Antibiotics for stye in eye: The request could not be satisfied


What Is It, Causes, Treatment & Prevention


A sty is a red, painful bump that forms either on or inside the eyelid near the edge of the eyelashes.

What is a stye?

A stye (sometimes spelled sty) is a painful red bump on the edge of your eyelid. It can look similar to an acne pimple. A stye forms when a tiny oil-producing gland in your eyelash follicle or eyelid skin becomes blocked and gets infected. The medical term for a stye is a hordeolum.

There are two types of styes:

  • External styes. These form on the outer part of either the upper or lower eyelid. External styes are the most common type and are usually caused by an infection in your eyelash follicle.
  • Internal styes. They form on either of your inner eyelids (facing your eyeball). An internal stye is usually caused by an infection in the inner eyelid gland that produces oils that help keep your eyelid moist.

A stye is similar to another eyelid bump called a chalazion. A chalazion is a bump that usually occurs farther back on your eyelid. Unlike a stye, a chalazion usually isn’t painful and isn’t caused by a bacterial infection. But treatment for both conditions is similar.

It’s common to have a stye on only one eyelid, but it is also possible to get styes on both lids.

How common is a stye?

Styes are very common and occur equally in all races and genders. However, styes may be more common in adults than children simply because the oil in an adult’s oil glands is thicker than a child’s. That means it’s more prone to blockage.

If you have certain conditions, such as blepharitis, dandruff, rosacea, diabetes or high levels of bad cholesterol, you’re more at risk to develop a stye. In most cases, a stye will go away by itself in several weeks. If it doesn’t dissolve naturally after the second week, contact an eye care professional for advice.

How long will a stye last?

A stye usually lasts one to two weeks.

Will a sty go away by itself?

A stye will usually go away on its own. But in cases where it doesn’t, you may need to rely on an eye care provider to drain it. They may also prescribe antibiotics to reduce the infection.

Symptoms and Causes

What causes a stye?

A stye is caused by a bacterial infection in your eyelid’s oil-producing glands. The oil-producing glands line the eyelids and help lubricate the surface of the eye.

What are the signs and symptoms of a stye?

Signs and symptoms of a stye include:

  • A painful red bump along the eyelid edge near eyelashes.
  • Swelling of your eyelid (sometimes the entire eyelid).
  • Crusting along the eyelid.
  • Light sensitivity.
  • Soreness and itching.
  • Eye tearing.
  • A feeling that there’s something in your eye.

Can a stye spread?

Styes generally aren’t contagious. However, small amounts of bacteria can be spread from your or your child’s stye. This is why it’s important to always wash your hands before and after touching a stye and wash pillowcases often to help prevent the bacteria from spreading. Unless you’re cleaning or applying warm compresses to the stye, avoid touching it to reduce bacteria spread and irritation.

Should I go to work or send my child to school with a stye?

Styes aren’t considered contagious. You can go to work or send your child to school when you have a stye.

Diagnosis and Tests

How is a stye diagnosed?

Some styes are more stubborn and require a visit to your healthcare provider. If your vision seems to be affected or if your stye seems to be getting worse instead of better, contact your provider. During your appointment, your provider examines your eyelid and asks you about any additional symptoms that you’re having. They may prescribe some antibiotic eye ointment if you get styes often. Or they may recommend a procedure to lance the stye and clean out the infection. This will be done with a local anesthetic to numb the area. Sometimes for more persistent cases you will be given an oral antibiotic as well to help stop the bacteria from spreading.

What are the risk factors for developing a stye?

Styes are very common. Anyone can get a stye. However, you may be more likely to get a stye if you:

Management and Treatment

How is a stye treated?

A stye will usually go away by itself in one to two weeks. To feel better faster and reduce pain and swelling, you can use a self-care plan to treat your stye at home. Here are some dos and don’ts to manage your stye at home.


  • Use warm compresses. Apply a warm washcloth to the eyelid for 10 to 15 minutes at a time, from three to five times per day. Rewarm the washcloth by soaking it in warm water, wring and repeat. Many people believe that using green tea bags moistened in warm water as eye compresses will help the stye not only feel better but also speed healing, due in part to the antibacterial properties in green tea. Some scientists have shown that a natural antioxidant in green tea breaks down the cell wall of the bacteria, killing it. While there is some debate about this among eye experts, it won’t hurt you and should be at least as effective as using a warm washcloth as a compress.
  • Clean eyelids. Gently wipe away eye discharge with a mild soapy solution made from half baby shampoo and half water. You can also use the eyelid wipes available in most drugstores.


  • Squeeze or pop a stye.
  • Rub or touch your eyelid.
  • Wear makeup or contact lenses until the area has healed.

How will an eye care provider treat a stye?

If after 48 hours of self-care your pain and swelling aren’t getting any better, it’s time to call your eye care provider.

Medical treatments for styes include:

  • Your provider may make a small incision to drain your stye in the office (under local anesthesia).
  • Your provider may prescribe antibiotic ointment to apply to your eyelid or antibiotic eye drops. Sometimes oral antibiotics are prescribed in cases where the area around the eye is infected or after an incision is made to drain an internal stye.
  • Your provider may give a steroid injection into the stye to reduce eyelid swelling.


Can styes be prevented?

The best way to prevent a stye is to practice good facial hygiene, including:

  • Washing your hands thoroughly and often, especially before touching your face and eyes.
  • Washing your hands before and after removing contact lenses. Clean your contacts with disinfectant and lens cleaning solution. Dispose of daily wear or other “limited use” lenses on the schedule that your eye care provider recommends.
  • Washing your face to remove dirt and/or makeup before going to bed.
  • Throwing away eye makeup every two to three months. Never share eye makeup with anyone else.

Living With

Although it will be tempting to cover the unsightly stye with makeup, avoid doing this. Putting makeup on a stye can delay the healing process or even cause it to become more plugged up and infected, which, in turn, will make it more painful.

When should I see my eye care provider about a stye?

See your provider if:

  • Your eye is swollen shut.
  • Pus or blood is leaking from the bump.
  • Pain and/or swelling increases after the first two to three days.
  • Blisters have formed on your eyelid.
  • Your eyelids feel hot.
  • Your vision has changed.
  • Styes keep coming back. If this happens, your provider may take a biopsy (a small sample of the stye), under local anesthesia, to rule out other more serious problems.

A note from Cleveland Clinic

Though they can be painful, most styes aren’t a cause for concern. Having a stye is usually manageable with good eyelid hygiene, and most cases will go away on their own. Neither you nor your child need to miss school or work while waiting for a stye to heal.

Antibiotic Eye Drops (Which Is Best For You?)

What Are Antibacterial Eye Drops?

Fungi, viruses, and bacteria all cause eye infections. Infection occurs in all parts of the eye and can be in one or both eyes. They may or may not affect vision. Some eye infections are contagious and spread when someone touches something contaminated by someone with an infection and then touches their own eye.

The most common eye infection is pink eye, also called conjunctivitis. It’s essential to seek medical attention for conjunctivitis because it’s very contagious. A doctor will determine if you have bacterial conjunctivitis, viral conjunctivitis, or allergic conjunctivitis, and suggest the most appropriate treatment course.

Symptoms of pink eye and other infections include:

  • Itching
  • Swelling
  • Pain or pressure
  • Discharge
  • Vision problems
  • Eye redness
  • Tearing
  • Drainage
  • Dryness/crustiness

Another common eye infection is a stye. Most styes do not require medical treatment, but some remedies can make dealing with one less uncomfortable. For example, your doctor might recommend a topical treatment or artificial tears if your eyes are dry and irritated.

In general, treatment for bacterial eye infections varies, including drops, creams, warm compresses, or antibiotics. Most bacterial infections require medical treatment in the affected eye or eyes. People who wear contact lenses have a higher risk of eye infections.

Antibiotic eye drops treat bacterial eye infections. They require a prescription. The drops kill the microscopic bacteria in the eye that is causing the infection. 


Antibacterial eye drops are used to treat various kinds of eye infections. They work by killing the bacteria that causes eye infections and stop them from spreading.

When Are They Necessary?

Antibiotic eye drops are needed to kill the bacteria causing the infection and stop the bacteria’s spread. They are most commonly used to treat:

Bacterial Conjunctivitis

Bacterial conjunctivitis is very contagious. This is why infections like pink eye spread so quickly among young children in schools and day care. 

Contact Lens Infections

It’s also important to kill bacteria causing a contact-lens infection. Sleeping in contact lenses is one of the most common causes of bacterial eye infections. 


Hordeolum, most commonly called styes, causes inflammation at the edge of the eyelid. They are red and painful. Staphylococcus bacteria cause styes, which occur when bacteria builds up in an oil gland near the base of an eyelash.


Chalazion, which are similar to styes, are cysts deep in the eyelid. Inflammation from blocked meibomian glands causes chalazion. This blockage can lead to staphylococcus bacteria entering the gland opening.

Antibiotic treatments are only needed for treating bacterial eye infections. They won’t help with viral infections or fungal infections or if you have an allergic reaction. For eye problems in these categories, you’ll need antihistamines or antiviral medications.


Antibacterial eye drops treat eye infections such as bacterial conjunctivitis, contact lens infections, styes, and chalazion. They do not work against viruses, fungi, or allergic reactions.

Types of Eye Drop Antibiotics

There are different types of antibiotic eye drops, including:

  • Tobramycin
  • Neomycin
  • Bacitracin
  • Polymyxin B
  • Gentamicin

Each of these has different action mechanisms, and not all of them will cure all bacterial eye infections. For example, topical antibiotics often will not cure a stye. In some cases, two or three may be combined into a single formulation to treat an infection comprehensively. 

Prescription Antibacterial Eye Drops

Prescription eye drops work best for curing bacterial eye infection. Staphylococcal bacteria are known for developing resistance to some antibiotics, rendering certain eye drops ineffective against this bacteria. If your doctor suspects your eye infection may be related to staphylococcal bacteria, they must select an antibiotic that is more effective against this type of bacteria, such as trimethoprim.

If streptococcal bacteria, as opposed to staph, causes an eye infection, several antibiotic eye drops work. Some of the most common prescription antibiotics (oral or topical) used to treat bacterial eye infections that are not styes or chalazion include:

  • Doxycycline
  • Fluoroquinolones
  • Tobramycin
  • Erythromycin
  • Azithromycin
  • Bacitracin
  • Cipro or Ciprofloxacin
  • Neomycin, polymyxin B, and bacitracin combination
Over-The-Counter Eye Drops 

Over-the-counter medications are frequently used to treat styes and chalazion, both of which are antibiotic-resistant bacteria. These medications are available without a doctor’s prescription. They come in drop and ointment forms.

Keep in mind, OTC medications do not cure stye or chalazion. They alleviate the discomfort and allow the problem to heal without interfering with your vision or daily life.

Ibuprofen is a non-steroidal synthetic compound that relieves eye pain and inflammation. Ibuprofen does not cure or shorten the lifespan of a stye or a chalazion. Instead, it reduces pain and swelling. It is especially useful for treating chalazion because they tend to be more painful than styes.

In addition to ibuprofen, there are numerous OTC treatments for styes and chalazion, including:

  • Stye Relief Ointment
  • Stye Eye Relief by Similasan

Again, these medications do not kill bacteria and will not heal or cure the problem. However, they make the problem easier to deal with as it heals on its own. They are also homeopathic treatments that have not been evaluated by the FDA for effectiveness.

Side Effects of Antibiotic Eye Drops

Doctors consider antibiotic eye drops safe and effective. However, like all medications, there are side effects. The most common side effects associated with antibiotic eye drops include:

  • Rash
  • Contact dermatitis
  • Itching
  • Inflammation
  • Red-eye
  • Momentary blurred vision

Infrequent but more severe side effects include:

  • Irritation
  • Blurred vision
  • Pain
  • Headache
  • Inflammation of the iris

Rare side effects include:

  • Changes in vision
  • Fungal eye infection
  • Eye puncture
  • Ulcer of the cornea
  • Cataracts
  • Deterioration of the cornea
  • Fluid accumulation
  • Central serous chorioretinopathy
  • Pressure
  • Injury to the optic nerve
  • Raised spots on the cornea


Over-the-counter eye drops do not kill bacteria; they merely relieve the signs and symptoms associated with an eye infection. A bacterial eye infection would need prescription antibacterial eye drops like Azithromycin and Clarithromycin. These are generally safe when used as prescribed. For severe side effects like blurred vision or inflammation of the iris, see your doctor immediately.

Which Antibacterial Eye Drops Are Best For You?

Some of the most common eye infection drops and ointments include:

  • Sulfacetamide
  • Azithromycin
  • Bacitracin
  • Tobramycin
  • Erythromycin

Eye health is essential and you should take it as seriously as all other medical conditions.

Read More: How to Improve Your Eyesight

Styes in Sunrise, FL – Sunrise Eye Care, Scleral Lens and Dry Eye Institute

A stye (known by eye doctors as a hordeolum) is an infection of an oil gland which forms a pimple-like bump on the base of the eyelid or within the eyelid itself. Sytes can be uncomfortable, causing swelling, pain, redness, discomfort, and sometimes excessive tearing. If the stye is large and it distorts the front surface of the eyes, it can cause blurred vision.

What causes a stye?

The oil glands on the eyelid sometimes become blocked with dirt, dead skin, or a buildup of oil. When this occurs, bacteria can grow inside. Blockage is also commonly from eye cosmetics that block the orifices within the lid. This blockage causes the gland to become infected and inflamed, resulting in a stye. A stye can form on the inside or the outside of the eyelid and can cause swelling around the eye, sometimes affecting the entire eyelid.

Treating a stye

Styes are treated with antibiotics, often in moderate and severe cases with a prescription for oral antibiotics to reduce the bacteria responsible for the infection. Treatment for a stye is recommended otherwise there is a likelihood of recurrence. Applying a hot compress to the eye for 10-15 minutes a few times throughout the day will bring some relief and speed up the healing process.

Similar to a pimple, the stye will likely rupture, drain and heal on its own. Occasionally a stye, especially one on the inside of the eyelid will not resolve itself and may require the assistance of an eye doctor for additional treatment. In such a case the stye is surgically opened and drained to reduce the swelling and cosmetic issues associated with the style.

You should never pop a stye! This can cause the bacteria to spread and worsen the infection. The infection can then spread around the top and bottom eyelids and even reach the brain. If a stye is getting worse, painful, or irritated, contact your eye doctor for treatment.

In cases where styes occur frequently, your eye doctor may decide to prescribe topical antibiotic ointment or a cleansing regimen to prevent recurrence.

Chalazia: Another type of bump on the eyelid

Similar to a stye, a chalazion is a blocked oil gland on the eyelid that becomes enlarged. The main difference between a chalazion and stye is that the chalazion is usually non-infectious. A chalazion in most occasions is an old hordeolum that did not resolve. Treatment involves lid hygiene, warm compresses, and lid massage. In most cases, a chalazion requires surgical removal.

Have Styes? Here’s Why They Come Back (and What You Can Do About It)

If you’ve asked yourself, “why do I keep getting styes?” or are unsure whether the bump near your eye is a stye at all, you know that it can be disconcerting to not have a clear answer. If you want to learn what styes are, what causes them, how to prevent them, and why they come back, keep reading. This article has everything you need to know.a

What Are Eyelid Styes?

Many compare the appearance of a stye to a pimple. However, if you see or feel a small, red lump on your eyelash follicle or tear gland, it could be a stye.
Styes are tender bumps on or around the eyelid can cause pain and discomfort. This is because a stye is technically an infection of the follicle or gland. 

These uncomfortable lumps can occur on both the inside and outside of the eyelid, although it is more common to find them on the outside. 

What Causes Styes?

When a follicle on your eyelid gets infected, it causes a stye to form. Infection can occur for several reasons, including scratching the area or getting bacteria in your gland or follicle. This can happen when you touch your face with unclean hands or put on old or shared makeup. It can also be caused by clogged pores due to sweat, makeup, chlorine, and more.

Those with the skin condition rosacea or the medical diagnosis of blepharitis have an increased likelihood of styes occurring. For blepharitis, it is due to eyelid inflammation that comes with the condition. For rosacea, it’s because ocular rosacea can lead to clogged glands. Other conditions that increase your risk are diabetes and seborrheic dermatitis.


How Do I Treat a Stye?

The #1 treatment of styes is a warm compress applied to the eye 2-3 times a day until it’s gone.  It is important to use a wet warm compress—this is what will help the stye shrink and decrease in size.  Home remedies can suggest a wide range of options, from warm hard-boiled eggs, to rice in a sock, and even warm tea bags. These improvised warm compresses generally make a better lunch than a treatment for a medical condition.

There are many new products on the market that make clearing up styes easier, with better results.  One of those is EyeEco’s Stye Mask.

This uses a heating gel pack and a wet foam that sits in an eye patch so you have hands-free treatment. 

Another hands-free treatment product is the Bruder Moist Heat Eye Compress.  It comes in a single eye size which is great for treating individual styes.

It’s relatively easy to use, as it’s heated in a microwave.

Some patients will opt for a wet washcloth that is warmed in a microwave or a cup of hot water, which may require regularly reheating or dipping the cloth to keep the compress warm.  If you choose this method, be very careful of burning the skin around the eye. One of the most important factors of hot compress treatment is continuous wet heat for a solid 20 minutes—and a washcloth tends to lose heat very quickly.   If you do suspect a stye it is best to start treatment immediately.

What if My Stye Does Not Go Away?

If your stye is not going away, sometimes an oral antibiotic can help—especially if the stye is associated with a bacterial infection.  In very large styes or ones that impede vision, surgical removal may be best.  This should be done by an ophthalmologist; preferably one that specializes in lid surgeries.

How Can I Prevent Styes, and Why Do They Come Back?

Because styes are caused by bacteria, some of the habits in your routine may be the cause of returning styes. You can take steps to limit exposure to germs and therefore minimize the risk of styes forming.

One of the best things you can do to prevent styes is to wash your hands thoroughly before touching your face or eyes. This means that if you wear contacts or put on makeup, be sure to sanitize beforehand to avoid spreading any bacteria. It also means that if you get allergies and have the urge to rub or itch your eyes, be sure to have hand sanitizer or tissues on hand. Otherwise, you risk an infection that may cause a stye to form.

Another way to prevent these uncomfortable infections is to wash your face after you wear makeup. Leaving makeup on overnight can clog your pores, which can lead to the formation of a stye. There are several great products available as lid cleansers.  The ones that are tree oil based are especially good, as tree oils naturally kill bacteria.

Two suggested products that are fantastic at controlling blepharitis and eyelid bacteria are EyeEco’s Tea Tree Eyelid and Facial Cleanser—which can be used in the shower or at a sink.

—and Blephadex Eyelid Wipes —which are pre-medicated and don’t need to be washed off.  

If you are experiencing a stye that won’t go away and is causing you pain or affecting your vision, make sure to visit your optometrist to have it looked at.


When in Doubt, Trust the Professionals

If you are worried about a painful stye or have other eye care needs, connect quickly with our friendly team by scheduling an appointment at True Eye today.

Neomycin, Polymyxin, and Bacitracin Ophthalmic: MedlinePlus Drug Information

Ophthalmic neomycin, polymyxin, and bacitracin combination comes as an ointment to apply inside the lower lid of an infected eye. The ointment is usually applied to the eye every 3 to 4 hours for 7 to 10 days, as directed by your doctor. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use neomycin, polymyxin, and bacitracin ophthalmic ointment exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Your eye or eyelid infection should begin getting better during the first few days of treatment with neomycin, polymyxin, and bacitracin combination. If your symptoms do not go away or get worse, call your doctor.

Continue to use neomycin, polymyxin, and bacitracin combination as directed, even if your symptoms improve. Do not stop using neomycin, polymyxin, and bacitracin combination without talking to your doctor. If you stop using this medication too soon or skip doses, your infection may not be completely cured and bacteria may become resistant to antibiotics.

This medication is for use in the eye only. Do not let neomycin, polymyxin, and bacitracin combination get into your nose or mouth, and do not swallow it.

Never share your tube of ophthalmic ointment, even with someone who was also prescribed this medication. If more than one person uses the same tube, infection may spread.

To apply the eye ointment, follow these steps:

  1. Wash your hands thoroughly with soap and water.
  2. Use a mirror or have someone else apply the ointment.
  3. Avoid touching the tip of the tube against your eye or anything else. The ointment must be kept clean.
  4. Tilt your head forward slightly.
  5. Holding the tube between your thumb and index finger, place the tube as near as possible to your eyelid without touching it.
  6. Brace the remaining fingers of that hand against your cheek or nose.
  7. With the index finger of your other hand, pull the lower lid of your eye down to form a pocket.
  8. Place a small amount of ointment into the pocket made by the lower lid and the eye. A 1/2-inch (1.25-centimeter) strip of ointment usually is enough unless otherwise directed by your doctor.
  9. Gently close your eyes and keep them closed for 1 to 2 minutes to allow the medication to be absorbed.
  10. Replace and tighten the cap right away.
  11. Wipe off any excess ointment from your eyelids and lashes with a clean tissue. Wash your hands again.

How To Get Rid of a Stye Overnight

A lot of things can cause a stye, and some are completely in your control. In this article, I am going to cover things you can do to help prevent styes and at the end I’ll give you my tip on how to get rid of a stye overnight.

Why do we get styes?

We have about 30 oil glands in our upper and lower eye lid. When one of these glands gets clogged the problem can start. The Clogged oil gland can get infected with bacteria and pus builds up and voila you have a stye or external hordeolum. Now if this clog and infection is deeper in the eyelid it is called an internal hordeolum.

How long do styes typically last?

Most are gone in about a week, but some stubborn ones can hang on for several months. The quicker we get the proper treatment started the more likely they are to be gone quicker and not need antibiotics

What causes styes?

Sometimes not getting all of your makeup removed from the area can cause the glands to get clogged up. Now the makeup remover is not the problem typically, but sometimes an oil based make up remover can leave some of the glands clogged. So, remember to get all of your make up and the remover off of your eyelids. Some eye diseases like blepharitis, dry eyes, or ocular rosacea can cause styes as well. The most common cause though is just from touching your eyelid with dirty hands.

Are styes contagious?

Styes are not contagious just like a bacterial infection on your arm is not contagious and pimples are not contagious.

Are styes allergy related?

While styes aren’t directly related to allergies they are in a non direct way. Allergies make the eyes itch and when our eyes itch we tend to want to rub them, and touching our eyes with dirty hands is the number one cause of a stye. So, I do tend to see more styes during allergy season, but again that is just because our eyes are being touched more often during that time.

How do we treat styes?

The first line is warm compresses. You can take a warm wash cloth and heat it up in the microwave if you have a Bruder mask this works better than the warm wash cloth, but either way you will want to hold it over your eyes for about 10 minutes and do this 2-3 times a day for a couple days. If the stye is not improving after a couple days you would want to contact your local eye doctor to see about getting it fixed. Sometimes the eye Doctor will drain it themselves like I have done here for this patient in a Dr. Pimple Popper type fashion.  The doctor may also prescribe an antibiotic or perform some other surgical procedure.

Is there anything for sale at the store that will help?

Some stores sell stye removal drops, ointments, or cremes. Typically these things don’t really do much help, but trick us quite a bit into thinking that they will help. The way they trick us is they will say to use this for 3-4 days to get rid of a stye. Well, if it takes 2 days before you go and buy something and most are gone in about a week. Then, after using the treatment for 4 days you are at 6 days which is right at a week. Thus, most people are tricked into thinking it fixed the problem and spread the misinformation that whatever the product was helped. The only thing from a store that is beneficial for a stye is a wash cloth or Bruder mask.

Is Neosporin or triple antibiotic helpful to get rid of a stye?

On the surface Neosporin or a triple antibiotic sounds like it would be very helpful. I mean I identified early on that a stye is a bacterial infection and Neosporin or triple antibiotics are well antibiotics. The problem here is the oiliness of the medication. While this may kill off the bacteria in the area this oil is going to clog other glands in the area and put them at risk of becoming infected in the days after stopping the triple antibiotic. So, while this sounds and looks good on paper it really isn’t helpful.

Can styes be prevented?

There is no sure fire way to keep someone from getting a stye. However, proper eyelid hygiene is an easy first line of defense. The next thing you could do is use a Bruder mask on a nightly basis to help keep the oil melted. This allows the oil to be flow more easily and less likely to get clogged up.

How to get rid of a stye quickly

The best way to get rid of styes quickly is to use a Bruder mask for about 15 minutes. Then, take a hot shower and wash your hands and face with an antibacterial soap like dial. Make sure to try and not get the soap in your eyes because well it burns as everyone knows. This will hopefully rid the stye in 1-2 days and not the 6-7 days it typically takes for them to resolve. And if it is a really bad one. Make sure to seek out an Eye care professional. The quicker we can get treatment started on these typically the less likely they are to turn into a chalazion. Which while not a major concern these can still be annoying.

Stye – Duncan Eye PLLC




also known as Hordeolum

What is a stye?

A stye is the common name for a hordeolum. A stye is an infection (abcess) of one of the small oil producing glands lining the eyelid, usually caused by the bacteria that are normally found along the eyelids. A stye can occur on either the upper or lower eyelid. There are two types of styes, internal and external hordeola.

An internal hordeolum (stye) is a bacterial infection of the meibomian glands inside the eyelids. Internal styes tend to be more severe and occur a little less often than an external hordeolum.

An external hordeolum (stye) is a bacterial infection of the Glands of Zeis and/or Glands of Moll inside the eyelids. This type of stye is more superficial and tends to heal more readily.

What causes a stye?

A stye is usually caused by the bacteria staphylococcus aureus, which infects the sebaceous (oil) glands within the eyelids. Styes are quite common in infants and children but affect people of all ages.

f the pores of the oil glands become blocked, they are prone to developing an infection. The bacteria multiply in the clogged gland creating an abcess.

A stye may be related to blepharitis, which should be treated regularly to avoid styes. If you have blepharitis associated with a stye your eye doctor will instruct you on how to manage it and prevent future styes.

Possible Signs and Symptoms of a Stye

  • A well defined lump or bump on either upper or lower eyelid
  • Localized swelling of the eyelid
  • Mild pain in the eyelid
  • Sensitive to touch
  • Redness of the affected eyelid
  • Crusting of the eyelid margins
  • Burning in the eye
  • Eyelid may appear full or droopy
  • Mucous or watery discharge in the eye
  • Irritation of the eye
  • Light sensitivity
  • Sensation of a foreign object in the eye

Internal Hordeolum (Stye) tends to come to a point on the underside of the eyelid and has an appearance of general redness on the outside of the eyelid.

An external hordeolum (Stye) comes to a visible point on the outside of the eyelid and may appear white or yellow in the center of the swelling. It may even drain some of this whitish material (pus).

Treatment of a Stye

Most styes can be treated by applying hot compresses for 10-15 minutes at a time four times a day. The purpose of the warm compress is to open the pores of the oil glands to allow proper drainage so the eyelid can heal.

Clean the eyelid margin and the entire eyelid with a mild soap such as baby shampoo, or an over the counter eyelid scrub that can be purchased at any pharmacy. Most styes will heal within 7-14 days.

If the stye does is not improving within 3-5 days, treatment by an eye doctor is recommended. Your doctor may prescribe topical (ointment or cream) or oral antibiotics to help the stye heal.

What are the possible complications from a stye?

If a stye is not treated in a timely manner, it can rarely progress a cellulitis or preseptal cellulitis which is a serious complication that occurs when the infections spreads to the nearby soft tissues of the orbit.

If the above medicines are not effective at treating the hordeolum it has probably become a chalazion. Chalazion may resolve without treatment but often require a minor surgery to remove, which can be done in the office by your ophthalmologist.

Prognosis of Styes

Styes are usually harmless and complications are very rare. However, they often recur. If you are having a problem with recurrent styes, there are measures you can take to prevent them, which are described below.

Preventing Styes

Preventing a stye is primarily a function of improved hygiene around the eyelid area.  Regular use of eyelid scrubs (e.g. SteriLid Eyelid Cleanser or Ocusoft Lid Scrubs) will greatly reduce the incidence of stye formation. You may also use diluted baby shampoo to cleanse the base of your eyelashes.

There is some evidence that flaxseed oil or fish oil may help keep the oil flowing freely from the glands in the eyelids so they don’t become clogged and susceptible to bacterial infection.

You should never share cosmetics with others. Eye makeup should be removed nightly and replaced every 3-6 months.

Barley on the eye

Barley on the eye is a purulent inflammation. In this case, the extreme eyelid becomes inflamed, an infection of the hair follicle or sebaceous gland occurs. The edge of the eyelid first itches, then a swelling appears and after 2-4 days a yellowish head forms at its apex. If you open it, pus is released from there. Few know how to properly treat barley. And only a few go to the doctor with this problem.


To deal with a problem, it is logical to find out why it arose.It is generally accepted that barley appears due to hypothermia of the body. But in fact, it is caused by a bacterial infection, in other words, from dirt. It is not contagious. There are people who, for certain reasons, run the risk of picking up barley more. Women are more likely to suffer from this ailment than men. The explanation is simple – they are more likely to touch their eyes when applying makeup. In this case, only simple hygiene rules will help – use only your own cosmetics, wash brushes and applicators for applying makeup.Children also get sick more often – also due to elementary non-observance of the rules of personal hygiene. Chances are high to infect and “grow” barley, if you use a dirty towel, wipe your eyes with dirty hands, or if you get a speck. People in the body who lack vitamins A, C, and B, who are rarely in the fresh air, are also at risk more than others. The appearance of barley is also associated with personal immunity and heredity. Barley is like a signal that your immune system is malfunctioning.Often, the root cause can be a mite on the eyelashes – demodex, various chronic diseases, more often the gastrointestinal tract, diabetes mellitus.

Why barley is dangerous

The danger arises only if it is incorrectly treated or incorrectly diagnosed. An attempt to squeeze out pus very often leads to the spread of infection through the blood vessels and can even result in meningitis (inflammation of the meninges) or blood poisoning (sepsis). And here one cannot do without serious treatment in the hospital.Seemingly harmless thermal procedures can lead to serious consequences. And one more danger – other diseases can be hidden under the guise of barley. This can be, for example, a chalazion. It can only be cured by surgery. Also, under the guise of barley, tumors and cystic formations can be hidden.


Of course, when barley appears, it is better to see a doctor so as not to miss another disease. But emergency help, if you are sure that it is barley, you can provide yourself.First of all, do not carry out any cosmetic procedures, do not apply makeup. Do not squeeze or puncture the barley. At the very beginning of the process, while the barley is not ripe, you can cauterize it with alcohol or an alcoholic solution of brilliant green. Instill special eye drops (0.3% cypromed or chloramphenicol) into the eyes. In the initial stage, dry heat can also be applied. You can lay ointments containing sulfonamides and antibiotics behind the eyelids. If the barley is accompanied by an elevated temperature, then you cannot do without the use of antibiotics inside.If you go to a doctor, then most likely you will be prescribed UHF – therapy (if there is no temperature). She is the best way to cope with your problem. In the case of the spread of the process – increased pain, redness, edema, the appearance of increased body temperature, an increase in lymph nodes – more powerful anti-inflammatory therapy with the use of antibiotics and sulfa drugs is recommended. And with massive processes, surgical intervention is indispensable. After surgical treatment, barley is unlikely to bother you again.


Prevention is the observance of the rules of personal hygiene. Do not touch your eyes with dirty hands. You need to use only personal cosmetics and a personal towel. And of course, maintain your own immunity – take vitamins, and then barley will no longer bother you.

how to quickly cure, causes, symptoms and prevention of eye barley

In this article we will tell you:

With a weakening of immunity, conditionally pathogenic flora, peacefully existing for years on the surface of the skin, mucous membranes or inside the human body, is activated and can lead to various diseases.Among them is barley – or, scientifically – hordeolum: a condition familiar to many, which in more than 90% of cases is caused by Staphylococcus aureus.

The bacterial pathogen is not the only culprit in the disease. The appearance of barley can be caused by a fungus or a microscopic parasite mite Demodex, which likes to settle in or near hair follicles.

According to statistics, most often barley is diagnosed in the age range from 20 to 50 years, but its manifestations are not uncommon in childhood.Pathology manifested itself at least once in 90 people out of 1000.

Barley – (lat. Hordeolum) – an acute inflammatory process affecting – depending on the location – one or more ciliary follicles or glands of the cartilage of the eyelids.

Classification of barley

Usually, barley in adults and children is divided into external and internal – according to the place of occurrence of the inflammatory process.

Outdoor barley

External barley occurs much more often than its internal “counterpart”.The place of localization is the outer, visible surface of the eyelid.

External stye appears due to infection of the eyelash follicles or glands that are located at the edge of the eyelids. Zeiss iron and Moll’s iron usually suffer from it. Zeiss sebaceous glands are located in pairs around each follicle, into which they secrete their secret. Moll’s sweat glands are located in the same place, their function is still not fully understood.

With external barley, an abscess forms on the outside of the upper or lower eyelid with a white abscess at the apex.Over time, the abscess matures and opens up. After that, tissue regeneration begins: most often, within a few days, there is no trace of inflammation.

Symptoms of external barley

Usually, the disease has an easy onset: a person may not even notice that there is a problem with health. The primary symptoms of barley on the eye include:

  • hyperemia of the century;
  • 90,061 swelling;

  • pain, tingling in the affected area;
  • lacrimation.;

After 2-4 days, the infiltrate bursts, the purulent contents come out. After that, the pain subsides and the healing process begins.

In terms of symptoms, barley in the upper eyelid is no different from barley in the lower eyelid.

Indoor barley

As for the internal barley, the zone of its defeat is the lobules of the meibomian glands located in the cartilaginous plate of the eyelid. These glands are named after Professor Meibom who discovered them, and they belong to the sebaceous group.Their secret is involved in the formation of the lipid layer of the tear film lining the surface of the eyeball and the inner part of the eyelids.

Symptoms of domestic barley

The initial symptoms of internal and external barley are similar: the patient is pursued by pain, swelling, increased lacrimation, a feeling of a foreign body. On the inner side of the eyelid, you can see a hyperemic area with a yellowish center. The inner barley is usually more painful than the outer one and takes longer to ripen.

The ripe inner barley is opened into the conjunctival sac. With an unfavorable course of the disease, a chalazion can form in the place of barley – a chronic inflammation of the cartilage and gland area, in which the gland duct becomes clogged, and the secret cannot come out. The chalazion looks like a dense, hyperemic ball ranging in size from a millet grain to a pea. This condition requires mandatory treatment under the supervision of an ophthalmologist.

In rare cases, the formation of barley – both internal and external – can be accompanied by general malaise, fever, joint aches, muscle and headache, swollen lymph nodes located near the affected eye.Usually, such a reaction of the body indicates a complicated course of the disease. See your doctor: you may need more serious barley treatment or additional diagnostics.

Causes of the appearance of barley on the eye

The reasons leading to the onset of the disease include:

  • non-compliance with hygiene rules;
  • use of someone else’s or expired cosmetics, dirty brushes and applicators;
  • untreated demodex;
  • long stay in a dusty, dirty room;
  • lack of vitamins;
  • colds, hypothermia, decreased immunity;
  • constant stress;
  • diabetes mellitus;
  • 90,061 obesity.

Stages of development of barley on the eye

How to treat stye in the eye

Typically, barley ripens on its own and opens within a week. The disease without complications does not require medical intervention. To quickly get rid of the disease, you can resort to warming compresses: 3-4 times a day, apply a towel soaked in warm water or a heated towel to the inflamed area. Compresses with aloe juice, decoction of St. John’s wort, chamomile can also help.In addition, careful eyelid hygiene is important: with increasing discharge, you should cleanse your eyes from crusts and pus with sterile napkins and boiled water.

If there is severe pain, general malaise, or suspicion that the disease has turned into a complicated form, it is better to consult a specialist. The doctor may prescribe:

  • course of antibiotics (for the treatment of chalazion, phlegmon or in the case of frequent occurrence and severe course of the disease;
  • local anesthetics, antiseptic drugs, glucocorticoids;
  • ultra high frequency therapy;
  • removal of the eyelash around which the barley has formed;
  • Surgical removal of barley under local anesthesia.If the inflammation is too great and the treatment is ineffective, the surgeon will open the abscess and clear it of the accumulated pus.

How barley cannot be treated

In no case should you squeeze or open the barley yourself. With this approach, a relatively harmless disease can lead to health and life-threatening complications: blood poisoning, meningitis, cellulitis of the eyelid, thrombosis of the eye veins.

You should also not prescribe antibiotics or other medications on your own.

Prevention of eye barley

Disease prevention consists in simple rules, the main of which is hygiene. Not worth it:

  • Leave cosmetics on eyelashes and eyelids overnight;
  • rub your eyes, comb them;
  • use other people’s makeup brushes;
  • overwork, overcool;
  • Disregard the rules of wearing and caring for contact lenses.

By following these recommendations, you will not protect yourself from the appearance of barley by 100%, however, you will significantly reduce the likelihood of its appearance.

Antimicrobials for the treatment of eye diseases | Medicinal Directory | Health

Active ingredient: Tobramycin
Tobrex (eye drops) (Alcon Pharmaceuticals)


The composition includes a modern broad-spectrum antibiotic from the aminoglycoside group.It is used for blepharitis, conjunctivitis, keratitis, iridocyclitis and for the prevention of postoperative complications in ophthalmology.
Active ingredient: Ciprofloxacin
Ophtocypro (Tatkhimpharmaceuticals)
(eye drops)
(Doctor Reddy’s)
(eye drops)

Ciprofloxacin (eye drops) (Rompharm)






Contains a modern antibiotic from the fluoroquinolone group.It is used to treat blepharitis, conjunctivitis, keratitis, bacterial corneal ulcers, chronic dacryocystitis (inflammation of the lacrimal sac) and barley. It is also used for preoperative prophylaxis in ophthalmosurgery and the treatment of postoperative infectious complications, as well as for the treatment and prevention of infectious complications of the eyes after trauma or foreign bodies. Sometimes it can cause photophobia, watery eyes, a foreign body sensation in the eyes, an unpleasant taste in the mouth immediately after instillation, and a number of other side effects.Contraindicated in viral keratitis, pregnancy, breastfeeding, children under 1 year of age.
Active ingredient: Ofloxacin
(eye / ear drops)
(Promed Exports)
Ofloxacin (eye ointment) (Synthesis)
(eye ointment, eye drops)
(Bausch & Lomb)




The preparation contains a broad-spectrum antibiotic from the group of fluoroquinolones.It is used for bacterial diseases of the eyelids, conjunctiva and cornea, barley, dacryocystitis, chlamydial eye infections, as well as for the prevention of infectious complications after surgery for the removal of a foreign body and eye injury. May cause a burning sensation and discomfort in the eyes, redness, itching and dryness of the conjunctiva, photophobia, lacrimation. In most cases, these symptoms are short-lived. Contraindicated in chronic non-bacterial conjunctivitis, pregnancy, breastfeeding and children under 15 years of age.
Active ingredient: Levofloxacin
Signicef ​​
(eye drops)


Antibacterial drug of the fluoroquinolone group. It is used to treat conjunctivitis, blepharitis, keratitis and other eye diseases caused by bacteria sensitive to levofloxacin, as well as to prevent complications after surgical and laser eye surgeries.Sometimes it can cause a decrease in visual acuity and the appearance of mucous cords, discomfort in the eye, dry eye syndrome and a number of other side effects. Contraindicated in pregnancy, breastfeeding, children under 1 year of age.
Active ingredient: Erythromycin
Erythromycin (eye ointment) (various


Includes broad spectrum antibiotics.They are used for conjunctivitis, blepharitis, keratitis and other eye diseases. They have been used for several decades, so sometimes they may not act effectively enough due to the fact that some of the pathogenic bacteria have developed resistance to them.
Active ingredient: Tetracycline
Tetracycline eye ointment (Tatkhimpharmaceuticals)


Includes broad spectrum antibiotics.They are used for conjunctivitis, blepharitis, keratitis and other eye diseases. They have been used for several decades, so sometimes they may not act effectively enough due to the fact that some of the pathogenic bacteria have developed resistance to them.
Active ingredient: Chloramphenicol
Levomycetin (eye drops) (various


Includes broad spectrum antibiotics.They are used for conjunctivitis, blepharitis, keratitis and other eye diseases. They have been used for several decades, so sometimes they may not act effectively enough due to the fact that some of the pathogenic bacteria have developed resistance to them.
Active ingredient: Norfloxacin
(eye / ear drops)


Antibacterial drug from the group of fluoroquinolones.It is used to treat conjunctivitis, blepharitis, keratitis and other eye diseases, as well as otitis media. It is used to prevent eye infections after removal of a foreign body from the cornea or conjunctiva, after damage by chemical or physical means, before and after surgery. It can sometimes cause nausea, heartburn, headache, dizziness, tiredness, and other side effects. It is not recommended to prescribe the drug during pregnancy, breastfeeding, as well as children and adolescents under the age of 18 years.
Active ingredient: Fusidic acid
Futsitalmic (eye drops) (Leo Pharmaceutical)


Antibiotic from the fusidin group. It is used for conjunctivitis, blepharitis, keratitis and dacryocystitis. May cause burning, itching, dry, sore eyes, short-term blurred vision, and other side effects.
Active ingredient: Picloxidine
(eye drops) (Laboratuar Tea)


Preparation with antimicrobial action.It is used in adults and children from birth with bacterial eye infections, dacryocystitis, as well as for the prevention of infectious complications after surgery.
Active ingredient: Sulfacetamide
Sulfacyl sodium (eye drops) (various manufacturers)


Antibacterial agent from the sulfonamide group. It is used for purulent corneal ulcers, conjunctivitis, blepharitis, gonorrheal eye diseases in newborns and adults.May cause itching, redness, and swelling.
Active ingredient: Zinc sulfate + boric acid
Zinc sulfate and boric acid (eye drops) (Update, Diafarm)


Combined preparation. Zinc sulfate has antimicrobial, astringent, drying and local anti-inflammatory effects. Boric acid is an antiseptic.It is used for conjunctivitis.
Active ingredient: Gentamicin + dexamethasone
Dexa-gentamicin (eye drops) (Ursapharm Artsneimittel)


Combined preparation for topical use in ophthalmology. It has anti-allergic, anti-inflammatory and antibacterial effects. It is used for conjunctivitis, keratitis, blepharitis, barley, allergies in the eyes and eyelids, accompanied by bacterial infection, as well as for the prevention and treatment of inflammation in the postoperative period.May cause a burning sensation in the eye after using the drug, fungal infections, and other side effects. Application after corneal trauma can slow down the healing of the cornea. Contraindicated in herpetic keratitis and other viral diseases of the cornea and conjunctiva, as well as in fungal and tuberculous eye diseases, increased intraocular pressure and a number of other conditions. Not recommended for use in the first trimester of pregnancy, for children and adolescents under 18 years of age and when wearing contact lenses.
Active ingredient: Tobramycin + dexamethasone
(eye drops)
(Alcon Pharmaceuticals)
Tobrazon (eye drops) (Censer Pharmaceuticals)



Combined preparation with antibacterial and anti-inflammatory effects.
It is used for the prevention of postoperative infectious complications, blepharitis, conjunctivitis, keratitis without damaging the epithelium.It can cause an increase in intraocular pressure, the development of a secondary infection as a result of suppression of the patient’s protective reaction. Contraindicated in viral diseases of the cornea and conjunctiva, tuberculous and fungal diseases of the eyes, after removal of the corneal foreign body.
Active ingredient: Neomycin + polymyxin B + dexamethasone
Maxitrol (eye drops) (Alcon Pharmaceuticals)


Combined preparation with antibacterial and anti-inflammatory effects.It is used for blepharitis, conjunctivitis, keratitis, iridocyclitis (inflammation of the iris), as well as for the prevention of postoperative infectious complications. May cause increased intraocular pressure, delayed wound healing, and other side effects. Contraindications – as for tobramycin in combination with dexamethasone.

90,000 Barley in a dog: causes, diagnosis, treatment

Almost every one of us has faced such a painful problem as barley on the eye.But the same trouble can happen to our four-legged pets – dogs also have barley.

Where does barley come from?

The eye is a delicate structure that must be reliably protected and well hydrated. To protect the eyes, eyelashes located along the edge of the eyelid are provided, because it is they who prevent dust and other foreign particles from entering the eye, and moistening is carried out with the help of tear fluid and secretions secreted by the sebaceous glands, which are also located on the edge of the mucous membrane of the eyelid.

If pathogenic microorganisms penetrate into the ciliary follicle or sebaceous gland, then an inflammatory process begins in them, as a result of which barley is formed.

Depending on where the inflammation spreads, there are:

  • inner barley, located on the inner side of the eyelid, and looks like a small subcutaneous ball;

  • external barley “sitting” on the edge of the eyelid and causing it to edema.

Barley causes and diagnostics

Veterinarians believe that barley can be provoked by:

  1. Weakening of immunity against the background of a previous illness.

  2. Infectious and viral eye infections (conjunctivitis, herpes, etc.).

  3. Skin fungus.

  4. Intoxication of the dog’s body.

  5. Poor conditions of detention.

  6. Unbalanced diet with low vitamin content.

  7. Injury to the eye.

  8. Stressful state of the animal.

At first, barley looks like a small ball the size of a grain, but gradually it increases due to the active reproduction of pathogenic microflora and the formation of pus.The walls of the capsule, in which the pus is located, stretch and become thinner, which leads to their rupture or resorption of the barley.

The disease has specific external signs, so that the diagnosis of this pathology is not difficult for a veterinarian. Most often, a thorough examination of the eye is sufficient, after which a diagnosis is made and treatment is prescribed.


First of all, the treatment of barley begins with increasing the body’s resistance – i.e.That is, you need to try to raise immunity. The dog can be prescribed a course of vitamin therapy, a change in diet and adherence to the correct daily regimen, combining moderate exertion and rest. If your pet’s immunity is strongly weakened, then the doctor prescribes the intake of immunostimulants.

For the treatment of a sore eye, anti-inflammatory ophthalmic ointments are used – Hydrocortisone, Tetracycline, etc. If the barley is external, then the ointment is applied to it in a thin layer, and with internal barley, it is laid for the eyelid up to 6 times a day.The therapy is carried out for both eyes at the same time, despite the fact that the problem exists in one. To enhance the effect, you can use Levomycytin drops, which have antibacterial properties.

After a purulent point appears on the barley, you can warm up the eye with a boiled egg or a warm tea bag.

If the barley does not go away within 7-10 days or several inflammations appear on the eyelid at once, then you need to take the dog to the veterinary clinic for the doctor to prescribe a full range of treatment.Such a complex may include taking antibiotics, immunomodulators and the use of anti-inflammatory drugs for external treatment of the eye.