Upper eyelids are swollen and painful and it hurts when I blink

After waking up, I found that my upper eyelids were swollen and painful, and my eyes would feel slight pain when I blinked. Why is this? The most likely possibility is that you have a disease called stye. A stye, which we often call a sty, can cause symptoms such as redness, swelling, heat, and pain on our eyelids. Stye is caused by inflammation of the eye, which can be treated through surgery and physical therapy.

Stye, also known as sty and hordeolum, is an acute suppurative inflammation of the sebaceous glands or meibomian glands near the eyelash follicles. Stye is divided into two types: internal hordeolum and external hordeolum. External hordeolum is an acute suppurative inflammation of the Zeis gland. Initially, the eyelid margin presents localized congestion and swelling, and a nodule forms after 2 to 3 days. The swelling, pain and tenderness are obvious. Later, the nodule gradually softens and forms a yellow pustule at the root of the eyelashes, which breaks through and discharges pus quickly. Severe cases may have systemic symptoms such as chills and fever. Internal hordeolum is an acute purulent inflammation of the meibomian gland. Its clinical symptoms are not as severe as those of external hordeolum, because the inflamed meibomian gland is surrounded by firm tarsal plate tissue. Yellow pus masses are often faintly visible on the surface of the congested palpebral conjunctiva, which may rupture and discharge pus into the conjunctival sac on its own. The opening of the meibomian gland may be slightly raised and congested, and pus may also be discharged along the palpebral gland duct. A few cases may rupture and discharge pus from the skin. If the tarsal plate fails to rupture and the pathogen is highly toxic, the inflammation will expand, invade the entire tarsal plate tissue, and form an eyelid abscess.

Clinical manifestations/sty

1. Localized redness, swelling, heat and pain on the eyelid skin, and edema of the adjacent conjunctiva.

2. When pus accumulates locally, yellow pus heads appear. External hordeolum occurs in the sebaceous glands at the root of the eyelashes and manifests itself on the skin surface; internal hordeolum occurs in the meibomian glands and manifests itself on the conjunctival surface. After rupture and drainage of pus, the pain will be relieved and the redness and swelling will subside.

3. Severe cases are accompanied by enlarged and tender preauricular and submandibular lymph nodes, general chills, fever, etc.

treat

1. Early hot and wet compress or magnetic therapy. Promote infiltration absorption or rapid suppuration of nodules.

2. Surgical incision

When the inflammation is under control and pus accumulates to form a fluctuating feeling, it can be drained by incision, and the necrotic or granulation tissue can be properly cleaned. Depending on the situation, placement of a drainage strip can be considered. After the inflammation subsides, if there is still residual granulation tissue or nodules left, surgical removal can be performed again. However, it should be noted that the skin incision of the external hordeolum should be parallel to the eyelid margin, and the conjunctival incision of the internal hordeolum should be perpendicular to the eyelid margin. Avoid inappropriate squeezing to prevent the inflammation from spreading into the orbit and cranium, causing orbital cellulitis, cavernous sinus phlebitis, meningitis and abscess, which may be life-threatening.

3. For stubborn and recurrent cases

Autoimmune therapy is available. Patients with systemic fever and swollen preauricular and submandibular lymph nodes can be treated with antibiotics.