What are the main differences between chalazion and hordeolum. How are chalazion and hordeolum diagnosed. What are the most effective treatment options for chalazion and hordeolum. Can chalazion and hordeolum be prevented.

Understanding Chalazion and Hordeolum: Eyelid Swellings Demystified

Chalazia and hordeola, commonly known as styes, are localized swellings of the eyelid that can cause discomfort and concern for many individuals. While these conditions share some similarities, they have distinct causes and characteristics that set them apart. Understanding the nature of these eyelid issues is crucial for proper diagnosis and treatment.

What is a Chalazion?

A chalazion is a non-infectious swelling caused by the obstruction of a meibomian gland in the eyelid. This blockage leads to the accumulation of oily secretions, resulting in inflammation and the formation of a painless nodule. Chalazia typically develop in the central part of the eyelid and can affect both the upper and lower lids.

What is a Hordeolum (Stye)?

A hordeolum, or stye, is an acute, localized swelling of the eyelid that is usually caused by a bacterial infection. Hordeola can be classified as external or internal, depending on their location and the affected glands. External hordeola are more common and involve the eyelash follicles and adjacent glands, while internal hordeola affect the meibomian glands.

Causes and Risk Factors for Chalazion and Hordeolum Development

Understanding the underlying causes and risk factors associated with chalazia and hordeola can help in prevention and management of these conditions.

Chalazion Causes

• Meibomian gland dysfunction
• Abnormally thick meibomian gland secretions
• Acne rosacea
• Hormonal changes
• Poor eyelid hygiene

Hordeolum Causes

• Staphylococcal infections
• Blepharitis (inflammation of the eyelid margins)
• Blocked eyelash follicles
• Poor hygiene
• Weakened immune system

Symptoms and Clinical Presentation: Distinguishing Chalazion from Hordeolum

While chalazia and hordeola may appear similar in their early stages, they have distinct characteristics that become more apparent as they progress.

Chalazion Symptoms

Initial symptoms of a chalazion include:

• Eyelid redness and swelling
• Mild discomfort or pain
• Formation of a small, firm nodule in the eyelid
• Gradual decrease in tenderness over time
• Possible blurred vision if the chalazion is large enough to indent the cornea

Hordeolum Symptoms

Symptoms of a hordeolum typically include:

• Acute onset of eyelid redness, swelling, and pain
• Localization to the eyelid margin (external hordeolum) or inner eyelid surface (internal hordeolum)
• Formation of a small, yellowish pustule at the base of an eyelash (external hordeolum)
• Tearing, photophobia, and foreign body sensation
• Possible fever or chills in severe cases (more common with internal hordeola)

Diagnostic Approaches for Chalazion and Hordeolum

Accurate diagnosis of chalazia and hordeola is essential for appropriate treatment. How are these conditions typically diagnosed?

The diagnosis of chalazion and hordeolum is primarily clinical, based on the patient’s history and physical examination of the affected eyelid. In most cases, no additional tests are required. However, healthcare providers may consider the following diagnostic approaches:

• Visual inspection of the eyelid to assess the location, size, and characteristics of the swelling
• Palpation of the affected area to determine tenderness and consistency
• Eversion of the eyelid to examine the inner surface, particularly for internal hordeola
• Assessment of visual acuity to rule out any impact on vision
• In rare cases, imaging studies such as ultrasound may be used to differentiate chalazia from other eyelid masses

It’s important to note that during the first few days of onset, chalazia and hordeola may be clinically indistinguishable. Therefore, healthcare providers may need to reassess the condition after a short period to make a definitive diagnosis.

Treatment Options: Managing Chalazion and Hordeolum Effectively

The treatment approaches for chalazia and hordeola aim to promote resolution of the swelling and alleviate associated symptoms. What are the most effective treatment options available?

Conservative Management

For both chalazia and hordeola, initial treatment typically involves conservative measures:

• Warm compresses applied to the affected eyelid for 10-15 minutes, 3-4 times daily
• Gentle massage of the eyelid to promote drainage
• Maintaining good eyelid hygiene
• Over-the-counter pain relievers if needed

Medical Interventions

If conservative measures are insufficient, medical interventions may be considered:

• Topical antibiotic ointments for hordeola
• Oral antibiotics for severe or recurrent hordeola
• Intralesional corticosteroid injections for persistent chalazia

Surgical Options

In cases where conservative and medical treatments fail, surgical interventions may be necessary:

• Incision and drainage of hordeola
• Excision of persistent chalazia

Complications and Prognosis: What to Expect

While chalazia and hordeola are generally benign conditions, they can occasionally lead to complications or have a prolonged course. What are the potential complications, and what is the typical prognosis for these eyelid conditions?

Potential Complications

• Recurrence: Both chalazia and hordeola can recur, especially if underlying risk factors are not addressed
• Spread of infection: In rare cases, hordeola may lead to more severe infections such as preseptal or orbital cellulitis
• Visual disturbances: Large chalazia may cause temporary astigmatism or vision changes due to pressure on the cornea
• Scarring: Chronic or improperly treated chalazia may result in eyelid scarring

Prognosis

The prognosis for both chalazia and hordeola is generally excellent. Most cases resolve spontaneously or with conservative treatment within a few weeks. However, the timeline for resolution can vary:

• Chalazia typically resolve within 2 to 8 weeks, although some may persist longer
• Hordeola usually rupture and heal within 7 to 10 days with appropriate treatment

It’s important to note that while these conditions often improve on their own, seeking medical attention is advisable, especially for persistent or recurrent cases, to ensure proper management and rule out any underlying issues.

Prevention Strategies: Reducing the Risk of Chalazion and Hordeolum

While it may not always be possible to prevent chalazia and hordeola, there are several strategies that can help reduce the risk of developing these eyelid conditions. What are the most effective prevention methods?

Maintain Good Eyelid Hygiene

Proper eyelid hygiene is crucial in preventing both chalazia and hordeola:

• Gently clean eyelids daily with warm water and mild soap or specialized eyelid cleansers
• Remove all eye makeup before going to bed
• Avoid touching or rubbing eyes with unwashed hands
• Replace eye makeup regularly, especially mascara, to prevent bacterial growth

Manage Underlying Conditions

Addressing predisposing factors can significantly reduce the risk of recurrence:

• Treat blepharitis and other eyelid inflammation promptly
• Manage conditions like acne rosacea and seborrheic dermatitis
• Control hormonal imbalances that may affect oil gland function

Adopt Healthy Lifestyle Habits

Certain lifestyle modifications can contribute to overall eye health and reduce the risk of eyelid issues:

• Maintain a balanced diet rich in omega-3 fatty acids, which can improve oil gland function
• Stay hydrated to support tear production and eye lubrication
• Avoid excessive eye strain by taking regular breaks when using digital devices
• Wear protective eyewear in dusty or windy environments

When to Seek Medical Attention: Red Flags and Warning Signs

While many cases of chalazia and hordeola can be managed at home, certain symptoms or circumstances warrant professional medical evaluation. When should individuals consult a healthcare provider for their eyelid condition?

Seek Medical Attention If:

• The eyelid swelling is severe, painful, or spreads beyond the immediate area
• Vision is affected or there is difficulty opening the eye
• Symptoms persist for more than two weeks despite home treatment
• There are signs of infection, such as fever, chills, or spreading redness
• The condition recurs frequently or affects both eyes simultaneously
• There is discharge from the eye or eyelid
• The individual has a weakened immune system or other underlying health conditions

Prompt medical evaluation in these situations can help prevent complications and ensure appropriate treatment. Healthcare providers can differentiate between chalazia, hordeola, and other potentially more serious eyelid conditions, tailoring the treatment approach accordingly.

Living with Chalazion and Hordeolum: Impact on Daily Life and Self-Care Tips

Chalazia and hordeola can have a temporary impact on an individual’s daily life and self-image. How can people effectively manage these conditions while maintaining their normal routines?

Coping with Discomfort and Appearance

• Use cool compresses to alleviate swelling and discomfort during the day
• Consider wearing sunglasses to protect sensitive eyes and conceal visible swelling
• Avoid eye makeup until the condition resolves to prevent irritation and contamination
• Practice stress-reduction techniques, as stress can exacerbate symptoms and slow healing

Maintaining Eye Health During Recovery

While recovering from a chalazion or hordeolum, it’s important to prioritize overall eye health:

• Continue with prescribed treatments and follow-up appointments as recommended
• Use artificial tears to keep eyes lubricated and comfortable
• Avoid wearing contact lenses until the condition has fully resolved
• Be mindful of eye hygiene when applying treatments or touching the affected area

Long-Term Management Strategies

For individuals prone to recurrent chalazia or hordeola, implementing long-term management strategies can be beneficial:

• Incorporate regular eyelid hygiene into daily routines
• Consider using over-the-counter eyelid scrubs or wipes to maintain cleanliness
• Be proactive in managing underlying conditions that may contribute to eyelid issues
• Stay informed about new developments in eye care and treatment options

By understanding the nature of chalazia and hordeola, recognizing their symptoms, and implementing appropriate prevention and treatment strategies, individuals can effectively manage these common eyelid conditions. While they may cause temporary discomfort and concern, with proper care and attention, most cases resolve without long-term complications, allowing for a quick return to normal daily activities and eye health.

Chalazion and Hordeolum (Stye) – Eye Disorders

By

James Garrity

, MD, Mayo Clinic College of Medicine and Science

Reviewed/Revised May 2022 | Modified Sep 2022

View Patient Education

Topic Resources

Chalazia and hordeola (styes) are sudden-onset localized swellings of the eyelid. A chalazion is caused by noninfectious meibomian gland occlusion, whereas a hordeolum usually is caused by infection. Both conditions initially cause eyelid hyperemia and edema, swelling, and pain. With time, a chalazion becomes a small nontender nodule in the eyelid center, whereas a hordeolum remains painful and localizes to an eyelid margin. Diagnosis is clinical. Treatment is primarily with hot compresses. Both conditions improve spontaneously, but incision or, for chalazia, intralesional corticosteroids may be used to hasten resolution.

A chalazion is noninfectious obstruction of a meibomian gland causing extravasation of irritating lipid material in the eyelid soft tissues with focal secondary granulomatous inflammation. Disorders that cause abnormally thick meibomian gland secretions (eg, meibomian gland dysfunction, acne rosacea) increase the risk of meibomian gland obstruction.

A hordeolum (stye) is an acute, localized swelling of the eyelid that may be external or internal and usually is a pyogenic (typically staphylococcal) infection or abscess. Most hordeola are external and result from obstruction and infection of an eyelash follicle and adjacent glands of Zeis or Moll glands. Follicle obstruction may be associated with blepharitis Blepharitis Blepharitis is inflammation of the eyelid margins that may be acute or chronic. Symptoms and signs include itching and burning of the eyelid margins with redness and edema. Diagnosis is by history… read more . An internal hordeolum, which is very rare, results from infection of a meibomian gland. Sometimes cellulitis Preseptal and Orbital Cellulitis Preseptal cellulitis (periorbital cellulitis) is infection of the eyelid and surrounding skin anterior to the orbital septum. Orbital cellulitis is infection of the orbital tissues posterior… read more accompanies hordeola.

Chalazia and hordeola each cause eyelid redness, swelling, and pain.

Initially the eyelid is diffusely swollen. Occasionally the eyelid can be massively swollen, shutting the eye completely. After 1 or 2 days, a chalazion localizes to the body of the eyelid. Typically, a small nontender nodule or lump develops. A chalazion usually drains through the inner surface of the eyelid or is absorbed spontaneously over 2 to 8 weeks; rarely, it persists longer. Depending on its size and location, a chalazion may indent the cornea, resulting in slightly blurred vision.

After 1 to 2 days, an external hordeolum localizes to the eyelid margin. There may be tearing, photophobia, and a foreign body sensation. Typically, a small yellowish pustule develops at the base of an eyelash, surrounded by hyperemia, induration, and diffuse edema. Within 2 to 4 days, the lesion ruptures and discharges material (often pus), thereby relieving pain and resolving the lesion.

Symptoms of an internal hordeolum are the same as those of a chalazion, with pain, redness, and edema localized to the posterior tarsal conjunctival surface. Inflammation may be severe, sometimes with fever or chills. Inspection of the tarsal conjunctivae shows a small elevation or yellow area at the site of the affected gland. Later, an abscess forms. Spontaneous rupture is rare; however, when it does occur, it usually occurs on the conjunctival side of the eyelid and sometimes erupts through the skin side. Recurrence is common.

• Clinical assessment

Diagnosis of chalazion and both kinds of hordeola is clinical; however, during the first 2 days, they may be clinically indistinguishable. Because internal hordeola are so rare, they are not usually suspected unless inflammation is severe or fever or chills are present. If the chalazion or hordeolum lies near the inner canthus of the lower eyelid, it must be differentiated from dacryocystitis Dacryocystitis Dacryocystitis is infection of the lacrimal sac that sometimes leads to abscess formation. The usual cause is a staphyloccocal or streptococcal species, typically as a consequence of nasolacrimal… read more and canaliculitis Canaliculitis Canaliculitis is inflammation of the canaliculus. The most common cause of canaliculitis is infection with Actinomyces israelii, a gram-positive bacillus with fine branching filaments… read more , which can usually be excluded by noting the location of maximum induration and tenderness (eg, eyelid for a chalazion, under the medial canthus near the side of the nose for dacryocystitis, and over the punctum for canaliculitis).

Chronic chalazia that do not respond to treatment require biopsy to exclude tumor of the eyelid.

Warm compresses for 5 to 10 minutes 2 or 3 times a day can be used to hasten resolution of chalazia and external hordeola.

Incision and curettage or intrachalazion corticosteroid therapy (0.05 to 0.2 mL triamcinolone 25 mg/mL) may be indicated if chalazia are large, unsightly, and persist for more than several weeks despite conservative therapy.

An external hordeolum that does not respond to hot compresses can be incised with a sharp, fine-tipped blade. Systemic antibiotics (eg, dicloxacillin or erythromycin 250 mg orally 4 times a day) are indicated when preseptal cellulitis Preseptal and Orbital Cellulitis Preseptal cellulitis (periorbital cellulitis) is infection of the eyelid and surrounding skin anterior to the orbital septum. Orbital cellulitis is infection of the orbital tissues posterior… read more accompanies a hordeolum.

Treatment of an internal hordeolum is oral antibiotics and incision and drainage if needed. Topical antibiotics are usually ineffective.

• Chalazia and hordeola initially cause eyelid hyperemia and edema, swelling, and pain and may be clinically indistinguishable for a few days.

• A hordeolum remains painful and localizes to an eyelid margin.

• Hot compresses can hasten resolution of either lesion.

• Other treatments that may be needed include intralesional corticosteroids (for chalazia) and incision and/or antibiotics (for hordeola).

• Consider biopsy to exclude eyelid tumor for chronic chalazia that do not respond to usual treatments.

Drug Name	Select Trade
triamcinolone	Aristocort, Aristocort A, Aristocort Forte, Aristocort HP, Aristo-Pak, Aristospan, Azmacort, Children’s Nasacort Allergy 24HR Nasal Spray, Cinalog, Cinolar, Flutex, Hexatrione, Kenalog, Kenalog in Orabase, Kenalog-10, Kenalog-40, Kenalog-80, Nasacort, Nasacort AQ, Oralone, SP Rx 228 , Tac-3 , Triacet , Triamonide , Trianex , Triderm , Triesence, XIPERE, Zilretta
dicloxacillin	Dynapen
erythromycin	A/T/S, Akne-mycin, E. E.S., Emcin Clear , EMGEL, E-Mycin, ERYC, Erycette, Eryderm , Erygel, Erymax, EryPed, Ery-Tab, Erythra Derm , Erythrocin, Erythrocin Lactobionate, Erythrocin Stearate, Ilosone, Ilotycin, My-E, PCE, PCE Dispertab , Romycin, Staticin, T-Stat

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Stye treatment FAQs

• What is an eye stye?

  A stye (officially known as hordeolum) is a red, painful lump near the edge of the eyelid, that forms due to backed-up oil producing gland.

• What is the best treatment for a stye?

  Most styes will usually go away on its own in one to two weeks. Some home self care routines such as warm compresses and cleaning eyelids can help.

• How do I get rid of a stye overnight?

  Given that stye is a bacterial infection, it is not possible to completely get rid of it overnight. The immune system needs time to fight off the infection, most styes will usually go away on its own in one to two weeks.

• What is the best medicine for a stye?

  If your stye does not go away on its own, see a doctor. Your doctor can prescribe antibiotic eye drops or antibiotic eye ointment to apply. Antibiotics are effective against bacterial infections.

• What is a stye caused by?

  A stye forms when an oil-producing gland in your eyelid skin becomes blocked and gets infected.

• What’s the difference between a stye and a chalazion?

  A chalazion is a swollen bump on the eyelid. It is difficult to tell apart a chalazion from a stye. While a stye is very painful, a chalazion is usually not, and does not cause swelling in the entire eyelid.

• Can you get a stye from stress?

  There seem to be some reports that suggest a relationship between stress, poor sleep and risk of styes. However, scientific studies that show the direct linkages are lacking. It maybe that during periods of high stress and/or poor sleep, your immune system becomes weakened, and you are therefore more susceptible to bacterial infection.

• Are styes contagious?

  Styes are generally not contagious. However, always practice good hygiene since we are dealing with bacterial infection. Always wash hands and try to wash pillowcases often.

Learn about styes

A stye (officially known as hordeolum) is a red, painful lump near the edge of the eyelid, that forms due to backed-up oil producing gland. The eyelid bump usually forms on the outside of your eyelid (base of eyelash), but sometimes it can form under the eyelid. A stye looks like an acne pimple, it usually lasts one to two weeks and can go away on its own.

Stye causes

• A stye forms when an oil-producing gland in your eyelid skin becomes blocked and gets infected. These oil-producing glands line the edge of the eyelid and produce special oil that help lubricate the eye surface. However, the glands can get clogged with dead/old skin cells, old oil and in some cases get infected. The bacterial infection is typically cause by staphylococcus aureus.

Stye symptoms

Most styes have the following symptoms:

How to treat a stye

Most styes will usually go away on its own in one to two weeks. Here are some at home treatments that can help with the healing process:

• Warm compresses – An effective at home treatment to relieve pain is warm compress. First run warm water over clean washcloth then wring it out. Place the warm washcloth over the affected eyelid with the eye closed. Gently massage the eyelid. Re-wet the washcloth under warm water to repeat for 5 to 10 minutes.

• Clean your eyelids regularly – gently wipe the infected eyelid with mild soap and water. Usually, watered-down baby shampoo that are designed not to irritate the eyes will work. You can also buy special eye soap from drugstores.

• Keep eyes clean – Don’t wear eye makeup or contact lenses until the style has healed. The contact lenses that were last worn may contain the bacteria. If you wear weekly or monthly disposables, it is safer to throw out the old pair of contact lenses.

• Do not try to pop the stye – Leave the stye alone. Trying to pop or squeeze the stye to get the pus out may cause the infection to spread.

In cases where the stye doesn’t start to improve after 48 hours, see a healthcare provider to get medical treatment options. The following treatments maybe performed by the doctor:

• Drain the stye – The doctor may perform a small surgery to drain the pus. A small incision will be made with local anesthetic in the doctor’s office.

• Steroid shot – Your doctor may provide a steroid injection to reduce swelling.

• Antibiotics – Prescription antibiotic eye drops or antibiotic eye ointment to apply. Oral antibiotics maybe prescribed if it is observed that the infection had spread beyond the whole eyelid.

How to prevent a stye

Good facial hygiene practices are key in the prevention of a stye. Some good daily habits include:

• Avoid touching the face or regions around the eyes for no reason

• Wash your hands often since you maybe unconsciously touching your face and eyes

• Contact lens hygiene – since these stay in your eyes throughout the day, and are the primary reasons for touching the eyes, it is important to practice good contact lens hygiene. Always wash your hands before handling contact lenses. Clean and disinfect your contact lenses thoroughly everyday. If you are wearing the disposable types, toss them out on time (e.g. daily, weekly or monthly). Do not wear them beyond the recommended time frame in an attempt to save money.

When to see a doctor for a stye

See a doctor if the stye does not show any signs of improvement after 48 hours, or the redness/swelling spreads to the entire eyelid or into other parts of your face.

Stye treatment resources

what to do? [Clinic of Dr. Kurenkov]

What is barley?

Barley, also known as hordeolum (also sometimes incorrectly called chalazion), is an infectious disease localized on the eyelid. Many of us find in the morning that a painful redness has formed at the very edge of the eyelid. Such a bump not only does not decorate the eyes, but also delivers terrible discomfort. What is happening at this moment in your century? There are two possible options – either there was a blockage of the sebaceous glands, or bacteria seized power, and the infection struck the base of the eyelash or the gland inside the eyelid. In the first case, barley is considered external, in the second – internal.

Most often, the disease affects only one eye. However, it is worth starting to treat it immediately after the onset of the disease, otherwise the bump may jump up on the second eye. For someone, barley happens only once in a lifetime, but most often this unpleasant attack occurs with varying degrees of frequency. As mentioned above, sometimes chalazion is confused with barley. This is also a bump on the eyelid, but of a non-infectious nature, it occurs due to blockage of the meibomian gland.

How to cure barley?

Painful seals often appear on the edge of the eyelid, and this is not always barley. Such bumps, including barley, do not pose a danger to eye health and disappear after seven days without any treatment, but there are times when this inflammation seriously interferes with life.

There are many medications and home remedies that will relieve swelling, inflammation and relieve pain.

• Stage one – cleansing

If you suspect that you have a stye on your eye, then before you start treatment, you need to clean your eyelids of dirt. On a cotton pad, napkin or sponge, apply a small amount of diluted baby shampoo, the very one that does not irritate the eyes and does not cause tears. We wipe the eyelids, rinse off with warm water. Then gently pat dry with a towel. If you don’t have shampoo on hand, then take a sodium chloride solution (saline).

• Wash your hands regularly

If you touch an infected eyelid, be sure to wash your hands. It is also important to wash your hands before any eye manipulation. Do not share your towel or personal hygiene products with anyone.

• Use special eyelid cleansers

In the pharmacy, you can buy special wet wipes for cleansing the skin of the eyelids. They contain special cleansing, moisturizing and healing ingredients.

• No eye makeup

If the eyelid is inflamed, you are unlikely to want to touch it, while you recover, you should give up eye makeup products. Firstly, you need to take care of the sore eye itself, and secondly, bacteria can get on makeup products and applicators. Throw away old eye makeup.

• Contact lenses are also banned

Lenses will have to say “no” for now, you can only wear glasses.

• Try warm compresses

The healing process of barley can be slightly accelerated. In this case, warm compresses on the eye will help you. The duration of the procedure is 10-15 minutes 3-4 times a day.

You can use a cloth or napkin soaked in warm (not hot) water, or tea bags. The fabric is squeezed well and a compress is applied to closed eyes. The tea bag should also be warm, not scalding. The sachet should be applied to the eyelid for 5-10 minutes. In the case when both eyes are affected by barley, you will need two bags.

• Barley must not be squeezed out

Many believe that barley, like a pimple-abscess, should be squeezed out so that the inflammation goes away faster. This is a dangerous delusion! In the case of applying a compress, the barley may open itself, but you cannot do it mechanically, you risk that the inflammation will affect the entire eyelid.

• Use antibiotic cream

You can buy antibiotic cream without a prescription at the pharmacy. However, you should be very careful when choosing such a cream – it should be designed for the eyes and do not contain local steroids. You may be attracted to drops with a similar effect. But if you want to buy drugs, because you are afraid that the disease is serious, then it is better to immediately consult a doctor. So you can be sure that you are using the right remedy and that you will not cause damage by self-treatment. Antibiotics are no joke.

• Massage

If barley gives you pain, then you can resort to a gentle massage. Before the massage, you need to thoroughly wash your hands or use a heated cloth. When carrying out massage procedures, barley may open. Movements should be light, if pain occurs, massage should be abandoned.

How to get rid of pain?

• Take pain medication. Paracetamol and ibuprofen are over-the-counter pain relievers, but they won’t make the stye go away any faster
• Non-drug remedies: The most effective way to relieve pain when you have stye is with warm compresses.

How to prevent barley?

There are a number of ways to protect yourself from the appearance of barley.

• Keep your face clean: wash your face regularly and always remove make-up.
• Cleanse eyelids with diluted baby shampoo daily.
• Use special eyelid wipes.
• If you use contact lenses, then be sure to wash your hands before touching them. Keep your lenses clean and follow the manufacturer’s recommendations.
• Eye makeup is prone to bacteria, so it’s worth reapplying every 2-3 months. Don’t lend your makeup to anyone.
• Do not scratch your eyes with dirty hands.
• If someone in the family has this infectious disease, you should not share a towel with him.

How long does barley heal?

You will have to endure discomfort for 3-5 days if you use home remedies for treatment. The swelling usually lasts 2-3 days. If the disease has taken a serious turn, and you went to the doctor, then after a week of treatment, all symptoms should come. If you often have barley jumps up, then this may be a symptom of blepharitis. It is worth taking measures to treat blepharitis, this will help get rid of frequent re-infection.

When do you need expert advice?

If:

• Barley does not go away for too long.
• The condition is deteriorating.
• It hurts not only the eyelid, but the whole eye.
• You have problems with your eyesight.
• The eyelid is very swollen and very red.
• You cannot open your eye completely.
• Home remedies or over-the-counter drugs do not help.
• Barley continues to grow.

Surgery

Sometimes you may need surgery from an ophthalmologist. If you have been offered surgery, do not be afraid, this is a simple operation – you open an abscess and drain it. Then you have to take a special prescription drug or antibiotic for a few days.

Source: https://www.allaboutvision.com/conditions/how-to-get-rid-of-a-stye.htm How to get rid of barley Amy Hellem

Pharmacies and drugs in Sri Lanka: analogues of Russian drugs

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1. Sri Lanka
2. We go by ourselves
3. Medicine and vaccinations
4. Pharmacies, names of Russian medicines in Sri Lanka

Article content:

⇓ Pharmacies: where to buy medicines in Sri Lanka

⇓ Which Russian medicines are not available in Sri Lanka

⇓ Local drug names, analogues

When going to Sri Lanka, many people think about the formation of a travel kit – a list of medicines that you need to take with you on a trip. But in life there are situations when the medicines are over or what is needed in a particular situation has not been taken. In this case, do not worry – most of the necessary drugs can be purchased on the spot. In Sri Lanka, everything is in order with the availability of medicines, they can be bought in any city in numerous pharmacies with the Pharmacy inscription. Pharmacies in Sri Lanka are open daily until 22:00, seven days a week, even during the lockdown period.

Where to buy medicines in Sri Lanka: pharmacies

In pharmacies, despite their not very presentable appearance, high-quality modern local, Indian and European medicines are available, many of which are not available on the Russian market. Prices for medicines are usually lower than in Russia. There are pharmacies at any more or less large clinic in Sri Lanka and, as a rule, the cost of a doctor’s appointment includes medicines. What is important: in any pharmacy, tablets are sold not only in full packages, but also individually, as much as your course of treatment requires (if you come with a prescription), due to which the cost of treatment is significantly reduced.

If the drug you need is not available at the nearest pharmacy, you can usually order it and bring it to the pharmacy as soon as possible (usually in one or two days). Also in Sri Lanka, you can order medicines with home delivery through online pharmacies, and some services bring any drugs on order, including Russian ones, but you need to take into account the considerable delivery time and the increased cost of such orders.

In Sri Lanka, Ayurveda is the official branch of medicine, therefore Ayurvedic clinics and pharmacies are widespread in the country, and Ayurvedic preparations (cough syrups, ointments for pain in muscles and joints, teas and powders for colds, etc.) can be found not only in any pharmacy, but even in supermarkets.

When visiting a local pharmacy, it is worth considering that although most familiar Russian drugs have analogues or substitutes that can be easily found in a local pharmacy, it often happens that the name of the medicine may differ from the usual one. In this case, you need to find out the active ingredient of the medicine you need and ask at the pharmacy, showing its name in Latin. If there is a temperature in any pharmacy, classic mercury thermometers are sold for about 100 rupees (they are prohibited for transportation, you can only take an electronic one with you).

What drugs are not available in Sri Lanka: what to take with you

What drugs are not available in Sri Lanka:

• Coldrex / Fervex / Prostudox – there are drugs containing paracetamol and separately drugs with vitamin complexes to replace,
• ACC,
• Citramon (but there are substitutes),
• Corvalol, Volokardin, Validol,
• Activated charcoal tablets – available as a solution or powder,
• No-shpa, alcohol iodine (there is an aqueous solution), brilliant green, streptocid (rare),
• Enterosgel,
• Heparin ointment,
• Miramistin,
• Linex and its analogues (rare),
• Glue BF-6.