In the early stages of a stye, people will feel uncomfortable around their eyes and will always have some pain symptoms. As time goes by, the pain will become more severe. Therefore, it is best to use medication to treat it in the early stages. You can use some anti-inflammatory topical medications, which will have a better effect. Only patients with more serious conditions need to go to the hospital for relevant surgical resection treatment. If nodules still remain after applying the above measures for about 2 weeks, surgical removal can be performed. The surgical opening for external hordeolum is located on the skin surface, parallel to the eyelid margin, and requires suture. If the abscess cavity is large and the pus cannot be completely drained, a drainage strip should be inserted and the dressing should be changed daily until there is no pus in the drainage strip and it is removed. The wound will heal after 1 to 2 days. The surgical incision for internal hordeolum is located on the conjunctival surface, perpendicular to the eyelid margin, and usually no suturing is required. If the internal hordeolum abscess grows outward and the surface skin is too thin and easily ruptured, an incision parallel to the eyelid margin can be made on the skin surface. Children who cannot cooperate with surgery should undergo surgery with the assistance of anesthesia. Or after a few days, the nodule will break, pus will be discharged, the redness, swelling and pain will disappear, and a scar will be left at the corresponding ruptured area. Severe cases require surgical treatment, and scars may be left at the surgical incision. Severe inflammation may be accompanied by swollen lymph nodes and develop into eyelid cellulitis, accompanied by systemic symptoms such as chills and fever. If the blepharitis is immature or has already ruptured and discharged pus, squeezing the nodule can cause the infection to spread, leading to serious complications such as cellulitis and cavernous sinus pus plug. The eyelids are red, swollen and painful, mainly because the inflamed meibomian glands are surrounded by dense meibomian fibrous tissue. The redness and swelling are generally milder than that of external hordeolum, but the pain is more severe. Before the abscess breaks through, the corresponding conjunctival surface is congested, and yellow pus heads are often visible, which may break through on their own. In rare cases, pus can be discharged from the ducts of the meibomian glands, but it is more common for the pus to break through the barrier of the tarsal plate and conjunctiva and flow into the conjunctival sac. After the pus is discharged, the redness and swelling subside. If the pathogen is highly toxic, the inflammation will spread before the pus breaks out, invading the entire tarsal plate and forming an eyelid abscess. External hordeolum, commonly known as "stye" or "eyelid furuncle", is an acute suppurative inflammation of the sebaceous glands (Zeis glands) at the roots of the eyelash follicles and the eyelid glands (Moll glands). Internal hordeolum inflammation is an acute suppurative inflammation of the Meibomian glands or secondary infection of chalazion. The pathogens are mostly staphylococci, which enter the glands through the opening of the eyelid margin and cause inflammation. |
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