Author: John G. Yassin, M.D., See Clearly Vision
A stye is an inflammatory “bump” in the lid. There are two varieties. When the infection is in a hair follicle of the skin of the lid, it is termed a hordeolum. If it is in the gland which is in the posterior aspect of the lid, it is called a chalazion.
When the area is acutely infected it is termed a hordeolum. Patients with the infection will report pain or tenderness in that localized area. The treatment consists of hot compresses, antibiotic drops and sometimes antibiotic pills. Antibiotic therapy will eliminate the infection, but the bump may persist.
Chalazia are benign areas of inflammation that result in a bump on the eyelid. The area typically does not hurt; it simply causes a disturbance in appearance or vision. Antibiotics are not needed as the eyelid is not infected. The use of warm compresses can cause the chalazion to decrease in size. The use of steroid creams and ointments may prove helpful as well.
If a residual bump persists and is causing problems with vision or is a cosmetic concern, it will need to be surgically excised. Fortunately, this is usually done with an incision on the inside of the lid so there is no visually obvious scar or cosmetic defect. We do this minor surgery in our well-equipped offices on a routine basis. If this issue is affecting you, please call our office to schedule an appointment.