From the Guidelines
For a stye that is improving with warm compresses but not fully resolved, continue applying warm compresses 4-6 times daily for 10-15 minutes each session, as this approach has been shown to be effective in managing blepharitis and related conditions, such as styes, by increasing blood circulation and promoting drainage of the infected material 1. The most recent and highest quality study on blepharitis preferred practice pattern, published in 2024, supports the use of warm compresses as a first-line treatment for blepharitis and related conditions, including styes 1. Gentle massage of the area after applying the compress can help drain the blocked gland, and keeping the eyelid clean by washing with mild soap and water is also recommended 1. It is essential to avoid eye makeup and contact lenses until the stye resolves completely to prevent further irritation and potential complications 1. If the stye persists beyond 1-2 weeks despite these measures, consider seeking medical attention for possible antibiotic treatment, such as topical antibiotic ointments like erythromycin or bacitracin, which may be prescribed to apply to the eyelid margin 2-3 times daily for 7-10 days 1. For more severe or recurrent styes, oral antibiotics like doxycycline 100mg twice daily for 7 days might be necessary, as they have been shown to be effective in reducing symptoms and improving outcomes in patients with blepharitis and related conditions 1. Styes typically result from bacterial infection of an eyelid oil gland, most commonly by Staphylococcus aureus, and warm compresses work by increasing blood circulation to the area, softening the hardened oil, and promoting drainage of the infected material 1. Most styes resolve within 1-2 weeks with conservative management, but persistent ones may require medical intervention to prevent complications, such as vision loss or recurrent infections 1. Some key points to consider when managing a stye that is improving with warm compresses but not fully resolved include:
- Continue applying warm compresses 4-6 times daily for 10-15 minutes each session
- Gentle massage of the area after applying the compress to help drain the blocked gland
- Keep the eyelid clean by washing with mild soap and water
- Avoid eye makeup and contact lenses until the stye resolves completely
- Consider seeking medical attention for possible antibiotic treatment if the stye persists beyond 1-2 weeks despite these measures.