a hordeolum (stye)?

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Last updated: May 2, 2025View editorial policy

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From the Guidelines

To treat a stye, apply warm compresses to the affected eye for 10-15 minutes, 3-4 times daily, as this helps bring the stye to a head and promotes drainage, according to the most recent guidelines on blepharitis treatment 1. This approach is supported by the latest research, which emphasizes the importance of warm compresses in managing blepharitis and related conditions, such as styes.

  • Key points to consider when treating a stye include:
    • Keeping the eyelid clean by gently washing with mild soap and water
    • Avoiding wearing eye makeup or contact lenses until the stye heals
    • Using over-the-counter pain relievers like ibuprofen (200-400mg every 4-6 hours) or acetaminophen (500-1000mg every 6 hours) to help with discomfort
    • Seeking medical attention if the stye persists beyond a week, becomes increasingly painful, affects vision, or spreads to other areas
  • It is essential to note that styes occur when oil glands in the eyelid become infected with bacteria, typically Staphylococcus, and warm compresses work by increasing blood circulation to fight infection while softening the hardened oil in the blocked gland, as discussed in the context of blepharitis treatment 1.
  • While the provided evidence on dupilumab-related ocular surface disorders 1 does not directly address stye treatment, the general principles of ocular surface management, including the use of warm compresses and eyelid hygiene, can be applied to stye treatment, highlighting the importance of a comprehensive approach to ocular health.

From the FDA Drug Label

Directions adults and children 2 years of age and older: clean the affected area apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily may be covered with a sterile bandage children under 2 years of age: ask a doctor

The bacitracin (TOP) drug label does not provide specific information on stye treatment.

  • The label provides general directions for application, but does not mention stye explicitly.
  • For stye treatment, the label does not offer any guidance 2.

From the Research

Stye Treatment Options

There are no research papers to assist in answering this question about stye treatment, as the provided study 3 is related to the characterization of alkaline nuclease from rat liver mitochondria and does not discuss stye treatment.

  • The study 3 focuses on the purification and properties of an enzyme, which is not relevant to stye treatment.
  • Stye treatment typically involves topical antibiotics, warm compresses, and good hygiene practices, but this information is not supported by the provided study 3.
  • Further research is needed to provide evidence-based information on stye treatment, as the available study 3 does not address this topic.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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