Stye

Stye swelling

Last Updated December 20th, 2021

Overview of stye

Eye infections are common in people living in poor hygiene conditions. People of low and middle-income countries suffer most from these diseases. Eye infections caused by bacterial agents are very common in the tropical, temperate and humid regions. These climatic zones are ideal for bacterial growth. A very common infection of this category is “Stye”. It is mainly precipitated by poor eye hygiene. But bacterial infections can also account for a stye in many cases. The occurrence of stye is high among school-going children.

 

What is a stye?

Stye swellingStye or hordeolum is defined as a painful lump formed under the eyelid or at the base of the eyelashes.

It is characterized by an acute inflammation of the eyelids, accompanied by gritty, itchy and watery eyes. A stye is formed due to clogging of the oil glands (sebaceous glands) present in the eye-lids. Styes can form on the upper or lower eyelid. Bacterial infections can also precipitate the formation of a stye.

Styes are usually filled with yellowish pus. In any case of stye, the vision is not impaired. But when styes are left untreated, they may worsen and can lead to chalazion. According to the degree of infection, multiple styes may develop at the same time. Normally styes are not communicable. But styes caused by bacterial infections are contagious in nature.

 

How will you differentiate between a stye and a chalazion?

It is important to understand the difference between a stye and a chalazion, since both of them look similar. A stye usually develops at the edge of the eyelid and is very painful. In the advanced stages, a stye can cause swelling and stiffening of the entire eyelid. A chalazion on the other hand, is caused only due to a blocked oil gland. It is usually formed at the back of the eyelid. It does not cause swelling of the whole eyelid.

 

What are the possible causes of stye?

Styes are caused both by bacterial infections and poor eyelid hygiene. The common causative factors are listed below-

  • Infections caused by the bacteria Staphylococcus aureus, that affects the oil glands present at the base of the eyelashes
  • Formation of abscess on the eyelids due to bacterial propagation
  • Blockage of the sebaceous glands present in the eyes due to accumulation of dirt or waste matter from the eyes
  • Past occurrence of Blepharitis (causes inflammation and redness of the eyelids)
  • Existing eye infections
  • Allergic response to eye-drops or using expired eye-drops or eye-medicines
  • Diseases like Acne rosacea or Seborrheic Dermatitis that affect the eye-health
  • Medical history of stye or chalazion
  • Diseases like Diabetes mellitus
  • Not cleaning eyes properly
  • Habit of rubbing eyes frequently (especially with unclean hands)
  • Exposure to hot and humid conditions on a regular basis
  • Defective eye-wear such as lenses or allergic response to lens solutions
  • Greasy eye make-up (applied on a regular basis)
  • Direct contact with a person having stye or using items (such as towels) used by the infected person

 

What are the visible signs and symptoms?

Stye childStyes are easily identifiable. The common symptoms of styes are described below-

  • Appearance of painful reddish bumps at the base of eyelashes or underneath the eyelids
  • Presence of yellowish pus in the middle of the lump
  • Irritation, grittiness, burning and inflammation of the eyes
  • Reddish discolouration of eye-lids
  • Gradual swelling of the entire eye-lid
  • A tendency to scratch the eyes
  • Constant watering from the eyes
  • Extreme tenderness of the eyes
  • Crusty appearance at the edges of the eye-lids due to the accumulation of discharged pus (observed mainly after long hours of sleeping)
  • Heaviness of the eyelids especially in the morning
  • Increased photosensitivity
  • Difficulty blinking
  • Appearance of small ulcers on the eyelids after the pus is discharged

 

Different types of styes

Based on the location, styes may be broadly classified into two categories. These are described below-

  • External hordeolum: This is a type of stye that occurs at the root of the eyelashes. It initially erupts as a small reddish lesion and gradually grows into a bigger pus-filled abscess. It is caused by bacterial infections in the hair follicles due to poor eye hygiene. The Glands of Zeis or the Glands of Moll present inside the eyelids are infected in this case.  External hordeolum normally grows towards the skin surface of the eye-lids. Hence it can release the purulent discharge easily. This category of stye does not cause serious complications. It is normally self-limiting in nature. In a few cases, it may need minor medical intervention to heal completely. External styes are more common than the other types of styes.
  • Internal hordeolum: It is a type of stye that develops inside the eyelids. It is caused by bacterial infections of the oil-glands present in the eyelids. It may also be caused by the clogging of the sebaceous glands (sweat glands) present in the eyes due to accumulated waste particles. The meibomian glands present inside the eyelids are severely affected in this case. It disrupts the lubrication of the tear film. Hence constant watering is observed in this type of stye infection. Internal hordeolum points and grow inwards towards the corner of the eyelids. Therefore the pus cannot be discharged outside the eyes. The sticky discharge thus gets accumulated in the eyes and causes severe pain and stickiness. Internal stye is no so common.

 

What are the possible complications?

Styes not only affect the eye-health, but also give rise to the following complications-

  • It can progress to Orbital Celluitis or Preseptal Cellulitis
  • It may lead to conjunctivitis
  • An untreated stye can develop into a chalazion

 

Diagnosis, treatment, & prevention

Stye upper eyelidA thorough eye examination by an ophthalmologist is necessary for the diagnosis of styes. Go to your general physician (GP) and get the ointment to fix the stye.

They can use a small, thin needle to burst the stye or remove the eyelash that contains the infection or you could refer you eye specialist.

Precautions that need to be taken are – make sure that your hands are clean at all times before touching your eyes, your eyes are clean and that there is no dirt of leftover makeup.

Facts

  • A stye affects only one eye, but there can be more than one at a given time.
  • It is a red, painful lump that is present at the edge of the eye. It looks like a boil or a pimple.

Facts

  • A stye is of two types – hordeolum – is the blockage of one of the sweat glands found in the skin or at the base of one of the eye lids. Chalazion – blockage of an oil gland which is unique to the eyelids.

Facts

  • Though no precise data is present regarding styes, these are considered to be one of the most common eye conditions.

Related Conditions

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Dos and Don'ts

Dos
  • Wash your eyes and remove all make-up.
  • Replace your eye make-up every 6 months.
  • Make sure to keep your eyes clean at all times.
Don'ts
  • Share a towel or flannel with anyone who has stye.
  • Rub your eyes if you haven’t recently washed your eyes.
  • Put contact lenses on if you haven’t washed your hands.

 

 

 

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Thyroid Profile Thyroid profile is a panel of blood tests performed to check if an individual is suffering from any…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Squid-ink-spaghetti
Squid Ink: A unique food coloring and flavoring agent Want to add a unique black color to your pasta, noodles and ice-creams? How can you use squid…
Hepatitis A virus infected liver
Hepatitis A Virus (HAV) Total Blood test to look for IgM antibodies to know if you are infected with Hepatitis A virus (HAV),…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
Jack in the box fast food
Jack In the Box : The perils of surging fast food culture in the USA Jack in the Box - How a culture of fast-food can clog your arteries, weaken your heart, fatten…
nutritional yeast bread
Nutritional Yeast : How can a fungi culture be good for your body? Nutritional yeast: How a simple culture of fungi can transform your skin, digestion, immunity , and much more.…
How seitan proved to be a blessing in disguise for vegans worldwide Can only meat-eaters enjoy delicious juicy steaks and burgers? With seitan, the best meat substitute available today,even vegans…
General adaptation syndrome: Understanding stress, one step at a time The struggle of the body to produce hormones during a stressful situation is the main theme of general…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
Unbelievable health benefits of gooseberries (and a few tasty recipes) Gooseberries are antioxidant-rich tasty fruits that can be easily added in daily diet to improve overall health and…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula
Optavia diet
The features of an Optavia diet The Optavia diet endorses pre-packaged meals and snacks called "fuelings" that are tasty, low in calorie, and incorporates…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…