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What should I do about bumps caused by chafing around the eyes?

Feb 22, 2023 Source: Cainiu Health
Dr. Cui Xin
Introduction
Eyelid bumps may result from foreign substances such as dust or sand entering the eye and irritating the conjunctiva. The eye can be rinsed with normal saline, or antibiotic eye drops such as levofloxacin may be used as directed by a physician. If caused by keratitis, treatment may include acyclovir eye drops, ganciclovir eye drops, or eyelid malformation correction surgery. If due to a stye (hordeolum), treatment options include medications like levofloxacin eye drops or surgical incision and drainage.

Styes or eye lumps can generally be treated according to their underlying causes, which mainly fall into two categories: non-disease factors and disease-related factors. Common disease-related causes include keratitis and hordeolum (stye).

I. Non-disease factors

This may occur when foreign bodies such as dust or eyelashes enter the eye and cannot be removed, irritating the conjunctiva and causing redness, swelling, and congestion. The eyes can be rinsed with normal saline. Additionally, antibiotic eye drops such as levofloxacin eye drops, norfloxacin eye drops, or ciprofloxacin eye drops may be used under medical guidance to control infection.

II. Disease-related factors

1. Keratitis

Keratitis may result from prolonged use of contaminated contact lenses, corneal trauma, or infection by pathogenic microorganisms such as bacteria, viruses, or fungi. Inflammation infiltrates the corneal epithelium, leading to corneal edema. Treatment may include antiviral medications such as acyclovir eye drops, ganciclovir eye drops, or ganciclovir gel under a doctor's supervision. In severe cases, procedures such as eyelid malformation correction surgery or corneal transplantation may be recommended as per medical advice.

2. Hordeolum (Stye)

A stye may develop due to failure to remove eye makeup, frequently rubbing the eyes with dirty hands, or infection with Staphylococcus aureus. This leads to the formation of a small, hard nodule on the eyelid filled with inflammatory pus. Medications such as levofloxacin eye drops, tobramycin eye drops, or chlortetracycline eye ointment may be used as directed by a physician. If localized swelling and pain occur, surgical incision and drainage may be recommended by a healthcare provider.

In addition, conditions such as sweat gland tumors may also cause eye lumps. It is advisable to determine the exact cause and follow medical guidance for appropriate treatment.


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