What is the treatment for a hordeolum (stye)?

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From the Guidelines

To treat an eye stye, applying warm compresses to the affected eye for 10-15 minutes, 3-4 times daily, is the most effective initial treatment, as it helps bring the stye to a head and promotes drainage, according to the most recent guidelines 1. This approach is supported by the blepharitis preferred practice pattern, which emphasizes the importance of warm compresses and eyelid cleansing in managing symptoms of blepharitis, a condition often associated with eye styes 1. When it comes to cleaning the eyelids, gentle massage with mild soap or baby shampoo diluted in warm water, using a clean washcloth, is recommended 1. It's also crucial to avoid wearing eye makeup or contact lenses until the stye heals and to refrain from squeezing or popping the stye, as this can spread infection 1. For pain management, over-the-counter pain relievers like ibuprofen or acetaminophen can be helpful 1. If the stye persists or worsens, consulting a doctor for further evaluation and potential prescription of antibiotic ointments or oral antibiotics may be necessary 1. Good eye hygiene practices, including removing eye makeup before bed and avoiding touching the eyes with unwashed hands, can help prevent recurrence of eye styes 1. Key points to consider in treating an eye stye include:

  • Applying warm compresses regularly
  • Practicing good eye hygiene
  • Avoiding irritants like eye makeup and contact lenses
  • Managing pain with over-the-counter medications
  • Seeking medical attention if the stye persists or worsens.

From the Research

Treatment Options for Eye Stye

There are no specific studies found that directly address the treatment of an eye stye. However, some information can be gathered from studies on internal hordeolum:

  • The studies 2, 3 focused on internal hordeolum, but did not include external hordeola (styes) in their scope.
  • These studies found no relevant clinical trials on the treatment of internal hordeolum, and most references identified were on external hordeola or chronic internal hordeola.
  • The few references specific to acute internal hordeolum reported recommendations for treatment or were observational studies published more than 20 years ago.
  • No evidence was found for or against the effectiveness of non-surgical interventions for the treatment of internal hordeolum, and controlled clinical trials were suggested to determine effective interventions.

Limitations of Current Research

  • The lack of clinical trials on the treatment of internal hordeolum limits the understanding of effective interventions.
  • Most studies found were on external hordeola or chronic internal hordeola, which may not be directly applicable to the treatment of an eye stye.
  • Further research is needed to determine the best course of treatment for an eye stye.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Non-surgical interventions for acute internal hordeolum.

The Cochrane database of systematic reviews, 2017

Research

Interventions for acute internal hordeolum.

The Cochrane database of systematic reviews, 2013

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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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