$Unique_ID{BRK02204} $Pretitle{} $Title{Causes and Care of a Stye} $Subject{Stye Care Causes antibiotic eye infection hordeolum microorganisms bacteria Staphylococci glasses refractive error oral antibiotics erythromycin dicloxacillin Meibomian glands creams eyelids} $Volume{} $Log{} Copyright (c) 1993 Tribune Media Services, Inc. Causes and Care of a Stye ------------------------------------------------------------------------------ QUESTION: I have had two attacks of a stye on my left eye. That is also my bad eye, the one that has the thickest lens in my glasses. I was wondering if the two circumstances are connected? Could you also tell me what antibiotic might be good to help with the eye infection? ------------------------------------------------------------------------------ ANSWER: I am glad you recognize a stye (also called a "hordeolum") as an infection, for that knowledge makes the answer a bit easier to understand. All infections are caused by microorganisms, in this case a bacteria. Staphylococci are most commonly the responsible culprit for a stye. The need for glasses is based upon a condition known as a "refractive error". The collection of tissues that make up the eye (the cornea, aqueous humor, the lens itself, and the jelly-like vitreous), which act as lenses, fail to focus the image of the outer world precisely upon the retina, often compared to the film in a camera. And so corrective lenses (glasses) are used to correct the "error". However, this fault can not cause an infection, and so the facts in your case are mere coincidence. The best "cure" for a stye is the discharge of the pus that collects within the lid. That happens rather rapidly, and can be hastened by applying hot compresses to the inflamed area. As soon as the stye "points", when a small yellowish spot forms in the center of the inflamed area, a very sharp scalpel can be used to release the accumulated pus, which also relieves the pain. The use of oral antibiotics can slow this process or stop it completely, and so are generally not used in treating simple styes. However, in cases of chronically ill persons or those with an impaired immune system, dicloxacillin or erythromycin are effective. There is also a form of stye (deep hordeolum) which can involve one of the Meibomian glands that are located within the eyelid. These infections are usually more severe, causing greater pain, redness and swelling. They too resolve rapidly once the pus is out, but there are cases for which oral antibiotics may be required. In any case, local antibiotic creams or usually ineffective and are not recommended. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.