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Boil in eye, recurring despite surgery. Is it serious?

hello doctor.. i have a friend who has a boil in his right eye .. he had an operation to get rid of that boil.. n it went fine..after few days the boil came back again in the same place...n he had his operation once again. the dr said the boil must not come back now. but after few days again the boil came back again in the same place. what does this suppose to mean doctor???? is it something serious? :(
Asked On : Wed, 2 May 2012
Answers:  2 Views:  147
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Ophthalmologist 's  Response

there are a couple of things more than what Dr Habib has said.

Is this boil painful? - if yes then what is most important is the post surgical hygiene. I would advise your friend to do the following things
1. give hot compressess to the eyelids once or twice in the days.
2. this should be followed by gentle massage of the eyelids to remove any scretions
3. the eyelids have to be washed with a very mild shampoo like a baby shampoo. this removes most of the dirt accumulating there and helps prevent boil formation.

If the boil if of the non painful variety and is coming back again and again at the same place then it can be something serious. there is a entity called sebaceous cell carcinoma or a type of cancer that can present in this way. Its better to do a histopathology study of the exceised material to rule of SCC. this generally presents in the advanced age though.

Hope this helps. Do get back to us with the progress on your friend.
Answered: Fri, 1 Jun 2012
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General & Family Physician Dr. Muhammad Ishfaq Habib's  Response
boil is the infection of the hair follicle. doesn't matter how much time you perform surgeries for boil unless and until you eliminate the primary source of infection that is infection the hair follicle. what you have to do for the boil this time is get the pus from the boil on the cotton swab and send it for culture and sensitivity. you will get the causative organism and sensitive antibiotic against it. complete the course of the antibiotic and hope your friend get rid of the recurent boils
with regards
Answered: Wed, 2 May 2012
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