STYE

(HORDEOLUM)
 DEFINITION
“A stye is a tender,
painful red bump
located at the base of
an eyelash or under or
inside the eyelid”.
 CAUSES
• a Staphylococcus Aureus bacterial infection, or
• an acute infection of the oil glands of the eyelid
(meibomian glands) that occurs after these glands
have become clogged.
Styes can be triggered by:

Rubbing of
Poor Nutrition Sleep Deprivation the eyes

Lack of hygiene Sharing of personal items

 SIGNS AND SYMPTOMS
• a small, yellowish spot at the
center of the bump that develops
as pus expands in the area.
• A lump on the top or bottom eyelid
• Localized swelling of the
eyelid
• Pain which becomes more
intense if the pus ruptures
• Redness
•Tenderness to touch
•Crusting of the eyelid margins
•Burning in the eye
•Droopiness of the eyelid
•Scratchy sensation on the
eyeball

•Blurred vision
•Mucous discharge in the eye
•Irritation of the eye
•Light sensitivity
•Tearing
•Discomfort during blinking
 TREATMENTS
• applying warm compresses on the affected eye,
four to six times a day, for approximately 15
minutes.
• As a part of self-care at home, patients may
cleanse the affected eyelid with tap water or with
a mild, nonirritating soap or shampoo (such as baby
shampoo) to help clean crusted discharge.
• Patients are highly advised to not squeeze or
puncture the stye as serious infection can occur as
a result.
•Eye stye sufferers should avoid eye makeup (e.g.,
eyeliner), lotions and wearing contact lenses.
 MEDICATIONS
• Antibiotics.
• Pain relievers such as
acetaminophen may be
prescribed.
• Antibiotics are normally given
to patients with multiple styes
or with styes that do not seem to cure and to
patients who also suffer from blepharitis or
rosacea.
• Topical antibiotic ointments or
antibiotic/steroid ointment combination can
also be administered in stye treatment
 SURGERY
• It is the last resort in stye
treatment.
• under local anesthesia.
• consists in making a small only
incision.
• After the incision is made, the pus
is drained out of the gland and very
small and unnoticeable sutures are
used to close the lesion.
• The removed stye is biopsied to rule out the
possibility of skin cancer.
 COMPLICATIONS
• The most frequent complication of styes is
progression to a chalazion that causes:
– cosmetic deformity,
– corneal irritation,
– often require surgical removal.

• Complications may also arise from the improper

surgical lancing and mainly consist of:
– disruption of lash growth,
– lid deformity
– lid fistula.
• Styes that are too large may interfere with
one's vision.

• Eyelid cellulitis is another

potential complication of eye
styes, which is a generalized
infection of the eyelid.

• 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 recorded.
 PREVENTIONS
1. Proper hygiene.
(e.g proper wash hands)
2. Application of a warm
washcloth to the eyelids
for one to two minutes.
3. Never share cosmetics or
cosmetic eye tools
4. keep eye tools clean and generally
having proper eye hygiene.
5. remove makeup every night
before going to sleep and discard old
or contaminated eye makeup.
Alteration in comfort; pain at the right upper eye lid
related to stye.

1. Assess
• Location of pain (right upper eye lid)
• Level of pain using pain scale (1-4mild 5-7
moderate 8-10 severe)
• Any presence of tenderness, swelling and redness
R: As the baseline data for further interventions.

2. Apply warm compresses on the affected eye, four

to six times a day, for approximately 15 minutes.
R: To lessen the pain by liquefying the contents of
the oil glands of the eyelid and thereby preventing
blockage.
3. Perform eye swabbing
R: To relieve pain as well as cleaning the crusted
drainage.

4. Ask patient not to scratch and touch the affected

part especially with bare hands.
R: Scratching and touching may aggravate pain as
well as increase the tendency of infection to the
other eye.

5. Ask patient to not wear any contact lenses until

the affected part healed.
R: Wearing contact lenses may cause irritation and
pain.
3. Ask patient to have well balanced diet everyday.
R:Poor nutrition can trigger stye.

4.Advice patient to have enough sleep.

R: not enough sleep can increase the tendency of
getting stye.

5. Advise patient to avoid eye makeup (e.g.,eyeliner,

lotions and wearing contact lenses since
R: Makeup can aggravate and spread the infection.
Alteration in comfort; pain at the right upper eye lid
related to stye.

1. Assess
• Location of pain (right upper eye lid)
• Level of pain using pain scale (1-4mild 5-7
moderate 8-10 severe)
• Any presence of tenderness, swelling and redness
R: As the baseline data for further interventions.

2. Apply warm compresses on the affected eye, four

to six times a day, for approximately 15 minutes.
R: To lessen the pain by liquefying the contents of
the oil glands of the eyelid and thereby preventing
blockage.
6. Apply acetaminophen as prescribed. (e.g betagen 2
drops tds)
R: To relieve pain by medication.

7. Inform doctor if symptoms still persist.

R: For further interventions.
Knowledge deficit related to home care
management of stye.

1. Assess patient’s level of knowledge by asking

him about the disease.
R: As the baseline data for further interventions.

2. Instruct patient to maintain cleanliness by;

• keep eye tools clean.
• having proper eye hygiene
• Proper hand wash
R: to prevent infection from spreading and
reoccurrence.
6. Advised to not squeeze or puncture the stye.
R: To avoid further infection and contamination.

7. Reinforce the importance of taking antibiotics as

prescribed by doctor. (e.g. emoxicillin)
R: As a prophylaxis measure to avoid stye from
getting worsen.

8. Instruct patient to seek for immediate

treatment if stye starts to worsen.
R: To plan for further interventions.
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