Stye (hordeolum): Causes, Symptoms and Treatment

21 October 2017

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Important for sufferers: Press the sty in no case yourself! In general, the treatment consists initially of it to be seen that the stye bursts by itself and heal. If this is not done, it is advisable to the stye of a ophthalmologist treat to have.

On stye is an acute inflammation of the gland on the eyelid, which was triggered by certain bacteria. Most staphylococci are responsible for the stye: The bacteria ensure that it comes to Liddrüsen eyelid to a collection of pus - a so-called abscess.

The stye is not a hailstone

be differentiated the stye is a similar-looking variation on the eye: the so-called hailstone, fachsprachlich Chalazion. The hailstone is often slightly larger than the barley grain and usually arises when the meibomian glands are clogged on the eye. By the accumulation of exudate is an inflammatory node at the inside of the eyelid forms.

A stye on the eye produced by a Infection with bacteria: In most cases the purulent inflammation of the eyelid glands caused by staphylococci - in rare cases, group A streptococci may be behind it.

The bacteria can get in different ways in the eyes - sometimes poor hygiene and improper care of the eyes is the cause. Who touched with unwashed hands as his eyes and so transmits germs in the eye or from one to the other eye, can easily cause a bacterial infection that may have a Hordeolum result.

In addition, various risk factors which would favor a stye. Among the possible causes of an increased risk of developing barley grains mainly include a weakened immune system and diabetes mellitus (diabetes) because those affected are prone to staph infections of the skin. If a stye again and again, it is therefore advisable to exclude diabetes mellitus. In addition, a Hordeolum often also occurs with acne.

A stye on the eye is usually easy to spot: Typically, the eyelid

These symptoms are a sign that a Liddrüse eyelid inflamed is.

After some time, accumulates in the affected area pus to - similar to a pimple. The stye may also be accompanied by a feeling of tension. If the stye opens by itself in or out, pus drains.

The picture shows a graphical representation of a barley grain.

A stye looks like a small pimple on the edge of the eyelid. Sufferers should not try, even in the stye "herumzudoktorn": This inflammation can spread.

Depending on which Liddrüsen are inflamed in mind, we distinguish the stye two forms:

At the hordeolum internum the Liddrüsen are ignited at the inside of the eyelid - more specifically the so-called meibomian glands. Here, the conjunctiva may be affected. Under certain circumstances, the internal stye is not clearly visible.

At the hordeolum externum however, the symptoms are usually seen clearly because the inflamed glands at the edge of the eyelid are here. More specifically, either the Zeis glands (sebaceous glands), or the Moll glands (sweat) in the region of the edge of the eyelid or eyelashes are hereby affected. 

As a rule, in a stye symptoms limited to the eye. In serious cases, however, a general malaise, fever, or swollen lymph nodes may develop in a Hordeolum. However, this happens very rarely.

A stye can usually fairly straightforward: The doctor recognizes it often has when he looks at the eye affected by the Liddrüsenentzündung (so-called. visual diagnosis): Typically, the eyelid flushed in a barley grain and swollen, whereby a conductor point is located in the center of the eyelid swelling, resembling a pimple.

Are the suet or sweat glands of the eyelid affected, so that the grain of barley is in the edge of the eyelid or eyelashes (external stye or Hordeolum externum), the sight diagnostics succeed easily.

However, if the glands affected on the inside of the eyelid (internal stye or hordeolum internum), the barley grain is not always visible. To make the diagnosis, it is often helpful to turn the eyelid upwards, so that examine the inside of the eyelid can (eversion).

Important to barley grain diagnosis, it is an inflammation of others as the cause of the changes in the eye excluded. So a Hordeolum may at first glance, for example, look like a Inflammation of the lacrimal gland or a hailstone (Chalazion): The latter is a chronic inflammation of the meibomian glands on the inside of the eyelid. Unlike the stye the inflammation-induced swelling does not respond when hailstone to pressure with pain.

The good news: If you have a stye, does not require any special treatment as a rule: The stye bursts after some time of its own accord - and the affected area on the eyelid heals by itself out. Therefore, you can, if at you a stye shows wait with treatment initially. Here, however, one thing is important: The stye express in no case with your fingers!

However, in a barley grain on the eye, a suitable treatment may be the accelerate healing:

Typically, a stye on the eye takes a favorable course: The stye bursts after a period of a few days, after which the inflammation heals by itself the eyelid.

Just Rare there occurs at a stye complications. In some cases, however, styes occur

One reason for this may be a weakened immune system. In very rare cases, barley grains cause Lidabszesse form or that the eyeball inflamed (Orbitalphlegmon).

Generally, it is important for a stye on hygiene to pay attention. As the inflammation of the Liddrüsen can quickly spread from one eye to the other is essential to make sure not to transfer the units responsible for Hordeolum pathogens by the hands of the sick to the healthy eye.

Therefore, valid for a stye: The eyes never touch with unwashed hands! That too Express is of barley grains with your fingers absolutely refrain, since so can result in a protracted course of inflammation.

On the other is the right Hygiene and care of the eyes important if you want to prevent a stye: A hordeolum is caused by bacteria. To prevent bacterial infections of the eyes, it is therefore advisable to wash your hands regularly, especially before and so you do not transfer after touching your eyes any germs in the eye or by an other on the eye.

ICD-10 diagnostic codes:

Here you will find the appropriate ICD-10 code "Barley grain (hordeolum)":


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