What eye drops should I use for a stye

If you find a large lump on your upper or lower eyelid, which is itchy and painful, and you can't open your eyes, you should consider the possibility of a stye. A stye, also known as a sty, is a very common eye disease that can occur in anyone, and most often in young people. If you have a stye, don't rush to use eye drops. First, look at the treatment principles of the disease.

Stye, also known as hordeolum, is called hordeolum or hordeolum in traditional medicine, commonly known as "stye". It is a common eye disease that anyone can suffer from, and it is more common in young people. This disease is stubborn and prone to relapse, and in severe cases may leave eyelid scars. Stye is a disease in which the sebaceous glands and meibomian glands suffer from acute suppurative infection. It is divided into external hordeolum and internal hordeolum. Remember not to squeeze the pus by yourself to avoid complications such as orbital cellulitis. You should go to a regular ophthalmology department for targeted treatment, eye drops or surgery.

If you suffer from a stye, you must seek timely treatment, because the early symptoms are mild and its development can often be controlled through local treatment. The inflammation can subside quickly and heal.

During treatment, anti-inflammatory eye drops, such as rifampicin, tolbridate, and tadalafil, are usually applied during the day, once every 3 to 4 hours. Apply anti-inflammatory eye ointment, such as chloramphenicol, erythromycin eye ointment, etc. before going to bed at night.

If the child cooperates well, warm water and hot compress treatment can also be used. Hot compress can dilate blood vessels, improve local blood circulation, and is very helpful in promoting the absorption of inflammation and shortening the course of the disease. The specific method is to soak a clean towel in hot water, wring it out slightly, and apply it directly to the skin of the affected eye, 2 to 3 times a day, each time for 20 to 30 minutes. The temperature of the hot towel is about 450 degrees. Parents can first test the temperature with the back of their hands or their own eyelid skin to see if the child can accept it.

If treatment is not timely, in addition to local redness and swelling, there will be systemic symptoms such as fever and fatigue. Antibiotics should be added, such as amoxicillin, erythromycin, or intramuscular injection of penicillin. For styes with pus heads, the abscess can be opened and drained after it matures.

Symptoms and signs

The affected area has typical acute inflammatory symptoms of redness, swelling, heat and pain, and the degree of pain is proportional to the degree of edema. Hordeolum externa is an external hordeolum, commonly known as "stye", which is the same as furuncle elsewhere on the body. There is an itchy feeling at the beginning, which gradually intensifies and causes local edema and congestion of the eyelids. There is a feeling of distension and tenderness, and a nodule can be felt near the eyelid margin. The pain is particularly significant when it occurs at the lateral canthus. The outer conjunctiva also becomes edematous. After a few days, the nodule gradually softens and feels fluctuating. There may be yellow pus heads at the root of the eyelashes, which may burst on their own to discharge pus, and the redness, swelling and pain subside rapidly. If the pathogen is highly toxic or the patient has low resistance and is accompanied by other diseases such as diabetes and malnutrition, the inflammation can spread from one gland to other glands to form multiple pus spots, or spread to the subcutaneous connective tissue of the eyelid and evolve into eyelid cellulitis, which is manifested by redness and swelling of the entire eyelid and spread to the face on the same side. The eyelid cannot be opened and is hard and tender to the touch. The conjunctival reactive edema is severe, often accompanied by systemic symptoms such as chills, fever, headache, and the preauricular lymph nodes are also swollen and tender.

An infection of the meibomian glands is called hordeolum internal or internal hordeolum. Although the meibomian glands are larger than the Zeis sebaceous glands, their clinical symptoms are not as severe as those of external hordeolum, especially those located in the lateral canthus, because the inflamed meibomian glands are surrounded by firm meibomian tissue. Before the abscess breaks through, yellow pus heads are often visible on the congested conjunctival surface and may break through on their own. Rarely, pus may drain from the ducts of the meibomian glands. But what is more common is that pus breaks through the barrier of the tarsal plate and conjunctiva and flows into the conjunctival sac. The redness and swelling subside after the pus is discharged. If the pathogen is extremely toxic, the inflammation will spread before the pus breaks out, invading the entire tarsal plate and forming an eyelid abscess.