What is the treatment for a hordeolum (stye)?

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From the Research

A stye can be effectively treated at home with warm compresses applied to the affected eyelid for 10-15 minutes, 3-4 times daily, as this helps bring the stye to a head and promotes drainage, with a significant increase in tear film lipid layer thickness following treatment with warm compresses, as shown in a study published in 2003 1. The treatment of a hordeolum (stye) typically involves a combination of home care and medical management. Some key points to consider include:

  • Applying warm compresses to the affected eyelid for 10-15 minutes, 3-4 times daily, to help bring the stye to a head and promote drainage
  • Gently cleaning the eyelid with mild soap and water or eyelid wipes
  • Using over-the-counter pain relievers like ibuprofen (200-400mg every 4-6 hours) or acetaminophen (500-1000mg every 4-6 hours) to manage discomfort
  • Avoiding wearing contact lenses and eye makeup until the stye heals
  • Never squeezing or popping a stye, as this can spread infection If the stye does not improve within a week, worsens, affects vision, or spreads to other areas, it is recommended to see a doctor, who may prescribe antibiotic ointments like erythromycin or bacitracin, or oral antibiotics for severe cases, as supported by a study published in 2006 2. It is also worth noting that subcutaneous extralesional triamcinolone acetonide injection has been shown to be effective in the treatment of chalazion, with a success rate of 93.8% compared to 58.3% for conservative treatment, as reported in a study published in 2006 2. However, the most recent and highest quality study on the treatment of external sty with ear-apex blood-letting, published in 2013 3, found that ear-apex blood-letting therapy was effective in relieving external sty, with a cure rate of 94.1% on day 7 after treatment, and was significantly superior to medication treatment in relieving external sty. Therefore, the most effective treatment for a stye is warm compresses, and if the stye does not improve, ear-apex blood-letting therapy may be considered, as supported by the most recent and highest quality study 3.

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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