Telemedicine Portal for Stye evaluation and treatment via video conferencing.
A stye is also called a chalazion, hordeolum, or eyelid abscess – which are names for different stages of the same disease of the meibomian glands (eyelid oil glands).
Each eyelid has approximately 25 meibomian glands located at the eyelid margin that are responsible for producing lubrication. When one of those glands becomes clogged or infected the result is a growth that can be painful, red, and irritating.
In many cases, prompt medical treatment is sufficient to resolve 90% of styes.
Recommended Medical Management of Styes Includes:
- Repeated warm compresses 15 minutes every hour while awake.
- The temperature should be that of a baby’s bottle.
- Homemade options: boiled egg, warming up rice in a sock, tea bag, a slice of potato warmed up in the microwave.
- Combination antibiotic and steroid drop and ointment.
- Oral antibiotics
In a small percentage of patients, despite proper medical management, an intervention is necessary to resolve the lesion.
Intervention can Include a Combination of:
- Incision and drainage
- Complete excision of the lesion including capsule
- Injection with anti-inflammatory medications
RISK FACTORS FOR STYE DEVELOPMENT
- Stress leading to elevation in body’s cortisol levels
- Diet heavy in inflammatory foods:
- cow’s milk dairy
- high glycemic index foods
- Exposure to allergens (dust/pollen)
Why Choose Us?
Dr. Kashyap has extensive training and years of experience in treating styes. She can also provide medical treatment through a video chat and surgical treatment on the same day as your in-person consultation.
Dr. Kashyap is a clinical instructor at the Infirmary and a Board-Certified Diplomate of the American Board of Ophthalmology. She is a fellowship-trained oculofacial plastic surgeon who completed her residency and fellowship in Ophthalmic Plastic, Reconstructive & Orbital Surgery at The New York Eye and Ear Infirmary,
If you are prone to styes, you may be able to prevent recurrences by:
- Cleaning the eyelid margins with warm water and gentle cleansers like Cetaphil Gentle Cleanser or La Roch Posay with Toleriane
- Omega-3 supplementation if cleared with your primary care doctor
- Low-dose oral antibiotics
- Vitamins that can lower stress hormones
Patients that are prone to styes also experience dry eyes and discomfort with prolonged use of contact lenses. Some of these aforementioned treatments can improve these chronic symptoms.
STYE TREATMENT At Hudson Face & Eye
If your stye is painful, Dr. Kashyap can prescribe a topical antibiotic and steroid ointment, drops, and oral antibiotics. If the stye does not disappear after two to four weeks, however, you may require a steroid injection or excision.
Patients are provided with an excision once the lesion has failed medical management, often the same day as their first appointment visit.
Local anesthetic is injected into the skin of the eyelid near the lesion.
A small incision is made on the underside of the eyelid in order to drain the stye and remove the capsule. The incision is so small that sutures are not usually necessary, so there is no visible scar.
Large styes are rare but may require reconstructive surgery with Dr. Kashyap.
RECOVERING FROM STYE TREATMENT
After a surgical excision of a stye, recovery is approximately two weeks. Most patients are able to return to work the next day, however swelling can persist up to four weeks.
In most cases, you can return to normal daily activities the same day, and most patients do not even feel the need to take over-the-counter pain medication.
- Warm compress on the eye a few times a day for a couple of days.
- Topical medications are to be used for two to four weeks
- Refrain from wearing eye makeup or contact lenses while using the medications.
- A follow-up visit is typically four weeks after the procedure.