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Prima Medical Center Saigon, Eye Diseases

Hordeolum: How to recognize and treat effectively

16 May, 2023

Hordeolum is one of the extremely widespread ophthalmic problems. But not everyone knows how to recognize and treat it properly. Therefore, this article will help you better understand stye as well as how to treat it to minimize discomfort and risk of infection.

What should I do if I have a stye?

What is hordeolum?

Hordeolum (also called Stye) is a red and painful lump on the eyelid. Accordingly, this sign is very easy to confuse with a chalazion. On the other hand, if left untreated, a stye can turn into a chalazion, leading to compression of the sebaceous glands of eyelids.

Accordingly, hordeolum can occur on both eyelids.  Stye in children occurs more often than in adults. This does not mean that adults are less at risk of it. However, most styes resolve on their own in a few days to a week.  Nevertheless, when a person has a stye, they may feel more tired, tense, and have more eye strain than usual.

Types of hordeolum

Hordeolum is a condition in which the eyes are no longer uniform in their ability to look at an object, resulting in one eye seeming more diagonal than the other. Depending on the location of muscles and nerves affected, stye can be divided into many different forms.

  • Horizontal strabismus: When the eye is crooked to the right or left relative to the other eye.
  • Vertical strabismus: When the eye is crooked upwards or downwards relative to the other eye.
  • Oblique strabismus: When the eye is crooked at an angle of inclination relative to the other eye.

Types of hordeolum

In addition, there are other types of stye such as blepharospasm, hemifacial spasm, or facial dystonia caused by muscle or nerve damage. The symptoms and treatment methods will vary depending on the type of stye. Therefore, it is essential to have an accurate diagnosis to determine the appropriate treatment.

Causes of hordeolum

Stye is usually caused by bacterial infection, mainly by Staphylococcus aureus or Streptococcus pneumoniae. However, hordeolum can also be caused by some of the following other causes.

  • Fatigue. Using your eyes too much for long periods, such as working on a computer, watching TV, or reading a book, can cause stye.
  • Anemia. Anemia is caused by a deficiency of vitamins and minerals necessary for the body, such as vitamin B12, calcium, magnesium, and iron, which can cause eye muscles to shrink and cause a stye.
  • Stress and tension. Stress and tension can cause twitching of eye muscles, causing hordeolum.
  • Medication use. Certain medications, such as sedatives or antidepressants, can cause stye as a side effect.
  • Pathology. Some conditions, such as Parkinson’s disease, stroke, meningitis, and other neurological diseases can also cause this condition.
  • Drinking too much coffee and alcohol. Too much coffee or alcohol can strain the eye muscles and cause hordeolum.
  • Allergies. Sometimes, allergies can cause eye muscles to shrink, leading to stye.
  • Not getting enough sleep. Lack of sleep or fatigue can also lead to this disease, especially when staying up late and not being able to get enough sleep.

Is hordeolum contagious?

Stye have a high risk of spreading

Hordeolum is a common and common condition in young children. Therefore, many people wonder if stye is contagious. To answer this question, it is first necessary to understand the cause underlying it.

Accordingly, stye is usually caused by bacterial infection, so the risk of human-to-human spread of this pathology is quite high. If you encounter someone who is styed and does not take precautions, you are more likely to get infected. Therefore, to prevent stye from spreading, you must take measures such as maintaining good eye hygiene, avoiding direct contact with people with stye and using separate towels, facial wipes, and tissues to avoid infection.

Symptoms of hordeolum

One of the most common stye symptoms is a red, painful lump on the edge of your eyelid. Stye usually develops within a few days. It may look like a pimple.

In addition, other symptoms may include difficulty moving eyes, eye pain, eye strain, blurred vision, and loss of sensation in the eye having hordeolum. If stye is initiated in childhood, children may have misaligned eyes when seeing, have difficulty reading or writing, or potentially stumble due to imbalance.

Hordeolum in children

On the other hand, stye can also cause misalignment of the eyes.  In mild cases, the eyes may be slightly misaligned or only visible when looking directly into the other person’s face. However, when the condition becomes severe, the eyes can deviate at a large angle, leading to difficulty seeing, especially when two eyes are not working together. Therefore, as soon as an abnormality is detected, you should see a doctor for timely diagnosis and treatment.

Proper treatment of hordeolum

Does stye heal by itself?

Stye is a common condition in humans, especially children. Depending on the cause of hordeolum, there are cases where stye may resolve on its own in a matter of days or weeks, while others may last for months or even require surgical intervention.

How to properly cure a stye

To alleviate symptoms and help relieve stye, patients can apply warm compresses as instructions for warm compresses and should not press or try to squeeze. This can make it worse. In addition, patients should be especially careful not to wear eye makeup or contact lenses until the condition improves.

Treating hordeolum effectively with Prima Health

If you fall into the following cases, you need to see a doctor for an immediate examination:

  • Hordeolum does not go away after warm compresses for 1 to 2 weeks.
  • The stye is large, bleed, or affect your vision.
  • The entire eye is red or the entire eyelid is red and swollen.
  • Redness or swelling spreads to the cheeks or other parts of the face.

If the stye/hordeolum does not get better or if it leads to other problems, the doctor may:

  • Prescribe creams or ointments applied to the eyes and eyelids.
  • Prescribe antibiotics.
  • Perform the procedure to dry out the hordeolum.

 Finally, maintaining hygiene and not touching the hordeolum area is also essential during treatment. Most importantly, you should consult your doctor for advice and an accurate diagnosis before using any treatment.