Launching September 2027

Stye / Chalazion / Hordeolum

Styes and Chalazia At A Glance

  • A stye, or hordeolum, is a small painful eyelid bump that usually develops when an oil gland or eyelash follicle becomes blocked and infected.
  • A chalazion is a usually firmer, less painful eyelid lump caused by a blocked oil gland rather than an active bacterial infection.
  • Stye symptoms may include redness, tenderness, localized swelling, a small pus-filled center, watery eyes, irritation, or crusting.
  • Risk factors include blocked eyelid glands, blepharitis, rosacea, oily skin, touching the eyes with unwashed hands, contaminated makeup, and poor contact-lens hygiene.
  • Diagnosis is usually made by examining the eyelid and reviewing symptoms.
  • Treatment commonly includes warm compresses and eyelid hygiene, while persistent or severe cases may need medication or drainage by an eye-care professional.

Table of Contents

Table of Contents

What Are Styes and Chalazia?

A stye, medically called a hordeolum, is a small, red, painful bump that develops on or inside the eyelid. It usually forms when an oil gland or eyelash follicle becomes blocked and infected with bacteria.

There are two main types of styes:

  • External Hordeolum: Develops near the base of an eyelash and often looks similar to a small pimple.
  • Internal Hordeolum: Develops inside the eyelid when a deeper oil-producing gland becomes infected.

A chalazion is a firm eyelid lump caused by a blocked oil gland. Unlike a stye, a chalazion is usually not caused by an active bacterial infection and often becomes painless after the initial swelling improves.

A stye may occasionally develop into a chalazion if the infected or inflamed gland remains blocked after the infection improves.

Learn More

Eyelid Disorders – NIH MedlinePlus
https://medlineplus.gov/eyeliddisorders.html

Provides easy-to-understand information about styes, chalazia, blepharitis, and other eyelid conditions.

Stye – NIH MedlinePlus
https://medlineplus.gov/ency/article/001009.htm

Explains the symptoms, causes, diagnosis, and treatment of a stye.

Chalazion – NIH MedlinePlus
https://medlineplus.gov/ency/article/001006.htm

Provides information about blocked eyelid glands, symptoms, treatment, and recovery.

How Common Are Styes and Chalazia?

Styes and chalazia are very common eyelid conditions that can affect people of all ages. Some people develop only one during their lifetime, while others experience recurring eyelid bumps.

People with chronic eyelid inflammation, oily skin, rosacea, or blocked eyelid glands may be more likely to develop repeated styes or chalazia. Children and adults who frequently touch or rub their eyes may also be at increased risk.

Learn More

Stye – Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/17658-stye

Provides patient-friendly information about how common styes are, their causes, and treatment.

Chalazion – American Optometric Association
https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/chalazion

Provides information about chalazia, risk factors, symptoms, and treatment.

What Symptoms Might You Notice?

Symptoms depend on whether the eyelid bump is a stye or chalazion.

Common symptoms of a stye may include:

  • A painful red bump along the eyelid
  • Eyelid tenderness
  • Localized swelling
  • A small yellow or white center containing pus
  • Watery eyes
  • Eye irritation
  • Crusting around the eyelid
  • Sensitivity to light
  • Feeling as though something is in the eye

Common symptoms of a chalazion may include:

  • A firm lump within the eyelid
  • Mild swelling
  • Little or no pain
  • Eyelid heaviness
  • Blurred vision if the lump presses against the eye
  • Redness or tenderness during the early stage

Styes are usually painful and located near the eyelid edge, while chalazia are usually deeper, firmer, and less painful.

How Are Styes and Chalazia Diagnosed?

A healthcare provider can usually diagnose a stye or chalazion by examining the eyelid. They may ask about:

  • When the bump developed
  • Whether it is painful
  • Whether it has grown or changed
  • Previous eyelid bumps
  • Eye discharge or vision changes
  • Contact lens use
  • Eye makeup use
  • History of blepharitis or rosacea

The eyelid may be gently turned inside out to determine whether the lump is located on the inner surface. Additional testing is rarely needed unless the condition is recurrent, unusually persistent, or does not appear typical.

Learn More

Stye – NIH MedlinePlus
https://medlineplus.gov/ency/article/001009.htm

Explains how healthcare providers identify and evaluate styes.

Chalazion – American Optometric Association
https://www.aoa.org/healthy-eyes/eye-and-vision-conditions/chalazion

Provides information about diagnosing a chalazion and distinguishing it from a stye.

Stye / Chalazion / Hordeolum infographic – click to enlarge

What Causes Styes and Chalazia?

A stye usually develops when bacteria infect an oil gland or eyelash follicle. The bacteria involved are often normally present on the skin but may enter a blocked gland and cause inflammation.

A chalazion develops when a meibomian gland inside the eyelid becomes blocked and traps oily material.

Common causes and risk factors include:

  • Blocked eyelid oil glands
  • Bacterial infection
  • Blepharitis
  • Rosacea
  • Oily skin
  • Touching the eyes with unwashed hands
  • Wearing contaminated eye makeup
  • Improper contact lens hygiene
  • Leaving eye makeup on overnight
  • Previous styes or chalazia
  • Certain inflammatory skin conditions

Learn More

Blepharitis – National Eye Institute
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/blepharitis

Explains how eyelid inflammation and blocked oil glands may contribute to styes and chalazia.

Stye – Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/sty/symptoms-causes/syc-20378017

Provides information about the causes and risk factors for styes.

What Can Make Styes and Chalazia Worse?

Several factors may worsen eyelid swelling, delay healing, or increase the risk of infection.

Common factors include:

  • Squeezing or attempting to pop the lump
  • Rubbing or touching the eyelid
  • Wearing contact lenses during active symptoms
  • Using eye makeup while the eyelid is inflamed
  • Poor eyelid hygiene
  • Using contaminated makeup or contact lens equipment
  • Failing to treat chronic blepharitis
  • Applying very hot compresses that may burn the skin
  • Delaying medical care when redness or swelling is spreading

Do not puncture, squeeze, or attempt to drain a stye or chalazion at home. This may spread infection or injure the eyelid.

Learn More

Stye – NHS
https://www.nhs.uk/conditions/stye/

Provides self-care advice and explains what to avoid when treating a stye.

Prevention

Styes and chalazia cannot always be prevented, but healthy eyelid habits may reduce the risk.

Helpful prevention tips include:

  • Wash your hands before touching your eyes.
  • Avoid rubbing your eyelids.
  • Remove eye makeup every night.
  • Do not use expired or contaminated eye makeup.
  • Avoid sharing makeup or eye-care products.
  • Follow proper contact lens cleaning instructions.
  • Replace contact lens cases regularly.
  • Clean the eyelids as recommended if you have blepharitis.
  • Manage rosacea and other chronic skin conditions.
  • Avoid attempting to squeeze or drain eyelid bumps.
  • Attend regular eye examinations if symptoms frequently recur.

Learn More

Eye Care – NIH MedlinePlus
https://medlineplus.gov/eyecare.html

Provides guidance for maintaining healthy eyes and obtaining appropriate eye care.

Learn More About Styes and Chalazia

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Most styes and chalazia do not require laboratory testing.

Laboratory testing may be considered when the eyelid infection is severe, recurrent, or does not improve with treatment.

Possible laboratory tests may include:

  • Bacterial Culture: A sample of drainage may be collected to identify the bacteria causing an infection.
  • Antibiotic Sensitivity Testing: Determines which antibiotic is most effective against the identified bacteria.
  • Blood Glucose or Hemoglobin A1C: May be checked if frequent infections raise concern for diabetes.
  • Biopsy Testing: Tissue may be examined if a recurrent or unusual eyelid lump could represent another condition.

Learn More

Laboratory Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides information about common laboratory tests that may be used when infection or another condition is suspected.

Diagnostics

Most people do not require imaging or advanced diagnostic testing.

Common evaluations may include:

  • Visual Acuity Testing: Checks whether the eyelid lump is affecting vision.
  • Slit-Lamp Examination: Allows an eye-care professional to closely examine the eyelid, eyelashes, tear film, and eye surface.
  • Eyelid Eversion: The eyelid is gently turned outward to examine an internal stye or chalazion.
  • Biopsy: May be recommended when a lump repeatedly returns in the same location, causes eyelash loss, bleeds, or does not respond to treatment.

A persistent or recurrent chalazion should be evaluated by an eye-care professional because some uncommon eyelid conditions can resemble a chalazion.

Learn More

Eye Health – American Academy of Ophthalmology
https://www.aao.org/eye-health

Provides ophthalmologist-reviewed information about eyelid disorders and eye examinations.

Treatment & Management

Treatment Options

Most styes and chalazia improve with conservative treatment.

Treatment options may include:

  • Warm compresses
  • Gentle eyelid massage
  • Eyelid hygiene
  • Avoiding contact lenses and eye makeup
  • Antibiotic ointment for selected infected styes
  • Oral antibiotics if infection spreads beyond the eyelid gland
  • Steroid injection for selected persistent chalazia
  • Surgical drainage or removal when a lump does not resolve

Warm compresses help soften blocked oil and encourage natural drainage. Chalazia often resolve without invasive treatment, although improvement may take several weeks.

Learn More

Stye – Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/17658-stye

Provides information about home care and medical treatment for styes.

Chalazion – Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/17657-chalazion

Explains chalazion treatment, recovery, and when procedures may be needed.

Lifestyle Changes

Healthy eyelid habits may support healing and reduce future episodes.

Helpful lifestyle changes include:

  • Wash your hands before touching your eyes.
  • Clean your eyelids gently as recommended.
  • Remove eye makeup before sleeping.
  • Replace old or contaminated eye makeup.
  • Avoid sharing makeup, towels, or washcloths.
  • Clean contact lenses and cases properly.
  • Replace contact lens cases regularly.
  • Manage blepharitis or rosacea with your healthcare provider.
  • Avoid rubbing your eyes.
  • Take breaks from contact lenses when eyelid irritation develops.

Learn More

Blepharitis – National Eye Institute
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/blepharitis

Provides practical information about eyelid hygiene and managing blocked eyelid glands.

Medications

Most styes and chalazia do not require medication.

Medications that may be recommended include:

  • Antibiotic Eye Ointment: May be prescribed when a bacterial infection is present or draining along the eyelid margin.
  • Oral Antibiotics: May be needed if infection spreads into the surrounding eyelid tissue or is associated with severe blepharitis.
  • Anti-inflammatory Medication: May help relieve discomfort when appropriate.
  • Steroid Injection: May be administered by an eye-care professional to reduce inflammation in a persistent chalazion.

Antibiotics generally do not eliminate an uncomplicated chalazion because a chalazion is primarily caused by a blocked gland rather than an active infection.

Do not use leftover antibiotic or steroid eye medication without medical guidance. Steroid eye medications can cause serious complications when used incorrectly.

Learn More

Eyelid Disorders – NIH MedlinePlus
https://medlineplus.gov/eyeliddisorders.html

Provides information about styes, chalazia, and other eyelid conditions.

Procedures

Most styes and chalazia do not require invasive procedures. However, an eye-care professional may recommend a procedure if the lump is large, affects vision, repeatedly returns, or does not improve with conservative care.

Common procedures may include:

  • Incision and Drainage: A small opening is made to drain a persistent stye.
  • Incision and Curettage: The eyelid is numbed, a small incision is made, and material is removed from a persistent chalazion.
  • Corticosteroid Injection: Medication is injected into a chalazion to reduce inflammation.
  • Biopsy: Tissue is collected for laboratory examination if the lump is recurrent, atypical, or suspicious.
  • Eyelid Examination and Gland Expression: An eye-care professional may examine and clear blocked eyelid glands.

These procedures should only be performed by a qualified healthcare professional. Attempting to drain an eyelid lump at home may spread infection or damage the eyelid.

Learn More

Chalazion – American Association for Pediatric Ophthalmology and Strabismus
https://aapos.org/glossary/chalazion

Provides information about chalazion treatment and procedures, including care for children.

What Should You Expect Long-Term?

Most styes begin improving within several days and heal without long-term complications. A chalazion may take several weeks or sometimes longer to completely disappear.

Some people experience recurrent styes or chalazia, especially if they have:

  • Chronic blepharitis
  • Rosacea
  • Oily eyelid glands
  • Poor eyelid hygiene
  • Repeated eye rubbing
  • Certain chronic medical conditions

A large chalazion may temporarily blur vision by pressing against the surface of the eye. Persistent or repeatedly recurring eyelid lumps may require examination by an ophthalmologist.

What Can You Do At Home?

Home care is often effective for uncomplicated styes and chalazia.

Helpful tips include:

  • Apply a clean, warm compress to the closed eyelid for approximately 10–15 minutes.
  • Repeat the warm compress several times each day.
  • Gently massage the eyelid after the compress if recommended.
  • Use clean hands and a fresh washcloth.
  • Keep the eyelid clean.
  • Avoid squeezing or popping the lump.
  • Stop wearing contact lenses until symptoms improve.
  • Avoid eye makeup until the eyelid has healed.
  • Discard contaminated makeup or disposable contact lenses as directed.
  • Follow all medication instructions carefully.

The compress should feel comfortably warm, not hot enough to burn the skin.

Learn More

Chalazion – NIH MedlinePlus
https://medlineplus.gov/ency/article/001006.htm

Provides practical recommendations for warm compresses, eyelid care, and recovery.

Frequently Asked Questions

What is the difference between a stye and a chalazion?

A stye is usually painful and caused by an infected eyelid gland or eyelash follicle. A chalazion is generally a painless, firm lump caused by a blocked oil gland.

Is a stye contagious?

A stye itself is not usually considered contagious, but bacteria from the eyelid can spread through contaminated hands, towels, makeup, or eye-care products.

Should I pop a stye?

No. Squeezing or popping a stye can spread infection and damage the eyelid.

How long does a stye last?

Many styes improve within several days and heal within one to two weeks, although recovery time varies.

How long does a chalazion last?

A chalazion may take several weeks or occasionally longer to disappear completely.

Can I wear contact lenses with a stye or chalazion?

It is generally best to stop wearing contact lenses until the eyelid has healed and an eye-care professional says it is safe to resume.

Can a chalazion affect vision?

A large chalazion may temporarily blur vision by pressing against the eye.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • Is this a stye or a chalazion?
  • Does it appear infected?
  • Should I use an antibiotic ointment?
  • How often should I apply warm compresses?
  • When can I wear contact lenses again?
  • Should I replace my contact lenses or eye makeup?
  • Do I need a steroid injection or drainage procedure?
  • Why do my eyelid bumps keep returning?
  • Should I see an ophthalmologist?

Specialist Referrals

Most uncomplicated styes and chalazia can be treated by a primary care provider, optometrist, or ophthalmologist.

You may be referred to:

  • Optometrist: Evaluates common eyelid and eye-surface conditions.
  • Ophthalmologist: Treats persistent, recurrent, large, or complicated eyelid lumps.
  • Oculoplastic Surgeon: Performs specialized eyelid procedures when needed.
  • Dermatologist: May help manage rosacea or other skin conditions contributing to recurrent eyelid inflammation.
  • Primary Care Provider: Evaluates underlying conditions such as diabetes when infections repeatedly occur.

Learn More

American Academy of Ophthalmology – Eye Health
https://www.aao.org/eye-health

Provides patient education about eyelid conditions, eye specialists, and treatment options.

Are Styes and Chalazia Curable?

Yes. Most styes and chalazia are temporary and resolve completely with appropriate care.

A stye generally improves as the infection drains and inflammation decreases. A chalazion often resolves when the blocked gland gradually opens and the trapped material is absorbed or drained.

Some people develop recurrent eyelid bumps because of chronic blepharitis, rosacea, or gland dysfunction. Treating the underlying condition may reduce future episodes.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Sudden vision loss
  • Major eye trauma
  • Severe eye pain with nausea or vomiting
  • Severe swelling accompanied by difficulty breathing or another serious allergic reaction

Seek urgent medical evaluation if you notice:

  • Pain when moving the eye
  • Reduced or blurred vision
  • Fever with spreading eyelid redness or swelling
  • The eye appearing to bulge forward
  • Severe headache with eye swelling
  • Redness spreading into the cheek or surrounding facial tissue
  • Difficulty opening the eye
  • Symptoms that rapidly worsen
  • A recurrent lump in the same location
  • Eyelash loss, bleeding, or an irregular eyelid growth

Spreading redness, fever, eye-movement pain, or vision changes may indicate cellulitis around or behind the eye, which requires prompt treatment.

Learn More

Orbital Cellulitis – NIH MedlinePlus
https://medlineplus.gov/ency/article/001012.htm

Explains the warning signs of a serious infection involving the tissues around the eye.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Eyelid Disorders – NIH MedlinePlus
https://medlineplus.gov/eyeliddisorders.html

Easy-to-understand information about styes, chalazia, blepharitis, and other eyelid conditions.

Stye – NIH MedlinePlus
https://medlineplus.gov/ency/article/001009.htm

Provides information about stye symptoms, diagnosis, treatment, and recovery.

Chalazion – NIH MedlinePlus
https://medlineplus.gov/ency/article/001006.htm

Provides information about chalazion symptoms, home care, procedures, and recovery.

Blepharitis – National Eye Institute
https://www.nei.nih.gov/eye-health-information/eye-conditions-and-diseases/blepharitis

Reliable patient education about eyelid inflammation and blocked oil glands.

American Academy of Ophthalmology – Eye Health
https://www.aao.org/eye-health

Ophthalmologist-reviewed education about eyelid conditions, eye symptoms, and treatment.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider or eye-care professional. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact a healthcare provider if the eyelid bump worsens, does not improve, repeatedly returns, affects your vision, or is accompanied by spreading redness or fever. Seek immediate medical care for sudden vision loss, severe eye pain, pain with eye movement, a bulging eye, rapidly spreading facial swelling, major eye trauma, or another medical emergency.

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