Barley inside the eyelid: an overview and much more


Barley is a small red bump at the base of the lashes or under the eyelid. It is also called Ordeolum and is sometimes written as barley. They are generally harmless, but they can be painful and lead to complications, such as a dangerous infection.

Barley can be developed externally or internally. The external stye is usually caused by an infection of the eyelash hair follicle. The inner barley grows inside the eyelid. and they are generally caused by an infection of the sebaceous glands.

Here's more information on the symptoms , causes, treatment, and prevention of barley.

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Besides a painful bump, barley can cause other symptoms, including:

  • Scabs on the eyelid
  • Discharge from the eye
  • Swelling of the eyelids
  • Tearing
  • Feeling that something got in your eyes
  • The eye hurts or itches
  • Sensitivity to light

Causes and risk factors

The most common cause of internal barley is a bacterial infection, usually Staphylococcus aureus . The infection begins in the meibomian gland, an oil gland on the edge of the eyelid. These glands provide lubrication to the surface of the eye.

Risk factors that can increase the likelihood of a barley infestation include:

  • Blepharitis is an inflammation of the eyelids.
  • Previous barley history
  • Dry Skin
  • Major medical conditions including diabetes , rosacea , or seborrheic dermatitis
  • High LDL cholesterol , also called "bad" cholesterol.
  • Hormonal changes
  • Inappropriate eyelid hygiene
  • Wearing old or dirty eye makeup
  • Wear contact lenses
  • Wearing eye makeup at night

When to contact an optometrist for barley

Although a lot of barley will go away on its own, the symptoms of barley are similar to many other eye conditions. This is why you should see an optometrist if you have barley symptoms.

You should contact your optometrist immediately if:

  • Your eyelid is red, hot, or swollen
  • Your eyelid hurts
  • You feel there is something in your eyes
  • Barley does not improve after two days of using home remedies.
  • You notice a change in your vision


Ophthalmologists generally diagnose a stye by looking at the eyelid. Usually no special tests are required.


Generally, enlarged barley can become cosmetically unsightly, but it is generally not harmful.

One of the complications that can occur with untreated internal barley is chalazion . The chalazion is a swollen lump found on the eyelid. It may not hurt at first, but it can become red, swollen, and painful. If the chalazion becomes too large, it can press on the eye and cause blurred vision.

Another possible complication is recurring barley. If you have a stye that keeps recurring, your healthcare provider may take a biopsy to further analyze the cause. For example, a rare type of eye cancer called sebaceous carcinoma is a type of eyelid tumor that can cause growths that resemble barley.

Watch out

There are several treatments for barley, from homemade to medical to surgical.

If you have a stye, don't wear eye makeup or contact lenses until they're gone.

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Never squeeze or squeeze barley.


Home remedies and self-help facilities include:

  • Warm compress : Cover your eyelids with a clean, moist, warm tissue for 10 to 15 minutes three to five times a day. Heat the wipe as needed if it loses heat.
  • Gently massage the area around the barley : This will help loosen clogged oil seals. Again, don't touch or squeeze the barley.
  • Clean the drain : If you have drainage from the eye, remove it with baby shampoo or eye wipes.
  • Over-the-counter pain relievers : It can help reduce pain and inflammation associated with barley.

Medical treatment

Treatment procedures may include:

  • Antibiotics : Your doctor may prescribe oral or topical antibiotics if you have a barley infection.
  • Steroid injection in barley : This can be used to reduce swelling, especially if a chalazion forms.
  • Barley Drain – An ophthalmologist will perform the procedure if the barley does not go away and affects your vision. This is usually done in a healthcare provider's office under local anesthesia.


There are several things you can do to prevent stye:

  • Wash your hands often, especially before touching your eyes.
  • Swing your hands before removing or putting on contact lenses
  • Wash your face and eye area.
  • Clean the contacts as recommended after each use.
  • Follow the manufacturer's or optometrist's recommendations on how often to dispose of your contact lenses.
  • Get rid of old or expired makeup
  • Do not share your makeup with other people or wear someone else's makeup.
  • Keep up the warm compress and gentle message for years after the barley has melted.
  • Consult your doctor if you experience eye discomfort.

Front facing

Barley can be annoying and uncomfortable. However, they are common and often go away on their own over time. Otherwise, seek the help of an optometrist. If you have eaten barley in the past, there are steps you can take to prevent other barley from developing.

Frequently asked questions

  • Barley tends to split open and drain within two to four days after formation. Heals completely in one week. However, the internal barley sometimes does not break spontaneously, in which case it can develop into a chalazion.

  • No, the style is caused by an infection. However, stress can increase your risk of developing barley, probably because it weakens your immune system and increases your susceptibility to infections. Lack of sleep can have the same effect.

  • 90% to 95% of barley is caused by a Staphylococcus aureus infection. Staphylococcus epidermidis is largely responsible for the rest.

  • For barley that does not go away on its own, the ophthalmologist may prescribe a topical antibiotic such as erythromycin or bacitracin as drops or ointment to speed healing.

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