Most bumps on the eyelid are styes. A stye is an inflamed oil gland on the edge of your eyelid, where the eyelash meets the lid. It appears as a red, swollen bump that looks like a pimple. It is often tender to the touch.
Bump on the eyelid; Stye; Hordeolum
A stye is caused by a blockage of one of the oil glands in the eyelids. This allows bacteria to grow inside the blocked gland. Styes are a lot like common acne pimples that occur elsewhere on the skin. You may have more than one stye at the same time.
Styes most often develop over a few days. They may drain and heal on their own. A stye can become a chalazion, which occurs when an inflamed oil gland becomes fully blocked. If a chalazion gets large enough, it can cause trouble with your vision.
Styes can be made worse by the presence of Demodex, a mite commonly found on human skin. Demodex has been identified as a cause of blepharitis. If you have blepharitis, you are more likely to get styes.
Other possible common eyelid bumps include:
In addition to the red, swollen bump, other possible symptoms of a stye include:
In most cases, your health care provider can diagnose a stye just by looking at it. Tests are rarely needed.
To treat eyelid bumps at home:
For a stye, your doctor may:
Styes often get better on their own. However, they may return. If bleparitis is present, treating it may help prevent a recurrence of the stye.
The outcome is almost always excellent with simple treatment.
Sometimes, the infection may spread to the rest of the eyelid. This is called eyelid cellulitis and may require oral antibiotics. This can look like orbital cellulitis, which can be serious problem, especially in children.
Contact your provider if:
Always wash your hands very well before touching the skin around your eye. If you are prone to getting styes or have blepharitis, it may help to carefully clean off excess oils from the edges of your lids. To do this, use a solution of warm water and no-tears baby shampoo.
Fish oil taken by mouth may help prevent plugging of the oil glands. Treating for Demodex may also be helpful. An eye drop for this condition should be available in the near future. Your provider may also suggest using tea tree oil on the lids for Demodex.
Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.
Dupre AA, Voita LR. Red and painful eye. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 18.
Neff AG, Chahal HS, Carter KD. Benign eyelid lesions. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 12.7.
Sciarretta V, Dematte M, Farneti P, et al. Management of orbital cellulitis and subperiosteal orbital abscess in pediatric patients: A ten-year review. Int J Pediatr Otorhinolaryngol. 2017;96:72-76. PMID: 28390618 pubmed.ncbi.nlm.nih.gov/28390618/.
Wu F, Lin JH, Korn BS, Kikkawa DO. Benign and premalignant tumors of the eyelid. In: Fay A, Dolman PJ, eds. Diseases and Disorders of the Orbit and Ocular Adnexa. Philadelphia, PA: Elsevier; 2017:chap 22.
Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.