Hey guys, today we will talk about red painful styes and their several treatments which will provide you better feelings in no time. So
today we are gonna be talking about probably one of the most common phone
calls we get in our clinic every day and that is I have a stye what can I do
about it?


So we discuss today in this post specifically about the styes and what they
look like? what are the symptoms? But more importantly, in-clinic treatments
that we use to take care of them.

What causes styes in your eye?

I think almost everybody knows what they are. It is a red painful bump that
you wake up with and you are just too embarrassed that you have to go to
work with this giant bump on the eye.

Stye becomes due to the plugging of the
oil glands and just as a little reminder this is a little healthy eyelid and
we have about 10 to 15 oil glands that sit behind the eyelashes. When
those get plugged up and blepharitis they look like this and all of these
little oil glands are plugged and then bacteria can kind of find a nice warm
spot that it likes and it forms a stye.

The stye can form either on the
inside of the eye where you have to pull your lid down to see it or you have
probably. If sometimes you see folks with that big red kind of looks like a
pimple on the outside that’s an external stye. 
It’s basically the same thing
it just depends on whether it opens on the inside or the outside of the

Treatment and Home Remedies

1. Warm Compress and Massage

If you are at home and you know no access to a doctor then the
first thing and most important thing to do is to use heat remembering
that those oil glands are kind of like a bunch of little sticks of melted


You want to open those oil glands and get everything to flow freely
so these are
microwavable warm compresses that you can buy over-the-counter
or online. You throw them in the microwave for about 5 to 10 seconds get
them nice and warm but not too hot that you can burn yourself and then you
just place them over the eyes and hold them for about 5 to 10 minutes.

If you have an actual stye and what I usually instruct my patients to do is after. You can kind of massage over the area where you have this stye after the heat on there for a while through the warm compress.

You want to try to break up all of
that inflammation and pus and allow that freely flows from the eyelid and
it’s coming out that’s a really good sign okay.

2. Topical ointment or Eye drops

So if you have tried that
already and you have been warm compressing till you can warm compress no
more and the stye is still there then a lot of times we have to use topical
medications most of the time you don’t need oral antibiotics for this.

I see
that prescribed a lot but it is usually not necessary to look favorite
combinations usually include an antibiotic and steroid and that can come
either a drop or an ointment that you apply topically three or four times a
day about a week or two.

3. Steroid Injections

Most of the time that’s going to clear everything up but occasionally the stye will come back in a couple or three weeks and if that’s the case then one of the next lines of treatment what’s called the intralesional Kenalog and this is just a tiny little bit of steroid that we inject directly into the sty that since there is like a little depot.

It will sit around in the lid for three or four weeks and it works as anti-inflammatory magic and a lot of times this stye goes away.

4. Incision and Drainage

If we have done the catalog and the stye persists then the last resort is to do something called an incision and drainage. We try to avoid this if we can this is not the most fun procedure for patients but it is the definitive treatment to get rid of the long-standing stye and secondly we will gonna take you back to our minor and go through some of the instrumentation so what I use to do this procedure, let’s talk a little bit more about it okay.

A surgical cut is made with a 30g needle Which is
literally the smallest needle that you can get. This procedure is known as an incision. 
We are easy on the
eyelids because it’s such
thin skin and once I draw that up usually less
than you know point 1cc is really tiny. I am gonna that directly into the
stye most of the time.

We will do that injection on the external part of the
lid just so that it’s not as uncomfortable on the internal part and it will
get all the way through and then patients I always warn them that there will
be a tiny little white area where that steroid injection was deposited that
will slowly absorb over the next three to four weeks.

Typically I will do a
follow-up with them. you know a month or so later and see if it’s all
resolved most of the time it is if it’s not resolved then the next step is
something called an incision and drainage and so for that what we are going
to do is actually take the lid and revert.

It so that I actually have access to this little area through a small clamp that I will use to finish the inflammation with the sty. It’s actually going to go over the surface of the lid it will allow me to tighten it and then invert the lid and then I will have a little view of the inside of the lid.

Where I can remove the stye so this is all of course after the eye is numbed up with some alighted cane try to get the patient as comfortable as possible with the clamp on evert the lid and then use a blade to sort of pen the area and then we can kind of just gently dissect out to the stye as you know all of the little usually.

There is a lot of scar tissue associated with it at this point. If it’s been
there for several weeks to several months sometimes you will get to know a
good gush of fluid and you sort of know it’s gonna resolve quickly other

It’s been there for a while and you have to really dissect out some
of that scar tissue once you clean up the lid get some hemostasis to get the
bleeding to kind of settle down when we just put the lid right back kind of
hold pressure for a little while and I will usually put a pressure patch
over the eye for about three or four hours as the patient goes home.

Just so
it kind of keeps everything nice and stable and then they use the same point
means that they were typically before which is a combination antibiotic
for about a week or so by that time. the patients come back for their follow-up, the inside of the lid has already healed because it heals so quickly and fast.

there are just some of the little treatments that we use for styes and
hopefully, you won’t ever have to have that done but if you do you know what
you are gonna be looking at okay. Thank you so much for reading this article
about styes hopefully you found it helpful so please share this post as much
as you can.

Ruman Amjad

Hello, I am Dr. Ruman Amjad, an Ophthalmologist specializing in the field of eye care, particularly focused on helping individuals with swollen eyelids. I am thrilled to welcome you to Swollen-Eyelid.com, a comprehensive resource dedicated to providing accurate and reliable information on eyelid inflammation.


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