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What is the difference between a stye and a chalazion?

Published in Eyelid Conditions 3 mins read

While both styes and chalazia are common eyelid bumps, the main difference lies in their cause, location, pain level, and how they develop and resolve. A stye is typically a painful, acute infection on the eyelid's edge, often involving an eyelash follicle, whereas a chalazion is usually a less painful, chronic lump on the inner eyelid, resulting from a blocked oil gland.

Key Distinctions Between Styes and Chalazia

Understanding the specific characteristics of each condition helps in identifying them correctly. Styes are acute bacterial infections, similar to a pimple, that appear quickly. Chalazia, on the other hand, are inflammatory responses to a blocked oil gland that tend to develop more slowly and are often not painful.

Here's a breakdown of their primary differences:

Feature Stye (Hordeolum) Chalazion
Pain Often very painful and tender Usually less painful, often painless
Onset Comes on quickly Develops slowly, often over days or weeks
Cause Acute bacterial infection of an eyelash follicle Blocked or inflamed meibomian (oil-secreting) gland
Location Edge of the eyelid, often near an eyelash follicle Inside edge of the eyelid (conjunctival side), away from the lash line
Appearance Red, swollen, pimple-like bump Firm, round lump
Outcome Eventually breaks open and drains, resolving the infection May persist as a lump, sometimes requiring medical intervention

Understanding Styes (Hordeola)

A stye, also known as a hordeolum, is an acute infection that affects the oil glands or hair follicles along the edge of the eyelid.

  • Painful: Styes are typically quite painful to the touch and can make blinking uncomfortable.
  • Quick Onset: They develop rapidly, often appearing overnight.
  • Location: They are usually found on the very edge of the eyelid, often at the base of an eyelash.
  • Appearance: A stye looks like a red, swollen bump, often with a small pus-filled head, similar to a pimple.
  • Resolution: They often resolve on their own within a few days to a week, usually by breaking open and draining the pus.

For more information on general eye conditions, you can visit the American Academy of Ophthalmology.

Understanding Chalazia

A chalazion is a non-infectious lump that forms on the eyelid due to a blocked meibomian gland, which produces oil to lubricate the eye. When this gland gets clogged, the oil builds up, leading to an inflammatory reaction.

  • Less Painful: Chalazia are generally less painful than styes, and many people report them being completely painless.
  • Slow Development: They tend to develop gradually over several days or even weeks.
  • Location: Chalazia are typically located on the inner surface of the eyelid, further back from the edge than a stye.
  • Appearance: They appear as a firm, round lump under the skin of the eyelid.
  • Resolution: While some chalazia resolve on their own, often with warm compresses, others can persist for weeks or months and may require medical treatment such as steroid injections or surgical removal.

When to Seek Professional Help

While both styes and chalazia often resolve with home care like warm compresses, it's important to consult an eye care professional if:

  • The bump is very large or affecting your vision.
  • The redness and swelling spread to other parts of your face.
  • The bump doesn't improve after a week or two of home treatment.
  • You experience recurrent styes or chalazia.
  • You have any concerns about your eye health.