What is the first-line treatment for a hordeolum?

The first-line treatment for a hordeolum, commonly known as a stye, is the application of warm compresses. This method is effective because the warmth helps to increase blood circulation to the affected area, which can promote healing and facilitate drainage of any underlying infection. By applying warm compresses several times a day, the inflammation and discomfort associated with a hordeolum can be alleviated, and in many cases, the hordeolum may resolve without the need for further intervention.

While other treatments such as topical steroids, antihistamines, and systemic antibiotics may be relevant in different contexts—such as for inflammation, allergies, or bacterial infections, respectively—they are not first-line treatments for a hordeolum. Topical steroids can mitigate inflammation but are not typically used at the outset for a hordeolum. Antihistamines are used primarily for allergic reactions and would not address the underlying infection. Systemic antibiotics may be required in cases of significant infection or cellulitis surrounding the hordeolum, but they are not needed for simple cases, making warm compresses the preferred initial approach.