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Antibiotics for stye treatment: Sty – Diagnosis and treatment


Sty – Diagnosis and treatment


Your doctor will usually diagnose a sty just by looking at your eyelid. Your doctor may use a light and a magnifying device to examine your eyelid.


In most cases, a sty doesn’t require specific treatment, but using warm compresses can hasten the healing. A sty typically goes away on its own. Recurrences are common.

For a sty that persists, your doctor may recommend treatments, such as:

  • Antibiotics. Your doctor may prescribe antibiotic eyedrops or a topical antibiotic cream to apply to your eyelid. If your eyelid infection persists or spreads beyond your eyelid, your doctor may recommend antibiotics in tablet or pill form.
  • Surgery to relieve pressure. If your sty doesn’t clear up, your doctor may make a small cut in it to drain the pus.

Lifestyle and home remedies

Until your sty goes away on its own, try to:

  • Leave the sty alone. Don’t try to pop the sty or squeeze the pus from a sty. Doing so can cause the infection to spread.
  • Clean your eyelid. Gently wash the affected eyelid with mild soap and water.
  • Place a warm washcloth over your closed eye. To relieve pain, run warm water over a clean washcloth. Wring out the washcloth and place it over your closed eye. Re-wet the washcloth when it loses heat. Continue this for 5 to 10 minutes. Then gently massage the eyelid. Repeating this two to three times a day may encourage the sty to drain on its own.
  • Keep your eye clean. Don’t wear eye makeup until the sty has healed.
  • Go without contacts lenses. Contact lenses can be contaminated with bacteria associated with a sty. If you wear contacts, try to go without them until your sty goes away.

Preparing for your appointment

Start by seeing your family doctor or a general practitioner if your sty is painful or doesn’t start to get better in two days. In some cases, your doctor may refer you to a specialist who treats eye diseases and conditions (ophthalmologist).

Because appointments can be brief, it’s a good idea to be prepared for your appointment. Here’s some information to help you get ready.

What you can do

  • List any symptoms you’re experiencing, including those that seem unrelated to the sty.
  • List key personal information you feel may be important for your doctor to know.
  • Make a list of all medications, vitamins and supplements that you’re taking.
  • List questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. For a sty, some basic questions to ask your doctor include:

  • What is the likely cause of my sty?
  • When can I expect my sty to go away?
  • Is this contagious?
  • What kinds of tests do I need?
  • Are there any treatments for my sty?
  • What are the benefits and risks of these treatments?
  • What can I do to prevent future sties?
  • Can I continue wearing contact lenses?
  • Is there a generic alternative to the medicine you’re prescribing me?
  • Do you have any brochures or other printed material that I can take with me?
  • What websites do you recommend?
  • Do I need a follow-up visit?

July 15, 2020

Show references

  1. Yanoff M, et al. , eds. Benign eyelid lesions. In: Ophthalmology. 5th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed April 28, 2020.
  2. Chalazion and hordeolum. Merck Manual Professional Edition. https://www.merckmanuals.com/professional/eye-disorders/eyelid-and-lacrimal-disorders/chalazion-and-hordeolum-stye. Accessed April 27, 2020.
  3. Fowler GC, et al., eds. Chalazion and hordeolum. In: Pfenninger and Fowler’s Procedures for Primary Care. 4th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed April 28, 2020.
  4. Ghosh C, et al. Eyelid lesions. https://www.uptodate.com/contents/search. Accessed April 28, 2020.
  5. How to use cosmetics safely around your eyes. American Academy of Ophthalmology. https://www.aao.org/eye-health/tips-prevention/eye-makeup. Accessed April 28, 2020.
  6. What you need to know about contact lens hygiene and compliance. American Optometric Association. https://www.aoa.org/patients-and-public/caring-for-your-vision/contact-lenses/what-you-need-to-know-about-contact-lens-hygiene-and-compliance. Accessed April 28, 2020.
  7. Chalazia and stye treatment. American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/chalazion-stye-treatment. Accessed April 28, 2020.
  8. Softing Hataye AL (expert opinion). Mayo Clinic. June 28, 2020.


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Prescribe oral antibiotics when internal hordeola do not respond to topical therapy

September 01, 2007

5 min read


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A. Skip topical therapy, choose orals

Elizabeth D. Muckley

Elizabeth D. Muckley, OD, FAAO: An internal hordeolum is a bacterial infection of one of the meibomian glands in the eyelid. Patients complain of a tender or painful nodule. Staphylococcus species are usually the most common bacteria to infect the glands. In some cases, the infection can spread to the soft tissue of the eyelid and cause a preseptal cellulitis. After the infection resolves, chronic inflammation can often persist and cause a granulomatous chalazion. The primary difference between a chalazion and hordeolum is that chalazia are a result of inflammation and hordeola or styes are infectious. The symptom of pain typically points to hordeolum.

In this case, the patient has a painful hordeolum. Hot compresses and topical antibiotic/steroids (conservative therapy) were initiated, but the patient’s symptoms persisted. I am not surprised that conventional treatment did not work. Oftentimes, topical treatment does not penetrate the lid tissue effectively when it is an internal hordeolum. Due to this ineffectiveness, many clinicians are now skipping traditional, topical therapy and going right to oral antibiotics.

Because our patient was still complaining of pain with lid erythema and edema, I would recommend an oral antibiotic. Antibiotic therapy could be amoxicillin, Keflex (cephalexin, Dista), doxycycline or erythromycin. I typically use 500 mg of Augmentin (amoxicillin/clavulanate, SK Beecham) twice daily for 7 to 10 days. This has a good spectrum of coverage and is also indicated for preseptal cellulitis. In addition, the twice daily dosing is far easier for patients to comply with than an antibiotic dosed four times a day.

Steroid injection or excision while a hordeolum is “hot” or actively infected is not recommended for obvious reasons. If you can visibly see a “white head” or area of purulent material, I would recommend expression of this material in office. Expression with massage coupled with an oral antibiotic will expedite resolution, and patients show improvement within 24 hours. I counsel patients to continue hot compresses to help with the pain and tenderness. An old remedy of using a warm, hard-boiled egg or potato to apply moist heat works well for pain relief.

At the return visit, if our patient’s pain and erythema was resolved but a lump remained, then we now have a granulomatous chalazion. Chalazia respond well to steroid (Kenalog, triamcinolone acetate, Bristol-Myers Squibb) injections because the material usually consists of neutrophils, lymphocytes and plasma cells.

Kenalog injections are not without some risk. They are contraindicated for individuals with dark skin because depigmentation can occur afterwards and may be permanent. Chalazia excision and curettage is another option, especially if they are large or are present for months.

For more information:

  • Elizabeth D. Muckley, OD, FAAO, can be reached at Northeast Ohio Eye Surgeons, 2013 State Rt. 59, Kent, OH 44240; (330) 678-0201; e-mail: [email protected] Dr. Muckley has no direct financial interest in the products she mentions, nor is she a paid consultant for any companies she mentions.

A. Early oral treatment

Tammy P. Than

Tammy P. Than, MS, OD, FAAO: I start oral treatment early on when a patient has an internal hordeolum. Because this is an infection located within the meibomian glands, it is often difficult to achieve resolution without systemic management. If an internal hordeolum fails to resolve, it may advance to preseptal cellulitis or result in a chalazion once the infection is gone. Therefore, I manage these early with oral antibiotics, often at the initial visit. Topical antibiotics have a difficult time penetrating the meibomian glands, so I will only include a topical antibiotic in the treatment regimen if there is evidence of drainage.

Assuming that the patient has no allergies or other medical history that precludes their use, I will prescribe dicloxacillin 125 mg to 250 mg four times daily for 10 days or cephalexin 250 mg four times daily for 10 days. These oral medications have been available for a long time but are still effective for soft tissue infections associated with the eye. They are inexpensive and most patients will have been exposed to them before, so tolerability should already be proven. A relatively new Keflex 750 mg can be taken twice daily, but it is not available generically and is significantly more expensive.

I will have the patient continue with warm compresses and return for follow-up in 3 to 5 days or sooner if the condition worsens. Once the pain is gone, if a mass is still present, I will have the patient begin digital massage following the warm compresses two to four times a day.

For more information:

  • Tammy P. Than, MS, OD, FAAO, is a staff optometrist at Carl Vinson VAMC/Eye Clinic. She can be reached at 458 Fairfield Dr., Dublin, GA 31021; (478) 272-1210, ext. 3341; fax: (478) 277-2706; e-mail: [email protected] Dr. Than has no direct financial interest in the products she mentions, nor is she a paid consultant for any companies she mentions.

A. Compliance low with topicals, prescribe orals

Gary E. Oliver

Gary E. Oliver, OD: Patients with internal hordeola frequently are nonresponsive to hot compresses and topical antibiotic/steroid agents for several reasons. The patient may not be aggressive enough with the physical treatment and only use the hot compresses for a few minutes a day, therefore minimizing the benefits. A second reason is that topical drops may not sufficiently penetrate the internal hordeolum site to reach therapeutic levels.

When a patient is nonresponsive to these therapies, it is usually best to prescribe an oral antibiotic agent to get higher amounts of the drug to the infection site. You also have to be concerned that the internal hordeolum infection has spread into the pretarsal space, leading to preseptal cellulitis.

Preseptal cellulitis typically is characterized by a generalized swelling of the eyelid rather than a localized nodule. Upon palpation, preseptal cellulitis feels firm and warm with significant pain and tightness of the eyelid skin. These characteristics separate preseptal cellulitis from lid edema, which may be present with internal hordeolum.

Most infections are caused by Staphylococcus aureus or a Streptococcus species, so the oral antibiotic agent selected needs to be effective against these bacteria as well as penicillinase-producing Staphylococcus. In children, infection with Haemophilus influenzae is also a possibility.

Good choices of an oral antibiotic would include Augmentin (amoxicillin/clavulanate potassium, SK Beecham) 500 mg every 8 hours for adults or Ceclor (cefaclor, Eli Lilly) 500 mg every 8 hours for adults. Treatment with these agents should be continued for at least 10 days.

For patients who are allergic to penicillins or cephalosporins, Bactrim (Roche), 160 mg trimethoprim/800 mg sulfamethoxazole every 12 hours for adults or Levaquin (levofloxacin, Janssen-Ortho) 500 mg once daily are alternatives. Patients with sulfa allergies should avoid trimethoprim/sulfamethoxazole.

Once starting oral therapy, the patient needs to be closely monitored for improvement. While the majority of patients get better with oral antibiotics, should there be no improvement, the patient will need to be referred for intravenous antibiotic treatment.

For more information:

  • Gary E. Oliver, OD, is an associate clinical professor at the State University of New York State College of Optometry, director of optometry at Woodhull Medical Center, in Brooklyn, N.Y., and a private practitioner. He can be reached at (718) 963-8603; e-mail: [email protected] Dr. Oliver has no direct financial interest in the products he mentions, nor is he a paid consultant for any companies he mentions.


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Hordeolum and Stye in Emergency Medicine Medication: Antibiotics


Michael J Bessette, MD, FACEP Former Director of Emergency Medicine, Jersey City Medical Center

Michael J Bessette, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Gil Z Shlamovitz, MD, FACEP Associate Professor of Clinical Emergency Medicine, Keck School of Medicine of the University of Southern California; Chief Medical Information Officer, Keck Medicine of USC

Gil Z Shlamovitz, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association

Disclosure: Nothing to disclose.

Additional Contributors

Robert E O’Connor, MD, MPH Professor and Chair, Department of Emergency Medicine, University of Virginia Health System

Robert E O’Connor, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Heart Association, American Medical Association, National Association of EMS Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Robin R Hemphill, MD, MPH Associate Professor, Director, Quality and Safety, Department of Emergency Medicine, Emory University School of Medicine

Robin R Hemphill, MD, MPH is a member of the following medical societies: American College of Emergency Physicians, Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Everything You Need to Know About Styes

The typical way your eyelid appears when you have a stye.
There is usually no white head because most styes are inside
the eyelid!  via

If you have had a stye before, you know that you never, ever want to have one again.  The pain, discomfort, and just horrific appearance is enough to make anyone miserable.  If you have a red, sore to touch, and swollen eyelid, then stye is on the top of your list of culprits.

What is a Stye?

A stye (or hordeolum) is an acute bacterial infection of one of the oil glands found within eyelid.  In its active stages, it is painful, red, and feels like a localized tender nodule within the eyelid.  You may be able to see a white head, much like a pimple which is similar in etiology, but many styes form internally inside the eyelid so no head will ever develop.

What to do if you think you have a stye?

If you have an active stye, the best thing you can do is a hot massage.  Use a clean washcloth dipped in hot water, or you can get creative.  Common hot massage tools are to microwave a potato and wrap it in a cloth to prevent burning the eyelid, heat a bag of rice and wrap similarly, or heat up a tea bag.  All of these options retain heat better than a hot cloth will, but just be careful not to burn yourself.  When you have your preferred heated item, then apply it against your closed eyelid and gently massage over the tender area.  Do this as many times a day as you can.  The heat will help to open the clogged oil gland, breaking down the infective materials inside.

If your stye does not resolve with a hot massage in a day, you definitely need to see a doctor.  Your optometrist is trained to make sure that the pain in your eyelid is really a stye and not a different issue, like a viral herpes lesion, or a localized inflammation.  If you do indeed have a stye, your doctor is going to start more aggressive treatment.

Prescription Treatment Options

Augmentin knocks a stye out fast.  Oral medication
tends to work much better than eye drops because
an eye drop can’t penetrate very well through the
eyelid skin!  Just watch out for penicillin allergies.
Azithromycin is a better choice in that case; Keflex
typically is fine but can have a cross-sensitivity
so not worth the risk.

Most styes are internal– inside the eyelid, so an eye drop is not going to be a good way of delivering antibiotics to the area.  An oral antibiotic will actually work much better.  I typically use Augmentin or Keflex, since they are both cost effective generics, and don’t cause a lot of upset stomach issues.  Your doctor will discuss your medical history and any antibiotic allergies before determining the right oral antibiotic for you!

If there is discharge from the stye draining into the eye, an additional eye drop will be useful in this case.  An oral antibiotic will treat the stye, but all the bacteria that your eye is now being bathed in from the drainage is putting you at risk for an eye infection (instead of just an eyelid one!). Tobramycin or Polytrim drops are a first choice for me.  Again both are generics with good coverage, and tend to have very few antibiotic allergy issues.

Sometimes the eyelid is so swollen (called preseptal cellulitis) it is painful to even open the eye.  In these cases, I will often couple my oral antibiotic with a topical ointment with antibiotic and anti-inflammatory properties.  Tobradex ointment is excellent for this use.  If finances are an issue, generic Maxitrol (neopolydex) ointment is a pretty good substitute.  The added anti-inflammatory coverage can really boost comfort as the antibiotic kills the infection.

Always, always, continue the hot massages, even after you start your doctor’s treatment.  You can only help break down the stye faster by continuing to apply heat.

Typically a stye will take no longer than 7-10 days to completely resolve with this treatment, if it is caught early enough.  If left alone too long, a scar tissue may develop inside the lid, called a chalazion.  It will feel like a non-tender, hardened lump or bead inside the lid.  A chalazion is not an infection, and no antibiotics will help.  Keep trying your warm massages to hopefully break the scar tissue down, but in most cases the scar will have to be surgically cut out of the eye to get complete resolution.

What Shouldn’t Happen

If you have a stye, there are a few quite scary changes that you need to be on the lookout for.  If you see any of these, please go straight to the ER.  Remember, your eye is directly connected to your brain, so if the bacterial infection breaks through past your eye you could have a life threatening problem!

It is NOT normal for you to have:

-double vision
-protrusion of the eye forward out of the socket
-vision loss
-severe pain with eye movement

If a orbital cellulitis (inflammation/infection that progresses behind the eye) develops, it requires urgent treatment — typically injections of antibiotics straight into your blood stream.  While progression of this nature is very rare, styes are common place and I have seen many patients wait until their infection is really at a dangerous point before they decide to seek medical help.  Treating a stye early is key; don’t wait until your eye is swollen shut to ask for help!

Do you have issues with styes over and over again?  Head to my next post on the topic of styes– how to break the cycle of recurring styes!

ABC Children’s Eye Specialists: Ophthalmologists

A stye, also known as a sty (without the “e”) is an eye condition more common in children than adults. It’s often painful and unsightly, but not usually serious. A stye is a small red bump that forms at the base of your eyelashes, generally on the lower lid, or under your eyelid.

A similar eye condition, called a chalazion, is a bump, usually not painful, slightly more significant than a stye. Both conditions can usually be treated at home but may require treatment by a specialist if they don’t resolve within a few days.

How to prevent styes

Styes form because of sterile inflammation in the oil-producing glands in the eyelid. They look like a bug bite or pimple and cause swelling, eyelid pain, and tearing. The good news is that good hygiene practices can help prevent styes and other infections. Some practices include:

  • Wash your hands before touching your eyes
  • Take proper care of your contact lenses
  • Remove all eye makeup before you go to bed
  • Don’t share eye makeup or use old eye makeup
  • If you have blepharitis, an inflammation of the eyelid, follow your eye doctor’s care instructions

How to treat styes

Fortunately, most styes and chalazions go away within a few weeks. In order to heal, the stye or chalazion needs to break up and drain. Usually, this happens on its own. To make your child feel more comfortable, or to help soften the stye so that it starts draining, a warm compress placed on your child’s eyes for a few minutes several times a day can help.

If the stye doesn’t start to heal in a few days or gets worse, other treatment options may include:

Antibiotic cream

Antibiotic cream does not help the stye drain, but it does help prevent the infection. If the infection is more severe or widespread, your doctor may prescribe oral antibiotics.

A procedure to drain the stye

If the stye is not draining on its own and is causing problems, pain, and discomfort for your child, the providers at ABC Children’s Eye Specialists can perform a procedure to help the stye drain. Your child receives anesthesia so they sleep throughout the procedure.

After the procedure, you’ll be given eye ointment to apply to the eye to help it heal and prevent infection.

If your child has a stye or chalazion that is not going away on its own, call ABC Children’s Eye Specialists, PC, with offices in Phoenix and Mesa, Arizona, for an appointment with a pediatric ophthalmologist. You can also conveniently make an appointment online through this website.

Stye – an overview | ScienceDirect Topics

Treat acute infection or styes with a warm compress and a short course of topical antibiotic (Table 15.2).

Meibomian cysts tend to resolve spontaneously but they should be incised if they do not resolve after 3 months, or if they affect vision by altering lid position. A course of oral antibiotic (e.g. doxycycline) should be considered for recurrent cysts.

For chronic disease, a daily warm compress followed by lid cleaning with a cotton bud moistened in boiled water followed by topical antibiotic ointment. This can take 4–6 weeks to work.

Topical corticosteroid is the basis of treatment for most cases of BKC with conjunctival phlyctenules or significant corneal disease. For example, fluoromethalone 0.1% four times a day, reducing to once daily after 4 weeks. Long-term treatment (i.e. for years) with low-dose steroid may be required.

Treat visually significant keratitis with long-term (8–12 weeks) low-dose oral antibiotic (Table 15.2).8 Corneal phlyctenules can rarely lead to perforation of the cornea and loss of vision due to scarring. They should be treated with intensive topical corticosteroids and topical antibiotics if there is an epithelial defect. Systemic antibiotics reduce the frequency and severity of relapses of phlyctenular disease.

The effect of manual expression of the meibomian gland secretions is debated and it is difficult to perform without sedation in young children.

Dietary supplement with oral flaxseed oil has been recommended.9

Rarely, for inexorable corneal opacification, systemic immunosuppression (e.g. with mycophenolate) is required.

Secondary microbial keratitis can occur; it should be treated immediately.

An axial corneal opacity or irregular astigmatism may cause amblyopia. Visual correction may be possible in older children using a rigid contact lens.

Styes – Causes, Symptoms, Treatment, Diagnosis

The Facts

Styes are minor, short-term bacterial infections affecting the edge of the eyelid or eye. A stye is also called a hordeolum.

Glands around the edge of the eyelid get clogged and swell until a sore like a small pimple or boil appears. It may also be due to a blockage in a follicle of an eyelash. The sore causes eye pain and becomes temporarily filled with pus. A second, more serious type of stye can develop deeper inside the eyelid and swell until it needs the attention of a doctor.

Styes are the most common type of eyelid infection. The average person has a good chance of having one or two styes in their lifetime, though some people develop them repeatedly. They can be annoying and painful but are usually not serious.


There are actually two distinct types of stye. Both are usually caused by a bacterium known as staphylococcus, or “staph” for short. It’s a common bacterium on your skin that can over-reproduce and start infections.

When it causes the type of ordinary stye called an external hordeolum, it begins by infecting an eyelash at the root (the follicle), unleashing a process that results in swelling. This kind of stye can also start from a staph infection in an area close to the follicles called the glands of Moll and Zeiss. When the stye swells and begins to infect or clog other glands around the eyelid, it causes pain and discomfort. At this point, you may often see and feel a nodule, a small pimple-like reddish abscess that begins to fill with pus.

Not all styes are visible. A stye that forms beneath the surface of the eyelid will hurt, but it may never develop an external nodule. Styes form most commonly in the upper eyelid near the eyelashes, but can develop on the lower eyelid as well. Usually, only a small area of the eyelid swells, but the entire lid may occasionally become inflamed.

The second kind of stye, the internal hordeolum, is a more serious form of staph infection. It originates in a gland called the meibomian beneath the surface of the middle of the eyelid. Because it’s buried in the central part of the eyelid, an internal hordeolum is more painful than the external kind. While the pus in an external stye will usually drain on its own, an internal one won’t. The person will most likely have to visit a doctor to have it opened and drained.

Both external and internal styes are not contagious, and are never a sign of cancer.

Symptoms and Complications

Symptoms of styes include redness, swelling, pain, or tenderness in part of the eye. These sensations are usually accompanied by slightly blurred vision, a teary sensation, and the feeling of something in the eye. An external stye can be easily verified by finding the nodule on the eyelid. Sometimes, people with internal stye experience fever or chills.

People generally get a single stye at a time. Some people get more than one stye at a time. A few suffer from the condition chronically and have repeated infections. The staph infection that starts as a stye can sometimes spread to the tissue of the eye. A stye that grows rapidly like this or opens to drain pus into the eye needs medical attention. People with recurring styes can also develop a chronic eyelid infection called staph blepharitis.

Making the Diagnosis

Diagnosis is based on the appearance of the eyelid. Unless you experience the more serious type of stye that requires a doctor to drain and treat, you may safely diagnose your own condition and decide to treat it on your own. Remember that styes are usually mild, short-term infections that can be cured by applying simple treatments at home.

Treatment and Prevention

Styes can go away on their own within a week, usually when the pus inside them drains without any help. For more persistent or recurrent styes, antibiotic eye drops or ointments can be used. Antibiotic treatment in pill form may be necessary to treat an internal hordeolum. Because an ordinary stye is like other minor inflammations in the skin, effective home treatment is similar to techniques to get rid of infected pimples.

To help drain the stye’s pus and ease the pain, take a folded clean cloth and use it as a compress. Dip the compress in warm water and then wring it out until it’s barely dripping. The temperature of the water should be what is considered tolerably warm to touch. Gently hold it to the affected part of the eye for 10 to 15 minutes up to 4 times a day. Using a clean cloth each time, apply the warm compresses for 2 to 3 days. You should see a noticeable improvement within a day or two. Complete healing should take place within a week.

If there is no improvement in the stye after more than 48 hours, or if there are multiple styes, you should see your family doctor.

If you have an internal stye that doesn’t begin to drain when you apply a compress to it, don’t try to squeeze or drain it yourself. This will spread the infection and may cause cellulitis, a more serious skin infection that needs treatment with antibiotics. Instead, have a doctor lance the stye with sterile equipment. You may also need a prescription for antibiotics, a treatment course usually lasting 5 to 7 days. If symptoms persist after medical attention, get your eye checked again.

Washing the area of the eye more thoroughly (especially for children) will prevent styes from recurring. Parents can use baby shampoo to gently wash the eyelids of children. Antibiotics are recommended for people who have chronic stye conditions or other chronic eyelid infections, as well as for people with compromised immune systems.

Here are some ways to prevent spreading or worsening the stye:

  • Use a clean compress each time.
  • Wash your hands before and after touching the affected eye.
  • Avoid touching the tip of any prescribed eye drops, ointments, or gels directly to the eyelashes or eyelid.
  • Avoid applying or using cosmetics on your eyelid area for the time that the stye is present.
  • All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Styes

Medicines for barley – HealthInfo

Barley on the eye is an acute purulent inflammation of the eyelid glands, which can spread to the surrounding connective tissue. The appearance of barley is associated with the development of a bacterial infection, which often occurs against the background of reduced immunity. Barley medicines will help to get rid of an annoying disease and increase immunity.

Lydia Strukova / “Health-info”

Barley begins with a slight itching of the edge of the eyelid, then a slight swelling appears in this place.Palpation of the swelling is painful, and after a few days a yellow head forms at the apex of the swelling. When it is opened, pus is released, after which recovery gradually begins.

Barley can be outside or inside. When externally, the hair follicle of the eyelash or sebaceous gland becomes inflamed. With internal barley, inflammation of the meibomian glands occurs – modified sebaceous glands located in the thickness of the eyelid.

Reasons for the appearance of barley

Many people believe that barley occurs due to hypothermia.It is actually caused by a bacterial infection that gets into the eye with dirt. Barley occurs more often in women, because, when applying makeup, they often touch their eyes with their hands. There are other prerequisites for the appearance of barley. For example, a hereditary predisposition (relatives often suffer from such barley). Another important factor is a decrease in the body’s defenses. The appearance of barley can be considered a signal of weakening of the immune system. People who are rarely outdoors and who lack vitamins are at greater risk.Frequent stress also leads to a decrease in the body’s defenses.

Barley often reappears on the eye, therefore, in order to avoid relapses and complications, it must be treated in time and correctly.

Treatment of barley

Barley is dangerous because under its guise more serious diseases can develop that require urgent treatment: chalazion, cystic formations, tumors. Therefore, if you are not sure that this is really barley, it is better to consult a doctor.And if barley is easy to recognize, then an ambulance can be provided to yourself. First, you need to give up makeup and a strong desire to squeeze out pus. Both can lead to the spread of infection through the blood vessels, which is fraught with serious complications.

At the very beginning of the process, dry heat should be applied to the affected area (a hard-boiled warm egg, a heating pad, a bag of heated salt or sand).

If the edema has already developed, then thermal procedures are contraindicated.Until the barley is ripe, ophthalmologists advise to cauterize it with alcohol or a solution of brilliant green (brilliant green).

Being an infectious disease, barley can be effectively treated with antibiotics. You can use albucid (sodium sulfacil), as well as 0.25% solution levomycin , 1% solution erythromycin or penicillin . If there is a risk of developing an allergic reaction to one of the antibiotics (for example, penicillin antibiotics), you can use an antibiotic from another group, for example, gentamicin . You can choose more modern antibiotics – ciprolet or tobrex (the latter is suitable for pregnant women and newborns). It is necessary to instill antibiotics 3-5 times a day. At night, a tetracycline or erythromycin ointment should be applied over the edge of the lower eyelid.

UHF-therapy gives a good effect (it can be used only if the patient does not have a fever). This procedure helps to quickly cope with the problem.

In case of spread of the process (with increased soreness, redness, swelling, fever, enlarged submandibular or parotid lymph nodes), you should immediately consult a doctor.He will prescribe anti-inflammatory therapy: oral antibiotics (ofloxacin, amoxil), as well as drugs that increase immunity (echinacea, propolis, vitamins). Sometimes – for example, with a large abscess – surgical intervention may be indicated.

Traditional methods of treating barley

The use of medicinal plants and preparations based on their extracts can significantly reduce inflammation and stop the development of the infectious process.

A good cure for barley is the infusion of calendula (marigold). Dry calendula flowers are poured with boiling water and insisted for about half an hour. Rub the eyes with warm infusion every 2 hours. To do this, take a clean cotton swab and moisten it in an infusion of calendula. One movement is carried out from the nose to the corner of the eye. They also prepare and use an infusion of eyebright herb, chamomile flowers or burdock root.

There is another recipe: cut off a leaf of homemade aloe, rinse it thoroughly, chop it finely and leave for 8 hours in a glass of cold boiled water, then apply lotions on sore eyes.To speed up the treatment, you can squeeze the juice from the aloe leaf, dilute with water in a ratio of 1:10 and use it for lotions.

Prevention of barley

To prevent the appearance of barley, first of all, it is necessary to increase immunity by regularly exercising, eating right and avoiding stress. There are also a number of rules that must be followed so that the barley does not jump:

  • Take care of personal hygiene: do not touch your eyes with dirty hands, do not wipe your face with a stale towel
  • It is best for women to use only their own cosmetics, regularly wash brushes, brushes and applicators for applying makeup
  • Avoid hypothermia
  • Do not start chronic diseases, treat them promptly
  • Wear protective glasses when working in dusty rooms
  • When using contact lenses, remove and put them on only with clean hands or using special tweezers.

By following these simple rules, both the appearance and recurrence of barley on the eye can be avoided.

How to get rid of barley: methods and means of treatment

What is barley?

Barley (or hordeolum) is an inflammatory process in the eyelid area that causes a painful red lump at the edge of the eyelid. The cause can be a blockage of the sebaceous glands or a bacterial infection.Barley can be localized at the base of the eyelashes (outer barley) or in the area of ​​the sebaceous gland on the eyelid (inner barley).

Barley usually appears on only one eyelid, but if left untreated, it can affect both eyelids at the same time. Barley is a one-time occurrence; if it is cured, it will not appear again. But sometimes relapses also happen. Chalazion is sometimes mistaken for barley, which is a blockage of the meibomian gland (similar to internal barley) of a non-infectious nature.

How to Get Rid of Barley: (Treatments for Barley)

In most cases, red lumps on the edge of the eyelid, which are not barley, do not cause discomfort and go away on their own after a couple of weeks. But barley can cause a lot of inconvenience. Fortunately, there are home remedies that can help you get rid of barley a little faster – or at least reduce the swelling and discomfort caused by barley.

1. Clean the eyelids

The first thing to do when barley appears is to clean the eyelids.To do this, apply diluted tear-free baby shampoo to a cotton ball, tissue, or cotton ball. Then rinse your eyelids with warm water and dry them gently with a towel. A mild saline solution can also be used to rinse the eyelids.

2. Wash your hands

Wash your hands before and after touching the barley, and do not share towels or napkins.

3. Use an eyelid cleaning pad

You can also use pre-moistened eyelid discs.These products are available without a prescription from pharmacies.

4. Stop using cosmetics

When barley appears, it is recommended to stop using eye makeup, as the use of cosmetics can significantly slow down the healing process. Also, throw away old makeup or applicators that might be contaminated.

5. Wear glasses (discard contact lenses)

It is recommended to wear glasses and not contact lenses until the barley has cleared.

6. Apply warm compresses

To speed up the healing of barley, you can apply warm compresses for 10-15 minutes, three or four times a day. .

7. Try a tea bag or warm cloth

Tea bags are sometimes used to treat barley. But for this, an ordinary cloth napkin dipped in warm (not hot) water is also suitable. Squeeze the cloth out (to prevent dripping) and place it on your closed eyelid.If you do decide to use a tea bag, wait until it is warm and apply it to your eyelid for 5-10 minutes. Never use a hot tea bag! If you have multiple stye, a new tea bag should be attached to each eyelid.

8. Never squeeze the barley.

You may want to squeeze the barley to quickly open it up like a pimple. But never try to squeeze out the barley! A warm compress promotes self-opening and healing of the barley.This way, the eyelid will not be injured and the infection will not spread to the other eye.

9. Use an antibiotic ointment

Treat barley with an over-the-counter antibiotic ointment. Make sure this ointment can be applied to the eye area and avoid topical steroids. The effectiveness of antibiotic eye drops in the formulation for treating barley has not been proven. If barley is severely distressing and requires antibiotic treatment, see your doctor.

10. Massage

Light massage with clean hands or a warm compress / warm cloth can relieve pain caused by barley. Massage can also help open up the barley. Gently massage the eyelid, and in case of pain, stop the massage immediately.

How to relieve pain caused by barley?

  • Pain relievers: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, may relieve pain or discomfort, but they do not treat barley.

  • Home Remedies: The best way to relieve pain caused by barley is to use a warm compress to speed up the healing process.

How to prevent barley?

There are several ways to prevent barley.

  • Wash your face and remove your makeup every night.

  • Rinse your eyelids daily with diluted Tear-Free Baby Shampoo.

  • Use over-the-counter eyelid cleaners.

  • Wash your hands thoroughly each time before touching contact lenses. Clean and disinfect contact lenses according to the manufacturer’s instructions.

  • Bacteria multiply in make-up products, so it is recommended to replace them every 2-3 months. Never let other people use your cosmetics.

  • If your eyes itch, do not rub them, especially with dirty hands.

  • Never share a towel or mask with someone who has barley.

How long does barley last?

Usually, barley heals in 3-5 days if treated with home remedies. On the second or third day, the swelling will begin to subside. If barley requires medical attention or antibiotics, treatment may take about a week.

If you have recurrent disease, you may have blepharitis. Taking steps to quickly treat this eyelid condition will also help prevent barley from reoccurring.

When should I see an ophthalmologist?

See an ophthalmologist immediately if:

  • After a couple of days, the barley does not start to pass.

  • Barley gets worse.

  • Your eye hurts more than your eyelid.

  • The disease affects the quality of your vision.

  • The eyelid is severely swollen or reddened.

  • The eye does not open.

  • If home remedies or over-the-counter medicines do not help

  • If barley grows

Barley removal surgery

In some cases, barley requires minimal surgery by an ophthalmologist followed by medication or antibiotics.Your doctor may recommend a very simple operation to open the barley.

Page published in November 2020

Page updated April 2021

90,000 Interventions for acute internal barley

What is the purpose of this review?

The aim of this Cochrane Review was to investigate whether treatments such as warm compresses, over-the-counter eye medications, eyelid scrubs, antibiotics, steroids, and eyelid massage are beneficial for internal barley (a swelling that forms on the inside of the eyelid).Cochrane researchers searched all relevant studies to answer this question and found no studies.

Key Information

A variety of treatments have been used for indoor barley. There is currently no evidence that any of these treatments are effective.

What was learned in this survey?

Barley is a common painful formation in the eyelid, usually caused by a bacterial infection.The infection affects the sebaceous glands of the eyelid and results in swelling. Often, barley will resolve on its own without treatment. However, sometimes the infection can spread to other glands of the eyelid and the process is delayed. Inner barley can also go into a state of chalazion. Barley can be internal (inside the eyelid) or external (outside the eyelid near the eyelashes). Outdoor barley is commonly referred to simply as barley. Barley can be acute (occurs suddenly and recovery occurs in a short period of time) or chronic (prolonged).Common treatments for barley include homemade warm compresses, over-the-counter topical products and eyelid scrubs, antibiotics, steroids, and eyelid massage.

What are the main findings of this review?

Cochrane researchers searched for studies in people with acute urinary barley. They found no studies involving people with acute or chronic barley. They also found no relevant studies comparing different treatments.Thus, no evidence was found for or against the use of any of the common treatments for barley.

What is the relevance of this review?

Cochrane researchers searched for studies published up to and including December 2, 2016.

Tablets from barley on the eye and other preparations

Most often, barley affects children and adults with reduced immune defenses. Therefore, it is called a disease of weak immunity.What antibiotics are prescribed for barley, and why are antimicrobial drugs used to fight inflammation? Let’s consider the issue in detail.

Causes of inflammation and first aid

Gordeolum is an inflammation of the hair follicle or meibomian gland in the eyelid. The process is accompanied by severe itching, tissue swelling and purulent discharge.

Barley can affect the upper or lower eyelid, sometimes multiple foci of inflammation are formed on one eyelid.Localization of barley is internal and external.

The external barley is quickly amenable to healing, problems with the internal one may arise – infection of the stratum corneum or conjunctiva with an infection.

The cause of hordeolum is a weak immune system. Hypothermia, draft, overwork – and the body cannot cope with internal infection. It provokes the development of barley Staphylococcus aureus, which is found in the body of any person.

This is a conditionally pathogenic microorganism, the activity of which inhibits the immune system.But under favorable conditions, staphylococcus aureus shows aggression, causing inflammation on the eyelids.

Also contamination of the eyelid is directly related to the occurrence of the infectious process, when there is no proper personal hygiene or the eye was rubbed with unwashed hands.

The symptoms of barley are known to everyone. These are:

  • reddening of the eyelid;
  • swelling of the eyelid tissues;
  • severe itching and watery eyes;
  • The appearance of a purulent sac in the affected eyelid.

The onset of barley formation can be stopped with home remedies if you pay attention to the problem in time. Cauterization of the reddened area with iodine / brilliant green or alcohol helps to stop the barley.

In the evening (the first day) it is useful to arrange warm warming up for the inflamed eyelid. Use boiled potatoes in their uniforms or a boiled egg. The products are wrapped in natural linen fabric and applied to the eyelid. However, with a purulent process, any heating is prohibited, since heat provokes the spread of purulent infection to neighboring healthy tissues.

It is strictly forbidden to squeeze pus out of barley. The infection can enter the bloodstream.

Warm applications are also made from salt or flaxseed heated in a pan. The ingredients are poured into a tissue bag and applied to the eyelid while it is warm. Salt can be any – sea or table food.

Antibiotics are needed to suppress infection within the body.

If warming up and moxibustion did not help, barley is treated with medications – tablets, ointments, drops with antibiotics.Antimicrobial drugs will be required if barley appears with an infectious disease – influenza, acute respiratory infections, chronic diseases.

Eye drops

Drops are fast-acting agents, have a local effect and do not harm internal organs.

Antibacterial drops do not interfere with the clarity of visualization after use, so they can be used at any time during the day. The only drawback of drops is a short-term therapeutic effect.

Medicines containing antibiotics:

  • Levomycetin;
  • Ciprolet;
  • Albucid.


Levomycetin acts on coccal bacteria and bacteroids. The active ingredient is chloramphenicol, a multipurpose antibiotic. Drops help even when other drugs do not cope with the pathology.

Drops are instilled into the conjunctival sac 4-5 times a day (the number of instillations is determined by the ophthalmologist).The drug does not penetrate into the general bloodstream, does not have a systemic effect on the body. This is a time-tested tool that always helps.

Is barley actually contagious?

However, it is impossible to prescribe a medicine for yourself, since it has contraindications. Also, you can not use Levomycetin longer than prescribed according to the instructions: pathologies of the circulatory system may occur. With the uncontrolled use of drops, a fungal infection also occurs as a result of the abuse of antimicrobial components.


The medicine is used in the fight against diseases caused by microbial activity. Unlike Levomycetin, Tsiprolet drops have a systemic effect on the body through penetration into the bloodstream.

Independent use of drops is prohibited, since this antibiotic has many contraindications. The dosage and frequency of instillations are also indicated by the ophthalmologist. As the inflammatory process stops, the number of daytime instillations is reduced.

During the period of exacerbation of the disease, drops are used every hour.


This is a popular and proven medicine for bacterial ophthalmic infections. Sulfacetamide (the active agent of the drug) destroys many types of bacteria.

The drug has no systemic effect on the body and is prescribed even to newborns (with purulent eye infections).

However, the uncontrolled use of drops leads to undesirable consequences – edema of the mucous membrane, severe itching, eyelid hyperemia and lacrimation.

Drops for barley and other purulent infections are instilled into both eyes, starting with the acute phase of the disease.

The disadvantages of Albucid include a strong burning sensation after instillation, which quickly passes. If the burning sensation is intolerant, it is necessary to replace the drops with an analogue.

Eye ointments

Eye ointment with an antibiotic from barley differs from drops by a longer exposure time to the focus of pathology.The disadvantage of eye ointments is that they affect the clarity of visualization: they cloud vision. Therefore, ointments are used at night or during treatment are at home. Among the popular remedies for barley, the following ointments can be distinguished:

  • Tetracycline;
  • Erythromycin;
  • Floxan;
  • Colbiocin;
  • Dexa-Gentamicin.

Tetracycline 1% ointment

This is an effective drug for hordeolum, time-tested. The active ingredient is tetracycline.Vaseline and glycerin were used as additional components.

The ointment does not penetrate into the bloodstream and does not have a systemic effect on the body. Tetracycline is prescribed for children from birth and for pregnant women.

However, independent use is unacceptable due to ignorance of the mechanisms of action of antibiotics on the body.

Tetracycline ointment is produced in different percentages, 1% composition is used to eliminate hordeolum.

A thin strip of the product is placed in the conjunctival sac, eyelids are closed and lightly massaged with fingers.After the massage, the substance evenly covers the mucous membrane and has a therapeutic effect.

Pay attention! It is impossible to touch the tip of the tube to the tissues of the eye; it is better to put the ointment into the conjunctival sac with a cotton or glass swab.

Since the ointments blur the vision for a while, it is not recommended to use them before leaving the house. With an acute form of hordeolum, it is better not to go outside. Also, tetracycline is prohibited when breastfeeding a baby.

Remember that combining treatment with tetracycline ointment together with other drugs of the tetracycline group is dangerous: this provokes side effects and complications.Therefore, antibiotic therapy is carried out only under the supervision of an ophthalmologist / therapist.


The active drug substance is a macrolide. The ointment blocks the spread of pathogenic microorganisms of various nature. Erythromycin ointment is prescribed for intolerance to the penicillin group and ineffectiveness of tetracyclines.

Remember: the uncontrolled use of Erythromycin ointment leads to the appearance of a secondary infection in the form of fungi or viruses.The therapeutic course can only be determined by an ophthalmologist – the duration and amount of use. Also, the effectiveness of macrolide treatment decreases with the use of other drugs (the doctor will indicate) and caffeine.


Ofloxacin fluoroquinolone ointment destroys many pathogenic microorganisms. The tool is also released in the form of drops, so it is possible to use it together: drops during the day, ointment in the evening. No allergic reactions were observed during therapy, but Floxan is not recommended for lactating and pregnant women.

Rules for the use of eye ointments

To use medicinal ophthalmic ointments, you need to know the rules of application.

  • Handle ointments with clean hands.
  • The filling is carried out using a glass rod, which is previously sanitized and dried. You can also use a sterile cotton swab.
  • An ointment is squeezed onto a stick and gently placed into the conjunctival sac, pulling the lower eyelid.
  • Then the eye is closed and the eyelid is lightly massaged to better distribute the ointment, you can blink for a while.
  • Remove excess ointment with gauze or cotton pad.

If the course of therapy involves combining ointment and drops, then the ointment is placed after the drops in 15-18 minutes. Do not instill drops after applying the ointment or in between the use of ointments. The ophthalmologist should warn you about this.

Tablets and injections

Medicines for oral administration are prescribed for a complicated course of the disease, when the infection is inside and affects the internal organs.

In other cases, tablets are prescribed when there is a danger of infection spreading through the bloodstream to the internal organs. Together with the tablets, local therapy with ointments / drops is also carried out.

This approach to treatment guarantees the total suppression of pathogenic microbes in the body.

Pay attention! In case of intolerance to tablet preparations, injections are prescribed.

Barley tablets and injections:

  • Doxycycline;
  • Cefazolin;
  • Ofloxacin;
  • Amoxil;
  • Azithromycin.


The drug substance is tetracycline, which destroys a wide range of pathogens. The drug is quickly absorbed by the digestive tract and enters the bloodstream.

Doxycycline has a systemic effect on the body, therefore it has many contraindications. It is not prescribed during breastfeeding and pregnancy due to the risk of fetal injury and negative effects on the infant.

Doxycycline has many side effects, and uncontrolled treatment causes superinfection.Therefore, self-treatment with the drug is unacceptable. In case of an overdose, attacks of pancreatitis and discomfort in the renal pelvis occur. To get rid of discomfort, gastric lavage and intake of calcium salts are recommended.

In case of intolerance to tetracycline, drugs with another active substance are prescribed – penicillin or cephalosporin. The drug is selected by an ophthalmologist, it is forbidden to replace it yourself.


This is a cephalosporin-based preparation for intramuscular invasions.The tool blocks a wide range of pyogenic bacteria, eliminating their toxic effects on the body.

Cefazolin is not prescribed for breastfeeding and pregnancy due to its permeability into the bloodstream.

Contraindications to treatment are serious pathologies of internal organs, children are given an antibiotic from the age of two months.

The drug is unsafe when used alone, and in case of an overdose, it can activate the appearance of superinfection. The use in combination with other drugs can provoke a disease of the internal organs, increase the toxicity of the drug formula.

Ofloxacin, Amoxil and Azithromycin are tablets for oral use. The dosage and duration of use are determined by the ophthalmologist, depending on the severity of the infectious pathology.

Benefits of antibiotic treatment

Folk remedies successfully eliminate barley at the stage of inception, however, do not always cope with the infection. After the healing of hordeolum with folk methods, the lurking infection may reappear with a relapse of the disease.Therefore, it is most correct to bring the treatment to the end, destroying the infection at the root.

Gordeolum is a disease of weak immunity, and with cooling or stress, a temporarily inactive infection gains strength and manifests itself as another barley.

An untreated infection in the eyelid can provoke pathologies in the cerebral cortex.

Also, pathogenic microorganisms can penetrate through the bloodstream to the internal organs and cause somatic disease unrelated to barley.The role of antibiotics in the treatment of hordeolum is difficult to overestimate: they completely block the development and spread of pathogenic microbes.

Some forms of hordeolum – multiple barley or chalazion – generally cannot be healed by folk methods. The same applies to constantly relapsing illness. Periodic inflammation of the eyelid indicates the persistent infectious nature of the disease, as well as problems with the human immune system.

Pay attention! For intramuscular injections, medications based on cephalosporins are prescribed.

As a rule, with barley on the eye, antibiotics of a wide range of action are prescribed, because there is no time to identify the nature of the pathogenic agent. Ophthalmic drops belong to the penicillin or microlide group. In many patients, penicillin intolerance is found, so microlides are the way out.

Ophthalmic ointments are created on the basis of tetracycline, fluoroquinolones or microlides. The complex use of ointments and drops creates a condition for the total elimination of the infection.


What antibiotics to take for barley in the eye? This is determined only by an ophthalmologist, based on the characteristics of the manifestation of the disease. Often, patients try to overcome barley with folk remedies, but then turn to an ophthalmologist due to the development of complications. Therefore, if inflammation is detected on the eyelid, it is necessary to undergo a full therapeutic course under the supervision of a doctor.

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Cure for barley on the eye: a choice of medications

Home ›Barley›

Barley on the eye is classified as a glandular century.In case of untimely treatment of this pathological condition, the spread of the inflammatory process to the surrounding connective tissues can be observed. For therapy, a variety of medicines for barley on the eye can be used, which are produced in the form of ointments, gels, tablets.

Antibiotic treatment

Since barley belongs to the category of inflammatory diseases, its treatment is most often carried out with antibiotics. They are characterized by a high level of efficiency.

Important! The negative aspect in the use of these medications is their improper effect on the immune system.

Patients are strictly prohibited from using antibiotics without a doctor’s prescription. The most common use of barley drugs on the eye is Ofloxacin and Amoxil.

Ofloxacin is manufactured in the form of round tablets, which are almost white in color. Adult patients are recommended to use 1-2 tablets of the medication twice a day.Depending on the severity of the disease, the course of drug treatment can last from 3 to 7 days.

During the period of taking the tablets, it is strictly forbidden to chew them. In this case, the medicine is washed down with plenty of water. Patients with epilepsy are not recommended to take Ofloxacin. During pregnancy and lactation, doctors also prohibit the use of this medicine.

If the patient has allergic reactions to certain components of the drug, then it is not worth using it to treat barley.

Amoxicillin is also produced in the form of tablets. Adult patients are advised to take 1-2 antibiotic tablets per day.

Due to the high level of safety of the drug, it is allowed to use it in newborn children older than two months. At this age, the daily dose for a child should be no more than 3 milligrams.

Treatment of barley with Amoxicillin should be from 5 to 7 days.

The medication can be taken by the patient regardless of food intake.During the period of treatment of the pathological condition, the patient must observe the interval between taking the antibiotic at 8 hours. During lactation and pregnancy, the medication is not recommended. A contraindication to its use is lymphocytic leukemia.

Remedies for barley on the upper eyelid

Attention! Doctors forbid treating barley with Amoxicillin in the presence of diseases of the nervous system.

Antibiotics are characterized by an excellent effect in the treatment of barley. Despite this, before using a certain drug, the patient should consult a doctor, which is explained by the possibility of side effects.

Treatment with ointments

To speed up the treatment of barley on the eye, patients are often recommended to use ointments. They are characterized by a local effect of action, which allows you to quickly and painlessly cure the inflammatory process.

Ointments must be placed under the eyelid where the barley is located. Before using the medication, the patient should wash his hands well to avoid infection and aggravate the situation.

The most effective drugs include:

  1. Tetracycline ointment, which is characterized by a wide range of effects.The medicine belongs to the category of topical antibiotics, which have antibacterial effects. With the help of this ointment, a variety of eye diseases of an infectious nature are treated. The use of the drug should be carried out 3-5 times a day. The medication is characterized by a minimal number of side effects. Despite this, with individual intolerance to its components, it is best to refuse treatment. Side effects of the medication are manifested in the form of Quincke’s edema, nausea, vomiting, skin rashes.If similar symptoms appear. Then the doctors replace the medicine with another medication. If the patient has leukopenia, kidney dysfunction, skin rashes, the use of the drug is strictly prohibited. It is not recommended to use the medicine for children under the age of 8, as well as for pregnant women of the weaker sex.
  2. Hydrocortisone ointment, which is most effective in treating barley on the eye. The drug is characterized by the presence of anti-inflammatory and antiallergic properties.In the presence of infectious processes in the eyes that are of a viral or infectious nature, the use of the ointment is not recommended. If the integrity of the corneal epithelium is violated, then it is strictly forbidden to use the medicine to treat barley. With tuberculosis of the eyes or hypersensitivity to the components of the drug, it is not used. During the period of use of the medication, side effects in the form of burning or increased pressure in the organs of vision may be observed.
  3. Erythromycin ointment, which is widely used for various infectious eye diseases.This medication is characterized by the presence of anti-inflammatory and anti-allergic effects. The medication is able to cure barley in the shortest possible time. The duration of treatment of a pathological condition is determined only by a doctor, depending on the severity of the disease. The use of the ointment for the complete therapy of the disease should be carried out three times a day. In general, the drug is well tolerated. In some cases, patients may experience slight irritation after using the medication.

What can the squeezing of barley on the eye lead to?

Ointments in the presence of barley on the eye are highly effective. In order to avoid the appearance of undesirable effects, patients are advised to determine the presence of contraindications before using a particular drug.

Using drops

Most doctors advise treating barley with drops. They are recommended to be used in combination with other medications. The most effective drugs for barley include:

  1. Albucid, which belongs to the category of antimicrobial drugs.With the help of this medication, an effective treatment of inflammatory eye diseases is carried out. In the presence of hypersensitivity to the components of the drug, it is recommended to cancel it. If the patient has edema, itching or hyperemia during the period of application of the drops, then its concentration decreases. If the symptoms persist, then the medication is canceled. It is necessary to instill drops in a sore eye 5-6 times a day. Treatment should be continued until the disease has passed.
  2. Ciprofloxacin, which has antibacterial properties.With the help of this medication, eye diseases of an inflammatory nature are cured. The instillation of the solution into the diseased eye should be carried out by the patient every 4 hours.
  3. Gentamicin. It is an antibiotic, which is produced in the form of drops, which ensures the maximum effectiveness of the treatment of the disease. It is necessary to bury the medication with barley 3-4 times a day. The use of the drug should be carried out as carefully as possible, since it can lead to side effects – redness of the mucous membranes of the eye, photophobia, lacrimation, soreness, etc.e. After a few minutes, the side effects disappear on their own. That is why nothing needs to be done in this case.

Drops penetrate as deeply as possible into the lesion. That is why they are widely used to treat barley in the eye.

Traditional medicine

To enhance the effect of traditional medications, it is recommended to use traditional medicine in the treatment of barley. There are a huge number of plants with which you can eliminate the pathological process.

How to treat meibomitis on the lower eyelid

Quite often for the treatment of barley is carried out using the infusion of calendula.

For the preparation of a folk remedy, dry flowers of this plant are used, which are poured with boiling water and infused for 30 minutes. A warm infusion should be used to wipe the eyes every few hours.

To do this, it is necessary to moisten a clean cotton swab in the infusion. Next, a swab is passed over the eye in the direction from the nose.

For the treatment of the pathological process, you can prepare infusions from such plants as chamomile flowers, eyebright, burdock root.

Quite often, the treatment of the disease is carried out with the use of the medicinal aloe flower. To do this, you need to cut off a leaf from an old plant and wash it thoroughly.

It is recommended to grind the leaf as finely as possible and pour a glass of cold pre-boiled water. It is necessary to insist the drug for 8 hours.After this time, the traditional medication is filtered and used for lotions.

Attention! In order to speed up the healing process, you can prepare an aloe-based medicine with a different recipe. Juice is squeezed out of the leaf of the agave and diluted with warm boiled water in a ratio of 1:10. With the help of the drug, lotions are made.

Barley on the eye is not only dangerous, but also an unpleasant disease. That is why it is recommended to carry out timely treatment of the pathological process.To do this, you must use the appropriate medicines, which are prescribed by a doctor.

Which medicine is more effective for barley on the eye Link to the main publication

Treatment of barley on the eye with medications in adults and children: drops and ointments

Barley (hordeolum, pisyak) is one of the most common ophthalmic diseases characterized by acute inflammation of the hair follicle eyelashes or meibomian gland located at the edge of the eyelid.

This eye pathology causes severe discomfort and can lead to serious complications, including blood poisoning. Often, hordeolum goes away on its own.

But in order to avoid negative consequences, it is still recommended not to wait until the problem disappears on its own, but to consult a doctor for the selection of an effective medication.

Features of the development of the disease

Barley is a purulent eye disease in which a small lump forms on the edge of the inflamed eyelid.Such a disease occurs in ophthalmic practice quite often at any age. The main reason for the development of hordeolum is the lesion of the eye area with an infectious agent. Most often, Staphylococcus aureus acts as the causative agent.

Also, the inflammatory process can be caused by the demodex mite, which is activated in the presence of the following predisposing factors:

  • reduced immunity;
  • hypothermia;
  • colds, flu;
  • Autoimmune diseases; 90,074 90,073 obesity;
  • atherosclerosis;
  • impaired intake of vitamins in the body;
  • anemia;
  • physical or mental exhaustion;
  • stressful situations.

Symptoms of barley

Barley on the eye manifests itself very sharply and quickly, immediately after damage to the organs of vision by an infectious agent. At the first stage of the development of the disease, there is a slight swelling and redness of the eyelid. Itching and burning may also occur at the site of inflammation. If therapeutic measures have not been taken at this stage, then the pussy continues to develop, the following symptoms appear:

  • severe edema;
  • purulent lump on the edge of the eyelid;
  • soreness;
  • local hyperthermia;
  • gritty feeling in the eye;
  • lacrimation;
  • redness of the eyelid and conjunctiva.

Sometimes the inflammatory process is accompanied by an increase in body temperature, headaches and lymphodenitis. Within a week after infection, the abscess is opened and purulent contents begin to flow out of it. After that, the symptomatology decreases and disappears in 2-3 days. Sometimes complications arise, and opening the abscess has to be done surgically.

Doctors advise not to wait until the barley breaks through on its own, as pus can penetrate into the body and lead to the development of meningitis, sepsis or other serious consequences. It is also categorically impossible to squeeze out gordolum!

The best drops from barley

Most often, ophthalmologists prescribe antibacterial eye drops to adults and children to quickly get rid of barley on the eye. The most popular are the following drugs.


Antibacterial eye drops that effectively eliminate itching, burning and soreness, providing a mild effect on the retina. Such a universal remedy has a powerful bactericidal effect and gets rid of barley in 2-3 days.Floxal can also be used prophylactically. It is necessary to bury drops 1 drop 3-4 times a day.


These drops are recognized as the most effective and safe for the treatment of barley. The active ingredient tobramycin quickly eliminates the inflammatory process and causes the death of bacterial cells.

Tobrex can be used for almost all infectious eye diseases. The drug is rapidly excreted in the urine unchanged and rarely causes complications.

Due to its mild formula, the drops are gentle on the eyes and can even be used by pregnant women and children.


An effective broad-spectrum antibacterial agent that helps fight many eye infections, including barley. The main active ingredient is chloramphenicol.

Levomycetin has disinfecting properties and prevents the infection of the conjunctiva. After the first application of the drop, symptomatic manifestations decrease, due to which the course of the pathological process is reduced.

However, when using Levomycetin for the treatment of barley, it must be borne in mind that when instilled into the eyes, drops cause a burning sensation, provoke slight swelling of the mucous membrane and can cause temporary visual impairment.


Eye drops of Indian production effectively fight barley and other superficial infectious diseases.

Tsiprolet quickly relieves redness, swelling and soreness, without causing unpleasant and burning sensations.The medicine works well with other drugs and does not cause side effects.

It is forbidden to use drops only if there is an individual intolerance to the components that make up the medication.


One of the best medicines for barley on the eye. The drug effectively and quickly eliminates inflammation and provokes the death of infectious agents. Albucid can be used not only for treatment, but also for the prevention of inflammatory eye diseases.

The best barley ointments

Modern pharmacies offer a large selection of antibacterial ophthalmic ointments that effectively deal with the manifestations of barley and other infectious eye diseases.

This form of medicine is less convenient to use than drops, but also more effective. The active components of the ointment instantly penetrate into the inflammation focus and relieve unpleasant symptoms.

But in view of the fact that such drugs provoke a temporary decrease in vision, they should be used at night.

Most often, doctors prescribe the following ointments for barley on the eye.


One of the most effective and affordable remedies for barley on the eye. Tetracycline ointment has a pronounced antibacterial, anti-inflammatory and antiseptic effect.

It is recommended to use this drug from the moment the first signs of the disease appear and until the pussy breaks through. The ointment should be applied behind the eyelid 2-3 times a day.

Tetracycline does not cause side effects and has no contraindications.

Liniment Vishnevsky

The best remedy used to treat many inflammatory diseases of the eyes and skin. The natural composition of Vishnevsky’s ointment provides a gentle effect on the body.

When used regularly, liniment relieves inflammation and promotes a speedy recovery.

To achieve a quick result, it is recommended to place the preparation behind the eyelid and apply a bandage on top, leaving it for 2-3 hours.

Erythromycin ointment

The main active ingredient of the drug is a macrolide antibiotic, which acts on infectious agents that are resistant to other popular barley remedies.Erythromycin is effective in reducing inflammation, does not cause side effects, and is affordable.


Hydrocortisone ointment for barley is most often used as an antihistamine in combination with antibacterial drops.

The drug does not cause the death of infectious pathogens, but effectively eliminates the symptoms of the inflammatory process. You can not use the ointment for the treatment of hordeolum in the presence of viral and fungal diseases of the eyes and skin.

With prolonged use, Hydrocortisone causes an increase in intraocular pressure.

Other effective medications

At the very beginning of the development of barley, the problem can be dealt with with a solution of brilliant green or 70% ethyl alcohol. After the pussy is ripe, such medicines cannot be used.

In this case, it is necessary to use ophthalmic drops and ointments. In advanced cases, when local drugs are ineffective, doctors may prescribe antibiotics for internal use.

Ofloxacin or Amoxil tablets are most often prescribed.

Also, at the same time, drugs are recommended to increase the body’s defenses (Cycloferon, Ingavirin).

With an increase in body temperature and severe soreness of barley, antipyretic drugs (Paracetamol, Nurofen) are prescribed.

After the abscess has opened itself or with the help of surgical intervention, the eyes must be washed with a weak solution of Miramistin or Furacillin.

Preparations for pregnant women

How to treat pussy during pregnancy? During pregnancy, it is recommended to stop using any medication. Especially in the first trimester, when the fetus is forming. Most often, doctors advise pregnant women to cope with barley folk remedies. But if this is not possible, then the following safe medications can be prescribed:

  • Tsipromed;
  • Levomycetin;
  • Tobrex;
  • Albucid;
  • Ophthalmoferon.

Preparations for children

Barley in children is a very common occurrence. Today there are a large number of effective antibacterial drugs that can be used from an early age. Among them are the following drugs:

  • Albucid;
  • Tobrex;
  • Levomycetin;
  • Dexamethasone;
  • Floxal;
  • Sodium sulfacyl.

Can I burn barley myself?

When the first signs of barley appear, you can cauterize it yourself with iodine, brilliant green solution or ethyl alcohol. But this procedure must be carried out very carefully so that the medicine does not get into the eye. To do this, close the sore eye and apply a cotton swab soaked in solution to the site of inflammation for 15-20 minutes.

Author of the article: Kvasha Anastasia Pavlovna, specialist for glazalik.ru

How to treat barley on the eye – the best medicines

Barley is a purulent inflammation of the eyelid, which in most cases disappears within a week.The use of drugs can speed up this process.

Medical certificate

Barley (gordoleum, pisyak) is a common ophthalmic disease. It is characterized by acute inflammation of the hair follicle of the eyelash or meibomian gland located at the edge of the eyelid.

Barley looks like a small bump that is uncomfortable. It can lead to serious complications, among which blood poisoning is considered the most dangerous.

Often the pathology goes away on its own, some patients start talking about it, but in order to avoid negative consequences, it is better to consult a doctor.

Features of the development of the disease and its symptoms

Barley is a purulent lesion of the eyes, in which a small lump forms at the edge of the eyelid. The disease occurs in people of all ages, it is absolutely not contagious.

The main cause is considered to be damage to the eye with infectious agents. Most often, Staphylococcus aureus acts as the causative agent.

The inflammatory process can be caused by the demodex mite, the activation of which is caused by the following factors:

  • decreased immunity; 90,074 90,073 obesity;
  • frequent hypothermia;
  • colds;
  • atherosclerosis;
  • stressful situations;
  • physical, mental exhaustion;
  • deficiency of vitamins in the body.

At the initial stage, there is redness of the upper eyelid, slight swelling, itching at the site of inflammation.In the absence of treatment, pathology develops rapidly. A purulent lump appears on the edge of the eyelid, accompanied by severe pain and lacrimation. Sometimes, against the background of the inflammatory process, the temperature rises.

Within a week after infection, the abscess opens, exudate begins to come out of it. Unpleasant symptoms diminish, and the barley itself normally disappears in 2-3 days. Sometimes complications arise, you have to do a surgical opening of the gordoleum.

Medication for barley

The only effective and efficient way to cure barley is medication.Thanks to him, you can get rid of the neoplasm within a few days after the first symptoms appear. The therapy takes place in several stages and has the following goals:

  • relief of inflammation;
  • elimination of the cause of the disease;
  • fight against the pathogen;
  • disinfection of the affected area;
  • removal of symptoms associated with barley;
  • increase in the body’s defenses.

First, it is necessary to treat the affected eyelid with antiseptic solutions.Then the treatment is supplemented with ointments and drops with an antibacterial component. It is forbidden to use them without the agreement of a doctor.

In addition, you will need to pass a number of tests to determine the sensitivity of the causative agent of the disease to drugs. In case of complications, it is recommended to use internal antibiotics.

Antibacterial ointments for barley

Today in any pharmacy you can buy antibacterial ophthalmic ointment for the treatment of barley and other infectious diseases.This form of medication is less convenient to use when compared with drops, but more effective.

Active ingredients immediately penetrate into the inflammation focus, relieving unpleasant symptoms.

However, due to a temporary deterioration in the quality of vision, it is better to apply such drugs before bedtime.

Wash your hands before performing the procedure. It is better to treat the eyelid affected by barley with any antiseptic solution to remove dust and other impurities, secreted pus.The drug should be applied with extreme caution. If it gets on the mucous membrane of the eyes, it can cause burns. All manipulations are recommended to be carried out with a tampon or cotton swab.

Tetracycline ointment

This is the most popular ophthalmic ointment for treating barley. It contains the antibiotic tetracycline. It quickly destroys pathogenic microflora and at the same time stimulates the immune system. In addition, the ointment has antiseptic and anti-inflammatory properties, and has a long-lasting effect.

This product can be applied behind the eyelid or applied externally. The procedure should be repeated 3-5 times a day until the abscess disappears completely. Tetracycline ointment is also used to cleanse the wound from the remnants of dead epithelial particles when the barley is opened on the eye.

Home treatment is not always successful. In case of an allergic reaction to an active substance, it is better to refuse to use the drug. The ointment is usually well tolerated by patients, but the likelihood of adverse reactions exists.

Among them, nausea and vomiting, loss of appetite, dysbiosis, inflammation of the oral mucosa should be distinguished. In the presence of renal dysfunction, skin rashes or leukopenia, it is better to refuse treatment with this medication. It is also not recommended for children under 8 years old and pregnant women.

Hydrocortisone ointment

This is a corticosteroid liniment containing hydrocortisone. The ointment has a pronounced antihistamine and exudative effect, has an anti-inflammatory effect.

Course use of it contributes to the rapid maturation of the neoplasm, its breakthrough. The composition also contains xeroform. This is an antiseptic component responsible for the destruction of pathogenic flora.

Castor oil moisturizes the affected surface of the eyelid, while birch tar improves tissue nutrition.

It is recommended to put the product behind the eyelid, but you can smear it directly on the skin itself. The procedure should be repeated no more than three times a day. The duration of therapy is determined by the attending physician.

In the case of infectious processes caused by viruses, the use of ointment is impractical. If the integrity of the corneal epithelium is broken, it is strictly prohibited to use it.

The drug is well tolerated by patients, only some have side effects in the form of burning sensation and increased eye pressure.

Erythromycin ointment

The main component of the drug is the antibiotic of the same name. It is relatively non-toxic. Shows sensitivity to staphylococci, streptococci, gonorrhea, mycoplasma.The ointment copes well with infectious processes, including internal barley and external hordeolum.

The drug has long been used in ophthalmic practice by doctors. Among its disadvantages, it is necessary to note the resistance of bacteria to the active substance. Therefore, in the case of prolonged use, it can stop fighting pathogenic microflora and become ineffective. There is also a risk of developing a secondary infection with antibiotic-resistant bacteria.

An important advantage is the ability to use the ointment during pregnancy and lactation.

Erythromycin ointment is well tolerated by patients when compared with penicillins.

Among the contraindications, it is necessary to note the sensitivity to the active ingredient, severe liver disease. Side effects are rare and include redness, skin rash and itching.

Peculiarities of using drops for barley

Along with ointments, antibacterial drops are actively used in the treatment of barley. They have a similar effect, but they work for a short time, they are absorbed and resorbed faster.Therefore, they have to be buried several times a day. It is advisable to use drops every 3 hours.

Means that help well in the first days of inflammation can be harmful after opening the abscess. Instillation is a difficult process that requires some preparation and even skill. Before handling, you should wash your hands and dry them with a cotton towel. Otherwise, the fluff from the towel may get into your eyes.

Hands should not be wiped with a solution containing alcohol, because this can burn the mucous membrane.

Home instillations are best done in front of a mirror. If the drops were stored in the refrigerator, it is recommended to warm up the bottle by holding it in your hands for a few minutes.

It is necessary to tilt the head back, slightly pull the lower eyelid and inject the liquid into the inner corner of the eye. In order for the medicine to be evenly distributed, then you need to close your eyes and rotate the pupils for a few seconds.

Review of popular drops with antibacterial effect

Drops for barley can be used as the only treatment option, and together with ointments.If used correctly, the risk of adverse reactions will be reduced to zero. In addition to affecting the pathogenic flora, such drugs successfully cope with concomitant symptoms in the form of swelling and pain.

The most popular product from this group is Tobrex. The drops are a broad-spectrum antibiotic. They are active against staphylococci, the main cause of barley. The medicine is used every 4 hours, one drop. In 15% of cases, patients experience side reactions in the form of itching and burning.

Floxal is an antimicrobial drug that is prescribed for purulent barley and other infectious lesions of the visual apparatus. Quickly eliminates painful discomfort, tearing. It is allowed to use one drop no more than 2-4 times a day.

Levomycetin is another broad-spectrum antibiotic. It speeds up the healing process and prevents complications. The composition is recommended to treat both eyes. After instillation, a burning sensation may appear.For all its effectiveness, the drug has many contraindications due to the large number of active ingredients.

Antiseptic and anti-inflammatory drops

Antiseptics have a different mechanism of action when compared to antibiotics. They do not affect bacteria, but they make their habitat unsuitable for life. The use of such funds enhances the effectiveness of antibiotics and antiviral drugs, prevents the further spread of the infectious process.

Anti-inflammatory medicines are also prescribed to alleviate general well-being, eliminate edema. Their competent use helps to speed up the onset of recovery and reduce the size of the barley, which is important for maintaining full vision. The drugs from the table are characterized by the greatest efficiency.


sensitive ophthalmic

Name of the drug Active substance Indications for prescription Restrictions on use
Albucid sulfacetamide conjunctivitis, blepharitis, purulent sulphurous

sensitive to the eye benzyldimethyl ammonium chloride monohydrate eye infections and burns, surgical interventions hypersensitivity to drug components
Avitar zinc sulfate heptahydrate, boric acid “childhood conjunctivitis, dry eye syndrome ” the period of pregnancy and lactation

Anti-inflammatory eye drops are usually divided into two conditional groups: containing steroids and the content of NSAIDs.The first category includes Dexamethasone and Hydrocortisone. They are effective for severe inflammation.

They are also produced in the form of an ointment. Non-steroidal drugs (Indocollir, Naklof) are less effective in treating barley.

However, they cope well with the accompanying fatigue and eye irritation.

Other methods of drug exposure

At the initial stage of the development of the pathological process, barley can be dealt with by means of a solution of brilliant green or 70% ethyl alcohol.

If the neoplasm has already matured, the use of these medications is prohibited. In this case, they resort to the help of ointments and drops with an antibacterial component.

When they are ineffective, antibiotics for internal use are prescribed. For example, Ofloxacin and Amoxil tablets.

At the same time, therapy involves taking medications aimed at strengthening and increasing the body’s defenses (Cycloferon, Ingavirin).

With an increase in temperature and severe pain syndrome, nonsteroidal anti-inflammatory drugs are taken.

After opening the barley, both independently and through surgery, it is necessary to treat the affected area with a weak solution of Miramistin.

Antibiotics in the form of tablets: Ofloxacin and Amoxil

When local antibiotics do not give the desired therapeutic effect, they are replaced with drugs for oral administration. It is forbidden to prescribe tablets on your own. Most often, Ofloxacin and Amoxil are used for treatment.

Ofloxacin is an antibacterial drug that is used in the course of therapy for infectious and inflammatory diseases.When treating barley, its tableted form is used. Adults are prescribed no more than 2 tablets twice.

Duration of admission varies from 4 to 8 days. The medicine must be swallowed whole and washed down with plenty of water. It is not prescribed for a child and pregnant women, patients with epilepsy and pathologies of the excretory system.

Amoxil is a semi-synthetic antibiotic that belongs to the aminopenicillin group. When treating barley, the dosage regimen is 2 tablets twice.The course of treatment is 4 to 7 days. You can take pills regardless of food intake. They are not recommended for people with nervous disorders, women during pregnancy and lactation.

Effectiveness of drug therapy for barley

Barley is an externally unpleasant and at the same time dangerous disease of an inflammatory nature. When the initial signs appear, you must immediately begin treatment.

Some patients try to speak an abscess or use folk remedies to eliminate it (use of seeds and infusions, heating with an egg).However, only medication can solve the problem.

Some drugs are used to disinfect and cleanse the eye, others to destroy pathogenic flora. Additionally, the doctor may prescribe means to strengthen the immune system and remove

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What is chalazion and barley?

In everyday ophthalmological practice, there are often cases when patients complain of pain in the eyelids or in their edges, local swelling, redness.Nowadays, the so-called self-diagnosis is very popular, when people on the Internet are looking for the cause of their complaints, a significant part of the above-mentioned patients often come to an erroneous diagnosis – barley or hordeolum. Unfortunately, sometimes we hear such erroneous diagnoses from patients who were initially examined by a family doctor.

Both of these eye diseases are inflammation of the meibomian glands or Zeiss sebaceous glands located in the eyelids, which proceed either rapidly and acutely, or passively and chronically.Meibomian glands are located on the cartilaginous plate of the upper and lower eyelids and there are about 25-30 of them on each eyelid. These glands normally slowly produce fat, which protects the eye from dryness and strengthens the tear film, protecting the tears from premature evaporation. Their inflammation occurs when their outflow is blocked due to mechanical reasons or as a result of infection.

What is barley or hordeolum?
This is a rapidly developing acute, purulent, capsule-free inflammation – meibomitis (internal or white arrow in the image) or superficial inflammation of the sebaceous glands (external or black arrow in the image), which is mainly caused by staphylococcal infection, which got its name due to the similarity in size and appearance with a grain of barley.
In the vast majority of cases, the main cause of infection is the thickening of the secretion of the corresponding glands and the subsequent stage, which creates a favorable environment for the development of the focus of infection.

The process begins with the appearance of a sensitive point at the edge of the eyelid, followed by a local swelling, on which a yellow “head” appears within 2-3 days. Edema of the eyelid can affect the entire eyelid and be quite pronounced, edema can also affect the mucous membrane of the eye or the conjunctiva.In the event that there is an internal type of barley, the yellow “head” will be visible only when the eyelid is opened.
Barley can appear in several places at the same time, merge into one, and relapses can also occur or barley can appear again and again.

Barley often occurs when a person has a weakened immune system as a result of medication or concomitant diseases, because the body was unable to cope with microorganisms present in the body or from outside, and isolate the focus of infection.

How is barley treated?
At an early stage, the affected area can be exposed to dry heat (for example, applying a boiled egg) for ~ 5-10 minutes several times a day, which will help the blood cells reach the site of inflammation and “fight” the pathogens of inflammation, and also reduces symptoms … In the case of barley, it is advisable to apply locally antibiotics in the form of drops or ointments. If this does not help, the optometrist may recommend making a small incision so that pus can be released, but in no case should the barley be squeezed out, as this can spread infection and inflammation into the surrounding tissues and cause serious complications such as orbital cellulitis. , meningitis, sepsis and others.In rare cases, pill antibiotics are prescribed. In cases where barley reappears, it may be necessary to consult an immunologist, it is necessary to strengthen the immune system and it is recommended to take vitamins of group B.

What is chalazion or chalazion?
In the case of chalazion, the inflammatory process of the meibomian gland proceeds gradually and usually painlessly, and gradually increases. Sometimes chalazion are formed from barley, but more often it happens on its own.

Another factor contributing to this process is the blockage of the duct of the gland and the onset of the inflammatory process, but the causative agent of inflammation is generally not an infection.When it appears, you usually feel a hard granular structure in the tissues of the eyelid. If chalazion recurs periodically, then general health problems may arise, which secondarily cause “incorrect” secretion of the gland, which in turn causes blockage of the glands. Unlike barley, the process of inflammation of the chalazion is limited to the capsule, and therefore there is a possibility of its effective surgical treatment, but the effect of local application of antibiotics is not so good.

How to treat chalazion?
Part is drawn out spontaneously over several weeks or months using warm, dry compresses and topical application of antibiotics / corticosteroid drops or ointments during the acute period.However, in cases where the chalazion does not stretch, surgical treatment is recommended. This is done by local anesthesia, making an incision in the skin or on the side of the conjunctiva and separating it from the surrounding tissues, the formation, if possible, without affecting the capsule, is eliminated. If the incision is made on the skin side, sutures are applied. If from the inside of the eyelid, then the sutures are not superimposed. On the day of the operation, a dressing is applied to the eye, which can be removed the very next day. When returning home after surgery, the patient himself should not drive a car due to his closed eye.A bruise may develop on the eyelid, which can last up to 2 weeks. On the first day, it is recommended to apply dry cold compresses to reduce postoperative swelling and bruising. After the operation, local antibiotics are prescribed in the form of drops or ointments. In some cases, it is recommended that the surgical material be examined histologically to confirm its benign quality.


90,000 How to get rid of barley?

How to get rid of barley?

fifteen.05.2019 14:23

Barley is not just ugly, it also hurts. Who can this purulent inflammation of the sebaceous gland or the hair follicle at the root of the cilia “visit”? Any person, but above all the one whose body is weakened.

The main symptoms of barley ripening are: pain in the eye area, headache, occasionally the appearance of barley is accompanied by an increase in temperature.

How to get rid of barley?

For the appointment of a treatment regimen, contact an ophthalmologist.The doctor will prescribe treatment based on the patient’s condition. As a rule, he prescribes a physiotherapy procedure – UHF, pills, eye drops or antibiotic ointments. It can be erythromycin or tetracycline ointment. But since medicine does not stand still, every year there are more and more new means for the treatment of various diseases. Therefore, contact a specialist to find the best drug.

Both our grandmothers and our great-grandmothers knew how to get rid of barley.If you do not have the opportunity to visit a doctor, you can try using folk remedies. However, if there is no improvement, or the condition begins to deteriorate, you should immediately consult a doctor.

How to get rid of barley using traditional medicine?

Many people advise to warm the place where the barley appears by applying a boiled egg. Be careful. If the abscess has not yet opened, then warming up will only worsen the patient’s condition.

For the treatment of barley, you can make lotions from aloe juice diluted with water 1 to 10.It is recommended to do such lotions every 6 hours.

In order for the barley to dissolve faster, you can apply a compress from a solution of chamomile and boric acid. If the moment of barley ripening fell on the warm season, when fresh lilac leaves can be found, then crushed lilac leaves are applied to the sore eye every 2 hours.

For the treatment of barley, you can prepare an infusion of plantain. To do this, you need to take 1 tbsp. dry plantain, pour 1/3 cup boiling water and let it brew for 20 minutes.Strain and dip a sterile gauze napkin in the infusion. Keep on the eye for 5-10 minutes.

In order to get rid of barley, you can recommend eye drops, which include eyebright herb. You can make such drops yourself. To do this, you need eyebright herb, boiling water and salt: 1 tsp. eyebright is poured with half a glass of boiling water, salt is added on the tip of a knife, infused until the water cools down. Before use, the infusion must be well filtered. These drops should be instilled 2 times a day into the inner corner of the eye.

Why is barley dangerous and why is it impossible to squeeze pus out of barley?

A person who has barley on his eye is contagious to others, especially to small children. Keep your hands clean. While you have barley in your eye, take all precautions so that your towel does not touch the towels of other family members.

Even an ordinary pimple should not be squeezed out on your own. Barley is in close proximity to the eye.When squeezed out, pus can enter the lining of the eye and cause infection. In the worst case, the infection can enter the brain and lead to irreversible consequences. That is why, when barley appears, it is better to contact an optometrist.

It is especially important to undergo a doctor’s examination if you get barley quite often.


Azidrop instructions for use: indications, contraindications, side effects – description Azydrop Eye drops (40989)

Mechanism of action

Azithromycin is an antibiotic of the second generation macrolide-azalide group.Inhibits bacterial protein synthesis by binding to the 50S-subunit of ribosomes and preventing peptide translocation.

Mechanism of resistance

Three mechanisms of resistance for different types of bacteria to macrolides are noted: due to modification of the target of action, modification of the antibiotic, or due to the active release of the antibiotic from the microbial cell using transport systems (efflux). Various efflux systems have been described for bacteria. An important efflux system for streptococci is encoded by the mef gene and results in macrolide-confined resistance (M-phenotype).Modification of the target of action controlling erm by the encoded methylase (MLSB phenotype) leads to cross-resistance to different classes of antibiotics.

Cases of cross-resistance to erythromycin, azithromycin, other macrolides and lincosamide and streptogramin B have been described for Streptococcus pneumoniae, β-hemolytic group A streptococci, Enterococcus spp. and Staphylococcus aureus, including methicillin-resistant Staphylococcus aureus (MRSA). Constitutive mutants in inducibly resistant strains with erm (A) or erm (C) can be isolated in vitro at low frequencies of about 10 -7 91 213 CFU in the presence of azithromycin.

Cut-off value

Below are the minimum inhibitory concentrations (MIC) for microorganisms for these indications.

It should be noted that the MIC cut-off values ​​and spectrum shown below are for systemic use. MIC data cannot be used in the case of topical treatment with the drug in the form of eye drops due to other concentrations and physicochemical conditions that may affect the overall activity of the drug at the site of its action.

According to EUCAST (European Committee for the Testing of Antibiotic Susceptibility), the following MIC cut-off values ​​are defined for azithromycin:

Haemophilus influenzae S ≤ 0.12 mg / L and R> 4 mg / L
Moraxella catar S ≤ 0.5 mg / L and R> 0.5 mg / L
Neisseria gonorrhoeae S ≤ 0.25 mg / L and R> 0.5 mg / L
Staphylococcus spp. * S ≤ 1.0 mg / L and R> 2.0 mg / L
Streptococcus pneumoniae S ≤ 0.25 mg / L and R> 0.5 mg / L
Streptococcus A, B, C, G S ≤ 0.25 mg / l and R> 0.5 mg / l

* spp. includes all species of the genus

EUCAST allows the use of erythromycin to determine the sensitivity of other species of these bacteria to azithromycin.

The incidence of acquired resistance for individual species may vary with geographic region and time.In this regard, it is desirable to have local information on resistance, especially in the treatment of severe infections. If necessary, you should seek the advice of a specialist when the local frequency of resistance is such that the effectiveness of the drug, at least for some types of infection, is questionable.

Antibacterial spectrum of azithromycin by bacterial species for these indications

susceptible 9005 9004 9005 Aerobatic 3


Species traditionally sensitive to the drug
Aerobic gram-negative bacteria
Morassa 112
Haemophilus influenzae 2
Haemophilus parainfluenzae 2
Other microorganisms
Chlamydia trachomatis 3
Staphylococcus aureus (methicillin-resistant and methicillin-susceptible)
Staphylococcus, coagulase-negative (methicillin-resistant and methicillin-susceptible)
Streptococcus pneumon iae
Streptococcus pyogenes
Streptococci viridans
Streptococcus agalactiae
Streptococcus group G
Species with natural resistance


Bacterium 131005 Aerobic105.
Enterococcus faecium
Aerobic gram-negative bacteria
Pseudomonas aeruginosa

1 systemic treatment

2 Natural intermediate sensitivity.

3 Clinical efficacy demonstrated in sensitive isolated strains for approved indications.

Clinical trials data

Trachomatous conjunctivitis caused by Chlamydia trachomatis

A randomized, double-blind comparative study of 2 months duration of Azidrop with oral administration of a single dose of azithromycin in children aged 1–10 years for the treatment of active trachoma in children aged 1–10 years … The main efficacy variable was clinical cure at day 60, i.e. absence of active trachoma TF0 (according to the simplified classification of the severity of trachoma according to WHO).On the 60th day, the frequency of clinical cure with Azidrop, administered 1 drop 2 times / day for 3 days, was not lower (96.3%) than with azithromycin taken orally (96.6%).

The clinical efficacy of Azidrop, administered 1 drop 2 times / day for 3 days, for the treatment and prevention of trachoma of the entire population (from birth) in Northern Cameroon (112,000 subjects) was evaluated in a multicenter, open, non-comparative phase IV study. The treatment was carried out in 3 periods of 1 year.The primary efficacy criterion was the prevalence of active trachoma, i.e. trachomatous follicular inflammation or severe trachomatous inflammation (TF + TI0 or TF + TI +). For the analysis, a clinical assessment of trachoma was performed every year in 2400 children aged ≥1 and <10 years, selected by the method of random cluster sampling. The prevalence of active trachoma (TF + TI0 or TF + TI +) was observed in 31.1% of cases before instillation of Azidrop in "year 0" and decreased to 6.3% (1st year), 3.1% (2nd year) and 3.1% (3rd year). In general, there were no serious adverse reactions to the study drug in the population.

Purulent bacterial conjunctivitis

A randomized, blind comparative study of Azidrop, 1 drop 2 times / day for 3 days, with tobramycin (eye drops, 0.3%), 1 drop every 2 hours for 2 days, and then 4 times / day for 5 days, for the treatment of purulent bacterial conjunctivitis in 1043 patients (ITT group), including 109 children under the age of 11 years, 5 of which were newborns (from 0 to 27 days), 38 Infants and toddlers (28 days to 23 months).According to the protocol, the population (n = 471) (PP group) included 16 infants and toddlers and did not include newborns. The clinical study was conducted in different regions of Europe, North Africa and India. The main efficacy variable was clinical cure at day 9 in the PP group and was defined as 0 points for bulbar conjunctival injection and purulent discharge. On day 9, the incidence of clinical cure with Azidrop (87.8%) was not lower than with tobramycin (89.4%). The microbiological efficacy of azithromycin was comparable to that of tobramycin.

Pediatric population

The efficacy and safety of Azidrop in children and adolescents under the age of 18 were shown in a randomized trial with investigator masking compared with tobramycin in 282 study patients diagnosed with purulent bacterial conjunctivitis (including 148 patients in subgroup 0 days – <24 months). Patients received either Azidrop (1 drop 2 times / day for 3 days), or tobramycin, eye drops, 0.3% (1 drop every 2 hours for 2 days, and then 4 times / day for 5 days). The main efficacy criterion was the clinical cure of the more affected eye on the 3rd day in patients with positive results of bacteriological analysis on day 0. In patients using Azidrop, the clinical cure of the more affected eye on the 3rd day exceeded (47%) this indicator in comparison with patients using tobramycin (28%). On the 7th day, 89% of patients treated with Azidrop were completely cured, while among patients treated with tobramycin, a complete cure was noted in 78% of cases.