A stye is the most common localized infection of one of the glands of the eyelid margin (Fig. 41-7). It is an acute boil-like lesion, and the patient usually has a swollen, tender, red eyelid. There may be a moderate amount of conjunctival injection. Treatment includes warm compresses for 15 minutes four times per day and topical antibiotics. Systemic antibiotics are usually not indicated unless there is a preseptal cellulitis component. Generally, the stye drains spontaneously within several days. If resolution does not occur within 2 weeks, the patient should be referred.

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