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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Recurrent Stye In The Eyes Be Treated?

Hi, I have had recurring styes for about a month, my Eye Dr. prescribed compresses and ointment a week ago, but now I have one bigger and worse than the others along with upper cheek swelling and a sinus headache, could my stye be the result of a sinus infection? I have a pack of methylprednesone that I was prescribed previously for a sinus infection, but didnt take due to reading about side effects, but I m thinking I should take this now. Will it help?
Thu, 15 Mar 2018
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Anesthesiologist,  's  Response
Hello,

Both of your complaints don't have any association between them. Let me first explain you about stye:

1) Probable causes of recurrent stye: Meibomian gland (sebaceous glands in eyelid) dysfunction, blepharitis (fungal infection of eyelid mostly due to dandruff), elevated serum cholesterol, occular rosacea.

2) Another important cause of recurrent stye, though not common is immunoglobulin M (IgM) deficiency.

3) Treatment:
a) Maintaining lid hygiene
b) Warm compresses, topical antibiotic cream
c) Massages of the lesion for 10 min 4 times/day
d) Systemic antibiotics are recommended in recurrent stye (as is your case)
e) If the stye is very close to eye lash, removal of eyelash helps in effective drainage.

So, kindly discuss the above points with your ophthalmologist such that he can prescribe systemic antibiotics that would suit you. Regarding sinus infection, I'll give you a detailed account of treatment regimen:

1) Oral antibiotics like Amoxicillin with/without Clavulanate for 5-10 days
2) Intranasal steroid sprays, decongestant-oxymetazoline spray
3) Oral analgesics like Acetaminophen, Ibuprofen. Thus if your pack of steroids is for intranasal route, you can proceed to use it.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Pallavi.m
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How Can Recurrent Stye In The Eyes Be Treated?

Hello, Both of your complaints don t have any association between them. Let me first explain you about stye: 1) Probable causes of recurrent stye: Meibomian gland (sebaceous glands in eyelid) dysfunction, blepharitis (fungal infection of eyelid mostly due to dandruff), elevated serum cholesterol, occular rosacea. 2) Another important cause of recurrent stye, though not common is immunoglobulin M (IgM) deficiency. 3) Treatment: a) Maintaining lid hygiene b) Warm compresses, topical antibiotic cream c) Massages of the lesion for 10 min 4 times/day d) Systemic antibiotics are recommended in recurrent stye (as is your case) e) If the stye is very close to eye lash, removal of eyelash helps in effective drainage. So, kindly discuss the above points with your ophthalmologist such that he can prescribe systemic antibiotics that would suit you. Regarding sinus infection, I ll give you a detailed account of treatment regimen: 1) Oral antibiotics like Amoxicillin with/without Clavulanate for 5-10 days 2) Intranasal steroid sprays, decongestant-oxymetazoline spray 3) Oral analgesics like Acetaminophen, Ibuprofen. Thus if your pack of steroids is for intranasal route, you can proceed to use it. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Pallavi.m