A female asked:
What does sore, swollen and red eye mean? my left bottom eye lid has been hurting for a few days now, feels kind of like a pimple to the touch and when i blink. i woke up this morning and my eye was swollen on the bottom lid and under my eye, red and sti
2 doctor answers • 4 doctors weighed in
Dr. Andrew Doananswered
Ophthalmology 22 years experience
What : What you describe sounds like a chalazion or commonly known as a stye. Try placing a warm wash cloth on the lid three or four times daily. If the stye does not go away, there are other treatment options and surgical options you may discuss with your ophthalmologist.
Styes can also be associated with lid margin disease.
Lid margin disease is a common and frequently chronic inflammation of the eyelids. Symptoms include irritation, itching, and, occasionally, a red eye. This condition frequently occurs in people who tend to have oily skin, dandruff, or dry eyes.
Bacteria normally reside on the skin, but in some people, they thrive in the skin at the base of the eyelashes. Nearby oil glands may be overactive, causing dandruff-like scales and particles to form along the lashes and eyelid margins, which can cause redness, stinging, or burning.
Lid margin disease cannot be cured, but it can be controlled with a few simple, daily hygienic measures, such as the following:
at least twice a day, place a warm, wet washcloth over your closed eyelids for a minute. Rewet it as it cools, two or three times. This will soften and loosen scales and debris. More important, it helps liquefy the oily secretions from the eyelids’ oil glands, which helps prevent the development of a chalazion, an inflamed lump in an eyelid oil gland.
With your finger covered with a thin, wet washcloth, cotton swab, or commercial lint-free pad, gently scrub the base of the lashes for about 15 seconds per lid.
When medications are necessary, they may include:
artificial tears (over-the-counter eyedrops) to relieve symptoms of dry eye;
antibiotics (oral or topical) to decrease bacteria on the eyelids; and
steroids (short-term), to decrease inflammation.
Medications alone are not sufficient to control lid margin disease; the application of warmth and detailed cleansing of the lashes daily is the key.
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Dr. Jay Bradleyanswered
Cornea, Cataract, & Refractive (LASIK & PRK) Surgery 20 years experience
Stye treatment: Warm compresses and ocusoft plus lid scrubs, artificial tears, and possible antibiotic/steroid eye medication. If no improvement, intralesional steroid injection and/or excision and drainage.
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