Cleaning of eyelashes or removal of a few affected lashes may improve drainage and reduce recurrence. The most frequent complication is progression to a chalazion that causes cosmetic deformity, corneal irritation, or the need for surgical removal. Complications of improper drainage are disruption of lash growth, lid deformity, or lid fistula. Generalized eyelid cellulitis may develop if an internal hordeolum is untreated. Spontaneous healing is common.
Frequent recurrences are common.
For prevention, educate patients about lid hygiene. Instruct patients not to squeeze a stye, because infection may spread to adjacent tissues. Blepharitis, hordeola, and chalazia. Medicine is a constantly changing science and not all therapies are clearly established. New research changes drug and treatment therapies daily.