Treatment of Sty Eye

Stys can last from one to two weeks without treatment, or as little as four days if treated properly. Treatment is essential in cases where stys are painful, the infection looks like flaring up, pus is visible in the eye or the eye has visible swelling.

Medical Treatment

Usually a topical antibiotic course is prescribed. Commonest antibiotics used is erythromycin ophthalmic ointment. Others include chloramphenicol or amoxicillin. Chloramphenicol is avoided due to concerns about aplastic anemia, which on rare occasions can be fatal. Erythromycin ointment has the most widespread use.

AzaSite, a topical eye drop form of azithromycin, penetrates eyelid tissues better, and may be used in cases where the ointment appears inadequate.

If pus point is clearly visible, doctor may consider draining of the pus out with a needle under total aseptic conditions.
Pain relievers such as acetaminophen may be prescribed to relieve pain if required.

If a sty bursts, care must be taken to cleanse the wound to prevent reinfection.

Prevention of sty eye formation

  1. Observe proper hygiene. Proper hand washing after sports, outdoor works, reduces the risks of developing styes.
  2. Apply a warm washcloth to the eyelids for five to ten minutes two a day.  This decreases the occurrence of stys by liquefying the contents of the oil glands of the eyelid and thereby preventing blockage.
  3. Never share cosmetics or cosmetic eye tools with other people. Keep your eye tools clean.
  4. Remove makeup every night before going to sleep and discard old or contaminated eye makeup.

Complications

  1. Sty eye complications occur in very rare cases. Most frequent complication of sty is progression to a chalazion. This may cause cosmetic deformity, corneal irritation, and often requires surgical removal.
  2. Complications may also arise from the improper surgical drainage, leading to disruption of lash growth, lid deformity or lid fistula.
  3. Stys that are too large may interfere with one's vision.
  4. Eyelid cellulitis is another potential complication. This is a generalized infection of the eyelid.


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