What is the treatment for an eyelid stye (hordeolum)?

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From the Guidelines

The treatment for an eyelid stye (hordeolum) primarily involves warm compresses and good eyelid hygiene, as recommended by the most recent study 1 from 2024.

Treatment Options

  • Apply a clean, warm compress to the affected eye for 10-15 minutes, 3-4 times daily to help bring the stye to a head and promote drainage.
  • Gently clean your eyelids daily with mild, tear-free baby shampoo diluted with warm water, using a clean washcloth or cotton swab.
  • Avoid wearing eye makeup and contact lenses until the stye resolves.
  • Over-the-counter pain relievers like ibuprofen (200-400mg every 6-8 hours) or acetaminophen (500-1000mg every 6 hours) can help manage discomfort.

Important Considerations

  • Never squeeze or pop a stye yourself, as this can lead to further infection or complications.
  • Most styes resolve within 7-10 days with these home treatments.
  • If the stye persists beyond two weeks, worsens, affects your vision, or spreads to other areas, consult a healthcare provider.
  • They may prescribe antibiotic ointments like erythromycin or bacitracin, or in severe cases, oral antibiotics such as dicloxacillin or cephalexin.

Underlying Cause

  • Styes occur when oil glands in the eyelid become infected with bacteria, typically Staphylococcus, which explains why good hygiene is essential for both treatment and prevention, as noted in the study 1.

From the Research

Treatment Options for Eyelid Stye (Hordeolum)

  • The treatment for an eyelid stye (hordeolum) is not well-established in the provided studies, as most of the studies focus on internal hordeolum or do not provide relevant information on treatment options 2, 3.
  • However, one study suggests that warm compression is a commonly used treatment for hordeolum, with 91.62% of ophthalmologists in Thailand recommending its use 4.
  • The same study also found that antibiotics, such as neomycin, polymyxin, and gramicidine eye drops, chloramphenicol eye ointment, and oral dicloxacillin, are often prescribed before and after incision and drainage (I&C) of the hordeolum 4.
  • It is worth noting that the provided studies do not offer conclusive evidence on the effectiveness of these treatment options, and more research is needed to determine the best course of treatment for eyelid stye (hordeolum) 2, 3.
  • Studies 5 and 6 are not relevant to the treatment of eyelid stye (hordeolum), as they discuss unrelated topics.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Interventions for acute internal hordeolum.

The Cochrane database of systematic reviews, 2010

Research

Interventions for acute internal hordeolum.

The Cochrane database of systematic reviews, 2013

Research

Current pattern treatment of hordeolum by ophthalmologists in Thailand.

Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2011

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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