As a result of the imbedded and central lid location, an internal hordeolum is generally more painful than a stye. Treatment is likewise the same, except antibiotic therapy is more often necessary. These are stye-like swellings in the lid that are usually not directly caused by infection. Chalazions are most often caused by an accumulation of meibomian gland secretions resulting from a blockage of the duct. Occasionally, if the chalazion becomes large enough, it may press on the cornea causing distortion of the tissue, resulting in astigmatism and blurred vision.
Chalazion are more resistant to home treatment than hordeolum.
Frequent, warm compresses over a period of weeks are often recommended. There is medical treatment for quicker response and recovery, relief of discomfort, and improvement of the cosmetic effect. A hard or growing mass in the eyelid that does not respond to warm compresses quickly should be referred to an eye doctor. The above conditions most often resolve without any lasting consequences. Individuals with frequent recurrence should consult with an eye doctor as chronic inflammations can result in cosmetic effects and functional impairment of the eyelids.