Tuesday, 10 September 2013

Stye

What is a stye?
A stye is a tender, painful red bump located at the base of an eyelash or under or inside the eyelid. A stye results from a localized infection of the glands or a hair follicle of the eyelid. Scientifically a stye is called Hordeolum. It can be of two types: external hordeolum refers to a stye that develops at the base of an eyelash, whereas internal hordeolum refers to a stye that develops in a meibomian gland, a gland located on the underside of the eyelid that secretes an oily substance onto the eyeball.
When the infection of a stye persists over time, it can result  in scarring around the meibomian gland causing an usually painless hard swelling in the eyelid called Chalazion.


What is the cause of a stye?
A stye results from an infection of the oil glands of the eyelid that help to lubricate the eyeball. The infection occurs after these glands have become clogged. A stye also may arise from an infected hair follicle at the base of an eyelash. The bacterium Staphylococcus aureus that is frequently found on the skin is responsible for 90%-95% of cases of styes.

What are stye symptoms and signs?
The first signs and symptoms of a stye are usually redness, tenderness, and pain in the affected area. The eye may feel irritated or "scratchy." Later signs and symptoms may include swelling, discomfort during blinking of the eye, watering of the eye, and sensitivity to light. A common sign of a stye is a small, yellowish spot at the center of the bump that represents pus rising to the surface.

How is a stye diagnosed?
A stye is diagnosed by its characteristic appearance and symptoms. No other tests are necessary to establish the diagnosis of a stye.

Who is most susceptible to the development of a stye?
Styes are very common. People of all ages can develop a stye. Men and women are equally affected. People with certain chronic conditions like diabetes, seborrhea, and chronic debilitating illnesses are more prone to develop styes than the general population. In many susceptible people, stress seems to trigger the development of a stye. Studies have shown that those who have high levels of blood lipids are more susceptible to blockages in the oil glands, and are, therefore, more likely to develop a stye.
Persons with refratice error not using the correct eye glass power can get recurrent stye. Reccurent stye is also common in uncontrolled diabetics.

What is the treatment for a stye? Is there a home remedy for a stye?
Most styes will drain and resolve on their own without the need for medical treatment. Application of a warm compress to the affected area for 10-15 minutes, four to six times a day, can be an effective home remedy and speed rupture of the stye. This will aid in the relief of symptoms. A stye should not be pressed or squeezed since this can spread or worsen the infection. If a stye persists for several days, a doctor may incise  the swelling under local anesthesia in his or her office. Babies or children who require surgical drainage of a stye may need a general anesthetic. Antibiotic ointments are prescribed to treat a stye. Rarely, systemic (oral) antibiotics are recommended for persistent or multiple styes. Over-the-counter pain medications may be used to alleviate pain and tenderness. Contact lenses and eye makeup should never be worn during treatment for a stye.

What is the prognosis (outcome) of a stye?
A stye is harmless in the majority of cases. In most cases, a stye ruptures on its own within a few days to a week, leading to relief from symptoms. Some people will require medical or surgical treatment of a stye, as with complications described in the following section. A stye does not cause damage to the eye. Styes often recur, but complications of styes are rare.

Are there any potential complications resulting from a stye?
Complications of a stye are rare. The infection may spread to other eyelash follicles, leading to multiple styes. A chalazion is the most common complication that develops from a stye. Chalazia can be large enough to deform the cornea of the eye and interfere with vision, and they may cause a cosmetic problem. Other potential complications include spreading of the infection to the eyelids or other tissues near the eye. Improper drainage of a stye may lead to deformity or disruption of growth of eyelashes. Progression of a stye to a systemic infection (spreading throughout the body) is extremely rare, and only a few instances of such spread have been reported.

Can a stye be prevented?
While it is impossible to completely prevent the development of a stye, good hygienic practices, including proper hand washing, can help prevent all forms of infection, including a stye. Other measures that can help prevent styes include
  • ·         never sharing cosmetics or cosmetic tools such as lash curlers or eyelash combs with others,
  • ·         keeping cosmetic tools clean,
  • ·         discarding old or contaminated eye makeup,
  • ·         keeping all cosmetics clean,
  • ·         not touching the eye and surrounding areas.