What is the treatment for a hordeolum (stye)?

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 supported by the latest research, which emphasizes the importance of warm compresses in managing symptoms of blepharitis, a condition closely related to styes.

• Gently cleaning your eyelids with mild soap or baby shampoo diluted with warm water can also help manage the condition.
• Over-the-counter pain relievers like ibuprofen (200-400mg every 4-6 hours) or acetaminophen (500-1000mg every 4-6 hours) can help manage discomfort associated with styes.
• It is crucial to avoid wearing contact lenses and eye makeup until the stye heals to prevent further irritation and potential infection.
• Refraining from squeezing or popping the stye is also essential, as this can spread infection and lead to more severe complications. Most styes resolve within 7-10 days with these home treatments. If the stye persists beyond a week, grows very large, affects your vision, or spreads to other areas, it is advisable to see a doctor who may prescribe antibiotic ointments like erythromycin or bacitracin 1. Styes are caused by bacterial infections in an oil gland or hair follicle at the edge of the eyelid, and proper eyelid hygiene helps prevent recurrence by reducing bacteria that can cause infection. The use of topical treatments such as hypochlorous acid 0.01% spray or tea tree oil may also be considered for their antimicrobial properties, although their effectiveness can vary and they should be used with caution to avoid potential adverse effects on the corneal epithelium 1. In-office procedural treatments like vectored thermal pulsation therapy or microblepharoexfoliation may be recommended in more severe or recurrent cases, but these should be approached with caution and under the guidance of a healthcare professional due to their invasive nature and potential risks 1.