What is the difference between a hordeolum (stye) and a chalazion?

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Last updated: April 4, 2025View editorial policy

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From the Research

A stye and a hordeolum are essentially the same condition, with hordeolum being the medical term for a stye, and the primary approach to management involves warm compresses and gentle care to promote resolution without necessitating medical intervention unless complications arise. The distinction between a stye (external hordeolum) and an internal hordeolum lies in the location of the infection or inflammation within the eyelid, affecting either the glands at the base of the eyelashes or the deeper meibomian glands, respectively [ 1 ].

Key Differences and Similarities

  • External hordeolum (stye) affects the glands at the eyelash base.
  • Internal hordeolum affects the meibomian glands deeper in the eyelid.
  • Both types are typically managed with warm compresses applied to the affected eye for 10-15 minutes, 4-6 times daily, to help bring the infection to a head and promote drainage [ 1 ].
  • Gentle massage of the area after applying the warm compress can help express the contents.
  • Over-the-counter pain relievers like acetaminophen or ibuprofen can help with discomfort.
  • It is advisable to avoid wearing eye makeup or contact lenses until the condition resolves.

When to Seek Medical Attention

  • If the stye does not improve within a week.
  • If it becomes increasingly painful.
  • If it affects vision.
  • If it spreads to other areas. In such cases, medical attention should be sought as antibiotic ointments or oral antibiotics might be necessary [ 1 ].

Important Considerations

  • Never attempt to pop or squeeze a stye as this can spread the infection.
  • Styes develop when oil glands become blocked and infected, usually by Staphylococcus bacteria that normally live on the skin surface.
  • They typically resolve on their own within 7-10 days with proper home care [ 1 ].

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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