Painful Bumps Or Painless Lumps?

How to Manage Styes and Recurring Chalazions

Two eye conditions often confused due to their similar presentation are chalazion and styes. While both involve eyelid inflammation and even have similar treatments, their causes are quite different.

A stye, also known as a hordeolum, occurs when an oil gland at the base of an eyelash or close to the lashline becomes infected. This infection results in a painful red bump on the eyelid, often accompanied by swelling and tenderness. Styes can be external, forming along the lashline, or internal, developing inside the eyelid.

Meanwhile, a chalazion is not caused by an infection but by the blockage of an oil gland. When the gland is obstructed, the oil it produces accumulates within the eyelid itself, typically causing a painless, firm lump on the eyelid. A chalazion is almost like a balloon under the skin. These lumps are typically larger than styes, and oftentimes those who get a chalazion are more likely to develop another. Potential causes for recurring chalazion include skin conditions like acne rosacea or other systemic conditions like diabetes.

Treatment for a stye often involves warm compresses applied to the affected eyelid to encourage drainage of the pus and promote healing. In some cases, a doctor may prescribe antibiotics if the infection is significant.

Chalazions, however, require a slightly different approach. Warm compresses are beneficial for easing any mild discomfort and aiding drainage, but they may need more time to resolve. Persistent cases might necessitate medical/surgical intervention, such as steroid injections or an incision and drainage performed by a professional.

Additionally, Dr. Scott typically recommends improving your oil intake and consuming more omega 3 oils (fish oil) and less omega 6 oils (canola oil, sunflower, safflower soy, sesame, and corn oils). You can often find omega 6 oils in your favorite grocery store salad dressings.

If you experience persistent chalazions, consulting with an eye care professional will help you manage this condition. Our team can provide tailored guidance, perform procedures to expedite the healing process, and help prevent future chalazions with cleansers like Avenova Eyelid Spray or Ocusoft Lid Scrub.

Meet Dr. Scott - Your Dedicated Oculoplastic Surgeon

Renowned for his commitment to enhancing your eyelid and facial appearance while prioritizing your safety. Dr. Scott is board-certified in Ophthalmology and has specialized fellowship training in Ophthalmic Plastic and Reconstructive Surgery.  With extensive training at prestigious institutions, including the Medical College of Virginia, Manhattan Eye, Ear, & Throat Hospital, and the Bascom Palmer Eye Institute, Dr. Scott brings a wealth of expertise to his craft. His accolades, including recognition as a Top Plastic Surgeon by Northern Virginia Magazine, underscore his dedication to excellence. Dr. Scott's passion lies in helping you achieve the best aesthetic results while safeguarding your eyesight.

Location: Fairfax - Northern Virginia

Areas of Expertise: Cosmetic laser eyelid surgery ( blepharoplasty ), ptosis surgery, treatment of benign and malignant eyelid cancers, correction of eyelid malposition – ectropion, entropion repair, and Botox and filler treatment.