Styes

Close up right upper eye lid abscess "stye or hordeolum"

There are 2 types of red and painful eyelid lumps:
STYES are at the base of the eyelashes in the tiny opening of the oil-producing glands. The oily secretions from these glands are an essential component of the tears and help keep the eyes lubricated. If the openings become clogged, bacteria grows and a localized infection called a STYE results.
CHALAZIA look similar to a stye but affect the meibomian glands which are located deeper in the eyelids. A chalazion usually does not contain an active bacterial infection. It may initially be red and swollen but within a few days it changes to a painless, slow growing lump within the eyelid.

Treatment

Styes are usually treated with hot, moist compresses. Since the stye is caused by bacteria, usually from our hands or make-up, I recommend replacing your makeup and of course not rubbing your eyes.

Chalazia are also treated with hot moist compresses but more aggressively, 10 minutes four times a day. This may soften the debris trapped in the duct and promote drainage. Chalazia are often associated with blepharitis or eyelid inflammation and preventative steps are recommended.

Karen Griffith

Dr. Griffith is the owner and operator of Westside Optometry since 1989.