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Description of Stye Eye (Hordeolum)


A stye or hordeolum is an infection or swelling on eyelid. It commonly involves only a small area of eyelid and can appear as external type (outside) or internal type (underside). Styes eye is the most common type of eyelid disorder. This infection is not harmful to vision and affects people of all ages, but significantly more in adults than in children.

External hordeoulum is the most common type of this disorder. Occurs as a boil on the skin of eyelid. Mostly happens when there is an infection in an eyelash root (ciliary gland) or a sebaceous gland. A sebaceous gland is a gland in skin that produces an oily liquid (sebum) to moisten and protect skin.


eye stye remedies


Internal stye is the result of an inflammation in one of the meibomian glands in the eyelid area. Very possible cause may be blockage or an infection.< Standard eyelid type is made up of several layers: skin on the outside, muscle, tarsal plate and the conjunctiva (the transparent layer that covers the white of eye and lines eyelid). Meibomian type of glands are placed within the tarsal plate - so an internal type of hordeolum tends to come out on the underside of eyelid not on skin, though may noticed a lump on the outer side or the edge of eyelid. Same meibomian glands helps to keep eyes moisture by preventing the watery layer on the surface of eyes (tears) from evaporating. They do this by producing an oily film over tears. For additional info upper eyelid has about 50 meibomian glands behind eyelashes and lower lid has about 25 glands.

Inflammation associated with hordeola may spread to adjacent tissue and cause a secondary preseptal cellulitis which may develop into dangerous MRSA staph infection - that is key point of stye presentation on this site dedicated to MRSA particulars.


Causes


Staphylococcus aureus is the most common cause of a hordeolum (researches had shown that over 90% eye styes are caused by these bacteria). This type of germs can be regularly found on skin, in throat and in nasal area.

In normal condition doesn't cause any harm (about 20-25% percent of human population carry this bacteria). Still, it can from time to time cause troubles, entering through small openings in skin or at the edge of eyelid. At times other types of bacterial infection can be the cause of stye disorder. However, if you have an eye stye, you don't want the bacteria within to come into contact with someone else's eye. This might indeed cause them to develop a stye or other infection as well. Therefore keep your eyes and hands clean, and don't share washcloths or towels with others. Conclusion, heordeolum is contagious disorder.

A common condition associated with above mentioned infection is blepharitis. This is a chronic inflammation of the edge of eyelid. It can affect the inside or the outside edges of eyelids. Individuals who have blepharitis are far more likely to get styes because of this inflammation.


Main Symptoms and Diagnosis


General symptoms of a hordeolum are redness, swelling and pain on the eyelid area. Still, depending on whether patient has an internal or external stye, the symptoms may differ slightly.

Main symptoms of external stye may appear as: Entire eyelid may at first be affected before the swelling settles into one small area; Pain to touch on eyelid area; A yellow, pus-filled spot with a head on it close to the edge of eyelid and; The swelling feels warm. If there is internal type of hordeolum infection symptoms may appear as:The swelling may point to the inner side of eyelid or point out through skin; A red velvety area with a yellow spot on it on the inside of eyelid (known as conjunctiva) when turned eyelid inside out ; The edge of your eyelid may be inflamed and; Possibility of having some pus or crusting around the edge of eyelid.

Only medical practitioner or optometrist (a health-care professional who examines eyes, tests sight and dispenses glasses and contact lenses) can give precise diagnose of stye disorder. He will ask patient about symptoms and examine his eyes. It is unlikely that patient will be referred to a specialist for treatment. General practictioner or optometrist will treat and monitor this type of medical condition.


Treatment


Treatment for styes depends on severity of the infection. So we have:

1. ) Mild Infections (symptoms: little redness and swelling) can be handled with hot bathing and cleaning of the eyelid. To carry out ‘hot bathing’, bathe the stye with a compress, such as a flannel or tissue, soaked in hot water. The water should not be hot enough to burn, and the bathing is usually need 4 times a day for about 10 minutes, until the stye starts to go, usually 2-3 days. (Alternatively use hot spoon bathing: hold a spoon with a flannel wrapped round soaked in hot water beneath your eye so the steam rises.)

2.) Moderate Infections Hordeolums are more painful with more swelling also require antibiotics, such as chloramphenicol cream (3-4 times a day), or fucithalmic (2 times a day) from your general practitioner. It is important to take care not to spread the infection to the other eye.

3.) Severe Infections Severe styes cause swelling of the entire eyelid may need antibiotic tablets: your general practitioner will need to advise. From time to time, large and persistent styes may need to be drained by your doctor under local anesthetic. This completely blocks feeling from eye area and patient will stay awake during the operation.


Prevention Tips


It is not rare for hordeouloms to come back. To prevent recurrence, it is fundamental to keep the edges of eyelids clean and clear of any crusting stickiness, particularly in case of blepharitis. As well, applying a hot compress on a regular basis will assist in prevention of blockages and draw out infections in their beginning.


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