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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11278
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My brother has many stays under his eyelid...has had surgery

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My brother has many stays under his eyelid...has had surgery in the past to drain them and was on antibiotic ung to treat it is happening again...what causes this?

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Normally recurrent styes like your brother is experiencing is caused by a few issues acting all at once.

Dr. Rick :

We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)

Customer: replied 5 years ago.
What would cause one person to get numerous sties like that? And how could this be prevented ?

We have been experiencing technical difficulties with the chat system. Please allow me to retype my chat here for your review:

Normally recurrent styes like your brother is experiencing is caused by a few issues acting all at once, issues such as dry eyes, alleges and blepharitis.

When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.

Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.

The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.

Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.

Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.

Have your brother give this home therapy a try.

Does this make sense to you?

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Let me know if you have further questions.

Looks like the font is messing up now too :(

Sorry about that.....
I see you have given me a poor rating.

I would be happy to review any further questions you may have until you are satisfied with the answer you receive. I await your reply.
Customer: replied 5 years ago.
I am rating the whole just answer experience...system not working right now
Unfortunately, the computer doesn't care that it has a poor rating......but I do :(

If my answer was good, please give a good rating for me. I will tell the engineers about the technical problems. They frustrate me just as much as they do you.
Customer: replied 5 years ago.
Back to my brother then...

He doesn't have allergies...I do know that his sweat sometimes gets in his eyes and they burn though...any connection?
In any given patient all three or just one or two of the issues I discussed can be causing the problem. The good news is that lid scrubs attack all the issues that may be present.

I do not believe this is from his sweat getting in his eye.

Give this home treatment a month or so and see how thing go. If he is still getting a lot of styes then a trial of doxycycline 100 mg/day may be helpful. This medicine works by not only killing any bacteria but by actually improving the function of the meibomian glands in the eyelids.
Customer: replied 5 years ago.

Is that an eye drop or ointment or is that by mouth?
That is a pill by mouth.

Drops and ointments can't get into the glands where the actual problem is located.
Customer: replied 5 years ago.

I'll talk with him about it....thanks so much and sorry about the rating I gave the system and it's problems. It must be frustrating for you because I know how I feel and I've not been on for long.

Thanks for your understanding Theresa.

Hopefully they will have the glitches out soon.

If you mash the excellent or good button I would appreciated it as it will correct the prior bad rating.

I wish the best for your brother.

Have a good day.
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