What is the treatment for a painful and itchy stye (hordeolum) on the left eye?

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Last updated: June 23, 2025View editorial policy

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From the Research

To treat a painful and itchy stye (hordeolum) on the left eye, apply warm compresses to the affected area for 10-15 minutes, 3-4 times daily, as this helps bring the stye to a head and promotes drainage, and is supported by the most recent and highest quality study available 1.

Treatment Approach

The treatment approach for a stye should prioritize measures that promote drainage and reduce the risk of infection spreading. Key steps include:

  • Applying warm compresses to the affected area for 10-15 minutes, 3-4 times daily, to increase blood circulation and help the body's immune system fight the infection 1.
  • Gently cleaning the eyelid with diluted baby shampoo or eyelid cleansers like OCuSOFT to prevent the spread of infection.
  • Avoiding touching or squeezing the stye to prevent pushing the infection deeper into the tissue.
  • Discontinuing eye makeup and contact lenses until the stye heals to reduce the risk of further irritation or infection.

Pain Management

For managing pain associated with a stye, over-the-counter pain relievers such as ibuprofen (400mg every 6-8 hours) or acetaminophen (500mg every 6 hours) can be helpful. However, it's essential to follow the recommended dosage and consult a healthcare provider if the pain is severe or persists.

Medical Intervention

If the stye does not improve within a week, shows signs of spreading infection (such as increased redness, swelling, or discharge), or affects vision, it is crucial to consult a healthcare provider. They may prescribe antibiotic ointments like erythromycin or bacitracin, or oral antibiotics for severe cases, based on the clinical assessment and the most recent guidelines available 2, 1.

Additional Considerations

While there are various studies on the treatment of styes and hordeolum, the most recent and relevant study 1 supports the use of warm compresses as an effective method for relieving symptoms and promoting healing. Other methods, such as ear-apex blood-letting 1, may also be considered, but the primary approach should focus on warm compresses, hygiene, and, if necessary, medical intervention for infection control.

References

Research

Interventions for acute internal hordeolum.

The Cochrane database of systematic reviews, 2010

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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