What is the treatment for a hordeolum (stye)?

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From the Guidelines

To treat a stye, apply warm compresses to the affected eye for 10-15 minutes, 3-4 times daily, as this helps bring the stye to a head and promotes drainage, according to the most recent guidelines on blepharitis preferred practice pattern 1. This approach is crucial in managing the symptoms and promoting healing.

  • Keep the eye area clean by gently washing with mild soap and water, avoiding eye makeup until the stye resolves.
  • Over-the-counter pain relievers like ibuprofen (200-400mg every 6 hours) or acetaminophen (500-1000mg every 6 hours) can help manage discomfort.
  • Never squeeze or pop a stye as this can spread infection. Most styes resolve within 7-10 days with these home treatments. If the stye persists beyond a week, grows larger, affects vision, or spreads to other areas, consult a healthcare provider who may prescribe antibiotic ointments like erythromycin or oral antibiotics for severe infections, as suggested in the guidelines for blepharitis treatment 1. Styes occur when oil glands in the eyelid become infected with bacteria, typically Staphylococcus, and proper eyelid hygiene can help prevent recurrence. It's essential to follow the treatment regimen and maintain good eyelid hygiene to prevent future occurrences, as emphasized in the blepharitis preferred practice pattern guidelines 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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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