A chalazion/stye can occur on the outer angle of the eyelid. A chalazion/stye can occur at the eyelid edge. This large chalazion is most likely painful and must be treated vigorously to avoid developing bacterial complications. A chalazion/stye can occur on the inner surface of the eyelid (tarsal side). A cheese-like (sebaceous) discharge from the chalazion is often seen, especially after applying hot compresses.
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Picture of Stye (Hordeolum and Chalazion): A chalazion/stye can occur on the outer angle of the eyelid. Divider line
A chalazion/stye can occur on the outer angle of the eyelid.
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Self-Care Guidelines
Apply frequent (4–6 times daily) very warm compresses until there is no more drainage from the stye or chalazion. The compresses must be hot enough to help drain the growth yet not so hot as to burn the very delicate eyelid skin. It usually takes 7–10 days, at most, for the problem to resolve. Good lid hygiene is also mandatory. Over-the-counter ointments or drops have no treatment value.

Note: Recurring styes or chalazions without other related factors suggest possible serious disease. With the start of very warm compresses, the growth may get larger temporarily before draining.
When to Seek Medical Care
You should seek medical advice if:

  • The eyelids are swollen shut.
  • There is no improvement after using frequent very warm compresses for 10–14 days.
  • There is pus or very thick drainage from the eye.
  • Pain or tenderness is increasing despite compresses.
  • The swelling is increasing beyond the first 2–3 days.
  • The eyelid is hot to the touch.
  • You develop a fever.
  • Recurrences are frequent, especially at the same location.
  • Progressive vision changes are experienced, including double vision.

Last Modified: 6 Feb 2008
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