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November 24, 2009
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Sty
(Stye, Hordeolum)

Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: Jay W. Marks, MD

Viewer Comments

Featured sty patient discussions on symptoms and signs experienced

"I am 50 years old and have just recovered from what I was told was an internal sty. It looked like a red bump on my lower eyelid, but I noticed a white bump inside the lid. I had it about two days with a little discomfort, when on the second night I awoke to pain around my eyeball. I got up and used a very warm compress over and over for an hour and a half, as it was a comforting relief of the pain. The next morning, I had to be at a hospital for a family member. The sty decided to break there. It ran all over my eyeball all day and was painful, but there was nothing I could do about it till I got home. I just dotted it with Kleenex. A doctor that was attending my relative suggested I get an antibiotic ointment. When I got home later that night, it was already feeling better, so I cleaned my eye and it continued to heal without any medication. I still have a small white bump inside my eyelid, and I am waiting for it to go away. It's embarrassing. Everyone thought I was contagious and would not touch me or any of my belongings -- except for the doctor I met. I washed my hands every chance I had and tried to never touch it."


Top Searched Sty Terms:

treatment, chalazion, blepharitis, prevention, prognosis
Patient Discussions are not a substitute for professional medical advice, or treatment.
See the disclaimer at the bottom of the comments page.
Doctor to Patient

What is a sty?

A sty (sometimes spelled stye) is a tender, painful red bump located at the base of an eyelash or under or inside the eyelid. The medical term for a sty is hordeolum (plural, hordeola).

A sty results from an acute infection of the oil glands of the eyelid (meibomian glands) that occurs after these glands have become clogged. A sty also may arise from an infected hair follicle at the base of an eyelash. The bacterium Staphylococcus aureus is responsible for 90%-95% of cases of styes. Staph aureus is frequently found on the skin. A sty can develop as a complication of blepharitis (inflammation of the eyelid).

The term external hordeolum has been used to refer to a sty that develops at the base of an eyelash involving a hair follicle of the eyelid, whereas the term internal hordeolum refers to a sty arising due to an inflamed meibomian gland under the eyelid.

A sty is sometimes confused with a chalazion (see below), which is a cyst or a specific type of scarring (due to chronic inflammation) arising in the meibomian glands of the eyelid. In contrast to a sty, a chalazion is usually painless.

What are the signs and symptoms of a sty?

The first symptoms of a sty are generally redness, tenderness, and pain in the affected area. The eye may feel irritated or "scratchy." Later symptoms can include swelling, discomfort during blinking of the eye, watering of the eye, and sensitivity to light. A common sign of a sty is a small, yellowish spot at the center of the bump that develops as pus expands in the area.

Who is most susceptible to the development of a sty?

Styes are very common. People of all ages can develop a sty, and males and females are equally affected. There is a slight increase in incidence of styes during the third to fifth decades of life. People with certain chronic conditions (diabetes mellitus, chronic blepharitis [inflammation of the eyelid], seborrhea, and chronic debilitating illnesses) are more prone to developing styes than the general population. In many susceptible people, stress seems to trigger the development of a sty. Studies have shown that those who have high levels of blood lipids are more susceptible to blockages in the oil glands, including those of the eyelid and, therefore, are more likely to develop a sty.



Next: What is the treatment for a sty? »

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Sty (Stye)

What is a chalazion?

A chalazion is a tiny lump of the upper or lower eyelid caused by inflammation of a gland of the lid. It may be soft and fluid-filled or firmer. A chalazion is also referred to as a meibomian cyst, tarsal cyst, or conjunctival granuloma.

What are these eyelid glands?

Eyelid glands are called the meibomian glands. They are also known as the palpebral glands, tarsal glands, or tarsoconjunctival glands. There are 30 to 40 of these glands in each of the upper and lower lids. The tiny openings of each of these oil or sebaceous glands are just behind the lid lashes at the lid margins. These glands produce a thick liquid secretion that is discharged into the tear film of the eye. This liquid is a mixture of oil and mucus and is called sebum. The liquid acts to lubricate the surface of the eye.

What causes a chalazion? What are the symptoms of a chalazion?

The narrow op...

Read the Chalazion article »










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