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What is the Red, Tender Bump on my Lid?

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The most likely answer to that question is a stye.  The medical term for a stye is a hordeolum.

Almost all of us will get at least one hordeolum in our lifetime.  Some of us will get them regularly.

A stye is not really an infection, it is just a plugged meibomian gland.  A meibomian gland is an oil gland and each of our eyelashes has one of these oil glands next to it.  These oil glands are a great place for bacteria to live because it is warm, dark, and the oil is a good food source.  There are always a tiny amount of bacteria in those glands.  However, if we are fatigued, dehydrated, under immune stress, or FOR NO REASON AT ALL, those bacteria can become too plentiful.  The excess bacteria cause the oil gland to become clogged and swollen.  The oil in the gland becomes like butter instead of oil and the result is a stye! 

The most important part of the treatment for a stye is warm compresses.  The warm compress really just melts the ‘butter’ back into oil.  To supplement the warm compresses, we often add lid scrubs to clean the eyelash margins after the warm compresses and then complete the treatment with some antibiotic ointment to the lid margins.  The antibiotic ointment is the least important part of the treatment.

The stye may have a pimple like appearance and it can be tempting to pick at it or pop it.  DON’T do that.  Popping it can cause the gland to break inside your lid and those few bacteria can cause a real infection in your lid that require oral antibiotics to treat.

Very rarely, a hordeolum does not resolve with this treatment and surgical removal is required.  This usually only happens when treatment is not initiated quickly enough or the warm compresses are not applied frequently enough or for long enough.

Written by Dr. Sherri Norris

More Articles By Dr. Sherri Norris

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  • Calgary, AB T2P 1R2

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Presbyopia is a condition that can subtly sneak into your life as part of the natural aging process. Around age 40, you might notice that reading small print or focusing on nearby objects becomes more challenging. Because presbyopia is age-related, you can’t reverse it. Treatment usually involves reading glasses or, if you already have a […]

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Our vision is a valuable component of well-being and vision requires ongoing care. Changes in our vision and changing eyeglass needs are a natural part of growing older. However, certain eye conditions can also impair visual clarity.  Glaucoma and cataracts are two of the most common eye conditions affecting Canadians. While they both can affect […]

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A family hiking in a forest, with two adults carrying children on their shoulders, all wearing sunglasses and backpacks.

Sunglasses are more than just a fashion statement—they are essential for protecting your eyes from harmful UV rays. But what happens when your trusty shades get scratched?  Those tiny marks can obscure your vision and take the shine off your favorite pair. Fortunately, with the right techniques, you can minimize or even remove scratches from […]

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