Hi doctor, I have recently developed something that looks like a stye but is not where most are positioned. The stye is on the center of the eyelid just above the pupil area when the eye is closed. I was wondering how to get rid of it as it is disturbing my vision every often. The eye is dry all the time and aches once in a while but the stye is not painful at all. If there is any help or advise you could give to attend this matter, that would be highly appreciated.
Hello. I have gone through your photo attachments (attachment removed to protect patient identity) and understand your concerns. Since the swelling is not at the eyelid margin, it could be an internal type of the stye called hordeolum internum. A stye is expected to have symptoms such as pain, redness and watering and frequently goes away with treatment in a few days. Suppose the swelling has been present since a few weeks and has no pain, it might have progressed from a stye to a chalazion, this stage needs surgical treatment. There also is the possibility that the swelling may not be a stye. It could a cystic or fibrous swelling. A simple eye examination will be able to diagnose these lesions. So, I advise you to continue with the eye ointment and give hot fomentation with a clean cloth or some cotton. This will help for both stye and chalazion. If the swelling shows no signs of reduction, I suggest that you meet with an ophthalmologist.