Why Do I Keep Getting Recurring Styes?

A stye is an acute infection of an oil gland in the eyelid, typically appearing as a red, tender bump along the lash line or inside the eyelid. The primary cause of a stye is a bacterial infection, most commonly by Staphylococcus aureus bacteria, which normally reside on the skin. While styes often resolve on their own, experiencing them repeatedly can be frustrating. This article explores the underlying reasons why styes recur and outlines strategies to prevent their recurrence.

The Underlying Reasons for Recurring Styes

Several factors can create an environment conducive to the repeated formation of styes. Chronic eyelid conditions are a significant contributor, altering the normal function of the eyelid’s oil glands. Blepharitis, an inflammation of the eyelid margins, can lead to debris and bacterial accumulation, making the eyelids more susceptible to infection and stye formation. Similarly, meibomian gland dysfunction (MGD) occurs when the oil-secreting glands within the eyelids become blocked or their secretions are of poor quality. This blockage can trap bacteria and create an inflammatory response, frequently resulting in styes.

Inadequate hygiene practices also play a substantial role in stye recurrence. Touching the eyes with unwashed hands can introduce Staphylococcus aureus bacteria to the delicate eyelid area, facilitating infection. Improper removal of eye makeup, using old or contaminated cosmetics, and neglecting contact lens care can foster bacterial growth and blockages in the eyelid glands. These habits increase the likelihood of recurring infections.

Beyond local eyelid issues, certain systemic health conditions can increase an individual’s susceptibility to recurring styes. Diabetes, particularly when blood sugar levels are not well-controlled, can impair the immune system’s ability to fight infections. This weakened immune response makes individuals with diabetes more prone to various infections, including styes. Ocular rosacea, a chronic inflammatory condition affecting the eyes and eyelids, is another systemic factor. This condition can lead to inflammation of the eyelid and oil glands, increasing the risk of clogged glands and recurrent styes.

Effective Strategies to Prevent Recurrence

Maintaining consistent eyelid hygiene is a cornerstone of preventing stye recurrence. Daily application of warm compresses can help clear blockages in the oil glands by softening hardened secretions. Following this, gentle eyelid scrubs, using over-the-counter cleansers or diluted baby shampoo solution, can remove bacterial buildup and debris from the lash line. This routine maintains clear gland openings and reduces bacterial load.

Proper makeup and contact lens practices are also crucial for prevention. It is advisable to discard old eye makeup, especially mascara, every three to six months, as these products can harbor bacteria. Avoid sharing eye makeup to prevent bacterial transfer. For contact lens wearers, strict adherence to cleaning, disinfecting, and replacement schedules. Always washing hands thoroughly before handling contact lenses minimizes bacterial introduction.

Managing underlying conditions that predispose individuals to styes is also an important preventative measure. While medical treatments for conditions like blepharitis or MGD require professional diagnosis, daily habits support management. Consistent eyelid hygiene routines directly address the inflammation and blockages associated with these conditions. These daily actions contribute significantly to reducing the frequency of stye episodes.

Knowing When to Seek Medical Attention

While many styes resolve with home care, certain signs indicate medical attention is necessary. If a stye does not show improvement after several days of consistent home treatment, or if it becomes larger or significantly more painful, it warrants a doctor’s visit. Any changes in vision, such as blurriness or light sensitivity, should prompt medical consultation.

Spreading redness or swelling beyond the immediate stye area, extending to the entire eyelid or surrounding facial skin, suggests the infection is worsening or spreading. Difficulty moving the eye or a persistent feeling of a foreign object are also indicators for professional evaluation. Frequent or multiple recurring styes, despite diligent hygiene, suggest an underlying medical cause requiring diagnosis and tailored treatment from a healthcare provider. A medical professional can diagnose the root cause and recommend interventions, which may include prescription medications or, in rare cases, drainage procedures.