What to do if a child has a stye in his eye

A stye is also called a sty. In traditional Chinese medicine, a stye is called a stye or a sty. The bacteria that cause styes are mostly Staphylococcus aureus, and this eye disease is also the most common type of eye disease in children. The symptoms are often characterized by local redness, swelling, pain, nodules and yellow pus spots. Children are active by nature and often rub their eyes with hands that are contaminated with bacteria. At this time, bacteria will enter the eye and form a stye.

1. Types of sty

1. External stye

Initially, the eyelid margin is locally congested and swollen, and a nodule forms after 2 to 3 days. There is obvious pain and tenderness. Later, the nodule gradually softens and a yellow pustule forms at the root of the eyelashes, which breaks through and discharges pus quickly. Severe cases may have systemic symptoms such as chills and fever.

2. Internal stye

It is an acute purulent inflammation of the meibomian glands. Its clinical symptoms are not as severe as those of external hordeolum, because the inflamed meibomian glands are surrounded by firm tarsal tissue. Yellow pus masses are often faintly visible on the surface of the congested palpebral conjunctiva, which may break through and discharge pus into the conjunctival sac on their own. The opening of the meibomian glands may be slightly raised and congested.

Second, the treatment method of stye

1. Local heat

Let your child lie down flat when she is calm. Then put the towel in the hot hand and wring it out (there should be a little water on the towel, not too dry) and then control the temperature of the hot towel to a level that the child can accept (you can try it on your own eyes first, the temperature of the hot compress should not be too high, so as not to scald the child, but the temperature should not be too low, otherwise the effect of the hot compress will not be very good.) Then apply the hot towel to the child's eyes, pay attention to the temperature control, replace the towel in time when it is cold, each hot compress time should not be less than 30 minutes, three times a day (can also be increased).

1. Systemic and topical antibiotic therapy

   It can promote the disappearance of inflammation. Penicillin antibiotics can be taken orally, injected intramuscularly or intravenously. They are very effective against pyogenic bacteria. Eye drops can be applied topically, generally 0.25% chloramphenicol eye drops are sufficient. If there is a lot of secretion, rifampicin eye drops can be used for better results. Children can apply chloramphenicol eye ointment after falling asleep.

   3. Surgical incision and drainage

   Surgical incision and drainage of pus does not require waiting for spontaneous ulceration, which can reduce the patient's pain and shorten the course of treatment. When pus is formed, it can be drained by incision, but it should be noted that the incision for external hordeolum should be parallel to the eyelid margin, and the incision for internal hordeolum should be perpendicular to the eyelid margin. Avoid inappropriate squeezing to prevent the inflammation from spreading to the orbit and cranium and causing orbital cellulitis, etc. When pus appears, do not squeeze it with your hands. This is because the eyelids are rich in blood vessels, the ocular veins are connected to the veins in the orbits, and to the cavernous sinuses in the skull. The ocular veins have no venous valves, and blood can flow back in all directions. Squeezing it can spread the inflammation and cause serious complications. Do not rub your eyes with dirty hands to avoid bringing bacteria into the eyes and causing infection.