Barley trapped in the eye, or chalazion as it is called in the medical world, is a common condition that causes the formation of a small, hard lump in the eyelid. This lump is usually caused by a blockage of the meibomian glands, oil glands located inside the eyelid that produce the lipids used in some of the tears. Trapped barley can appear on the upper or lower eyelid, and sometimes even both at the same time. Although this is a condition that is usually not dangerous, it can cause significant discomfort and affect the patient's quality of life.
Barley trapped in the eye manifests itself in local swelling, redness and mild to moderate pain in the affected area. Sometimes there is a sensation of a foreign body in the eye or blurred vision. Although the trapped barley can disappear on its own after a few weeks, there are cases where it is persistent and requires medical intervention.
Here we will provide a deeper understanding of barley trapped in the eye, starting with the causes of its formation, through the symptoms and diagnosis, to the various treatments and ways of prevention. We will also present the latest innovations in the field of medicine for the treatment of trapped barley, current research and medical updates that can help both patients and doctors.
Understanding the trapped barley
Imprisoned barley, or chalazion, is a chronic inflammation caused by a blockage of the meibomian glands in the eyelid. These glands are responsible for the production of fats that are part of the tears and help to lubricate and protect the eye. When the glands are blocked, the fat accumulates and causes local inflammation which manifests itself in the formation of a stiff lump in the eyelid.
Staphylococcal barley is often caused by a bacterial infection, especially Staphylococcus type bacteria. These bacteria live on the surface of the skin and inside the nose, and can penetrate the meibomian glands through tiny openings in the eyelid skin. When the immune system fails to overcome the infection, inflammation is caused leading to the formation of the trapped barley.
There are two main types of barley trapped in the eye: external barley and internal barley. External styes appear on the edge of the outer eyelid and are associated with the hair glands, while internal styes appear inside the eyelid itself and are caused by blocked meibomian glands. The internal type is the more common and is the one that is often referred to as a lesion.
Risk factors for trapped barley include medical conditions such as chronic skin infections (rosacea), chronic eyelid infections (blepharitis), and the use of old or contaminated makeup. Repeated rubbing of the eyelid or touching the eyes with unclean hands can also increase the risk of developing incarcerated barley. In addition, people suffering from chronic diseases such as diabetes, or a weakened immune system, are at a higher risk of developing incarcerated barley.
Understanding the causes of the formation of trapped barley and the accompanying symptoms are a critical step for proper diagnosis and treatment. Symptoms include local swelling, redness, pain, a feeling of irritation, and sometimes blurred vision if the lump presses on the eyeball. The diagnosis is usually made by an ophthalmologist through a physical examination of the eyelid and eye, and sometimes the use of special equipment such as a slit lamp to examine the affected area under magnification.
In some cases, when there are signs of a more serious infection or if the lump does not disappear after a few weeks, the doctor may recommend additional tests such as a culture of secretions from the eyelid or blood tests to detect systemic infections. Correct and accurate diagnosis is the key to effective treatment of trapped barley and prevention of possible complications.

Symptoms and diagnosis of barley trapped in the eye
Imprisoned barley is mainly manifested by the appearance of a small, stiff lump in the eyelid, which can be accompanied by a feeling of discomfort and sometimes pain. Below are the detailed symptoms that characterize trapped barley:
- Swelling and redness in the eyelid: the area of the eyelid where the trapped barley is located swells and reddens. The swelling may increase the size of the eyelid.
- Sensation of irritation or burning: Patients may feel a sensation of irritation or burning in the eye, which sometimes worsens over time. This feeling is due to the local inflammation and the pressure exerted by the mass on the surrounding tissues.
- Mild to moderate pain: The pain caused by an incarcerated barley is usually mild to moderate, but in more severe cases there can also be severe pain. The pain is usually increased by touching or trying to press the eyelid.
- Foreign body sensation: Sometimes, patients feel as if there is a foreign body inside the eye or on the surface of the eyelid, a feeling that increases the daily discomfort.
- Blurred vision: If the trapped barley is in a place that presses on the eyeball, it may cause temporary blurring of vision. This condition may cause difficulty in daily functioning, such as reading or driving.
- Increased tearing: The inflammation and irritation caused by the trapped barley can lead to increased tearing. The tears are formed as a result of the eye's attempt to deal with the inflammation and soothe the irritation.
The diagnosis of incarcerated barley is made by an ophthalmologist, usually through a physical examination of the eyelid and eye. During the examination, the doctor will examine the infected area with a slit lamp, which is a special device that allows you to see the eyelid and glands with great magnification. If there is doubt about the nature of the lump or if there are signs of a more serious infection, the doctor may recommend additional tests:
- Culture for secretions from the eyelid: in cases where there is a purulent discharge from the eyelid, a sample can be taken and sent to the laboratory for a culture test. This test makes it possible to identify the type of bacteria causing the infection and to choose the most appropriate antibiotic treatment.
- Blood tests: If the doctor suspects that there is a systemic infection or if there is a need to diagnose additional chronic diseases, he may recommend blood tests. These tests help detect inflammation or systemic problems that may affect the health of the eyes.
Understanding the symptoms and the accurate diagnosis are critical steps to properly treat trapped barley and prevent possible complications.
Treatment of barley trapped in the eye
Treatment of trapped barley usually begins with home remedies designed to relieve the symptoms and encourage natural healing of the inflammation. Home treatments include:
- Warm compresses: one of the most effective treatments is the use of warm compresses on the affected area. Local heat helps to open the blocked glands and drain the accumulated fat and fluids. It is recommended to place the hot compresses for 10-15 minutes, 3-4 times a day. You can use a damp and heated cloth or dedicated heating pads that can be heated in a microwave.
- Cleaning and maintaining hygiene: it is important to maintain strict hygiene of the eyelids to prevent the accumulation of bacteria and fat. Cleaning the eyelids with special solutions or warm water with a little mild soap can help prevent repeated infections. Make-up should be avoided during the treatment, and if contact lenses are used, their use should be stopped until complete recovery.
- Gentle massage of the eyelid: a light massage of the eyelid can help release the fat from the blocked glands. The massage should be performed after applying warm compresses, when the fat is more liquid and easy to release.
In cases where the home treatment is not sufficient and the barley does not disappear or even worsens, you should contact an ophthalmologist for further treatment. The doctor may recommend additional medical treatments:
- Antibiotic ointments and drops: If there is a bacterial infection, the doctor may prescribe antibiotic ointments or drops to treat the infection and reduce the inflammation. The use of these treatments may be for several days to weeks, according to the doctor's instructions.
- Steroid injection: in more severe cases, where the barley becomes particularly painful or is accompanied by purulent secretions, steroid injection into the lump can be considered. This injection helps reduce inflammation and improve symptoms.
- Surgical drainage: In cases where the barley does not disappear despite conservative treatments, the doctor may recommend surgical drainage of the barley. The drainage is usually performed in the clinic under local anesthesia. During the treatment, the doctor makes a small incision in the eyelid and cleans the lump and the pus content.
- Surgical treatment: If the barley recurs chronically or if more comprehensive treatment is needed, the doctor may recommend surgery to remove the lump. This surgery is usually performed under local anesthesia and does not require hospitalization. After the operation, the patient will receive instructions to use hot compresses and maintain hygiene to prevent the barley from returning.
Adhering to the recommended treatments and maintaining proper hygiene can help in the rapid recovery of the trapped barley and prevent its return in the future. If abnormal signs appear or if the barley does not disappear after treatment, you should contact an ophthalmologist for further advice and appropriate treatment.
Prevention of barley trapped in the eye
Preventing stye is mainly focused on maintaining good hygiene and adopting healthy habits that can reduce the risk of developing eyelid infections. Here are several effective ways to prevent trapped barley:
- Maintaining the hygiene of the eyelids – regular cleaning of the eyelids can prevent the accumulation of fats and bacteria. You can use special cleaning solutions for the eyes or warm water with mild soap. Care must be taken to clean the eyelids gently so as not to damage the sensitive tissue.
- Avoiding contact with the eyes – Avoid touching the eyes with unclean hands. Repeated touching of the eyes can transfer bacteria and cause an infection of the eyelids.
- Correct use of makeup – it is important to use clean and high-quality eye makeup, and change it regularly to prevent the accumulation of bacteria. Be sure to remove your makeup before going to bed and clean your eyelids thoroughly.
- Use of contact lenses – make sure to clean and disinfect the lenses on a daily basis and avoid using old or damaged lenses. Also, it is important to avoid using contact lenses during eye or eyelid infections.
- Maintaining a healthy lifestyle – a balanced diet, drinking enough water and maintaining physical activity can strengthen the immune system and reduce the risk of eye infections.
- Regular check-ups with an ophthalmologist – a regular visit to an ophthalmologist can help detect eye problems early and treat them before they get worse.

Possible complications
Incarcerated barley is a condition that is not dangerous in most cases, but if it is not treated properly or if it recurs chronically, various complications may occur. Here are some of the possible complications:
- Secondary infection – if the barley does not disappear or worsens, there is a risk of another bacterial infection that may spread to nearby tissues. Such an infection can cause great pain, increased swelling and the appearance of pus.
- Abscess in the eyelid – Barley that has not been treated properly can develop into an abscess, which is a pocket of pus that requires urgent medical attention. An eyelid abscess sometimes requires surgical treatment to drain the pus and prevent the infection from spreading.
- Scars in the eyelid – in chronic cases or when surgical treatment is required, there is a possibility of the formation of scars in the eyelid. These scars can affect the aesthetic appearance of the eyelid and sometimes cause problems with the function of the eyelid.
- Repeated inflammations – trapped barley can become a chronic problem and cause repeated inflammations of the eyelids. In such cases, you should consult an ophthalmologist for a thorough investigation and more thorough treatment.
- Vision problems – If the trapped barley is in a position that puts pressure on the eyeball, it can cause temporary blurred vision. In rare cases, these problems can become permanent if the barley is not treated in time.
Adherence to correct treatment and prevention of possible complications can help maintain the health of the eyelids and eyes. If unusual symptoms appear or the barley does not disappear, you should contact an ophthalmologist as soon as possible for advice and appropriate treatment.
Medical studies and updates
The field of treating barley trapped in the eye undergoes constant changes with the appearance of new research and medical updates. These studies focus on improving the effectiveness of existing treatments, developing new technologies and understanding the physiological mechanisms that cause the formation of trapped barley.
One of the most significant medical updates in this field is the use of advanced technologies for imaging and analysis of the eyelids. Imaging devices such as advanced slit lamp and ultrasound devices allow doctors to examine the eyelid and glands in a more precise way, which helps in quick and accurate diagnosis of the trapped barley and in making informed treatment decisions.
In addition, researchers are working to develop new drugs and treatments designed to alleviate the symptoms and prevent the recurrence of incarcerated barley. One of the interesting research directions is the development of new antibiotic and steroid drugs that can be used locally and without significant side effects. Also, additional studies focus on the use of biological treatments, aimed at neutralizing specific proteins that are involved in the inflammatory process.
Another update in the field is the use of laser technologies to treat trapped barley. Laser treatments are considered less invasive and sometimes less painful than traditional surgeries, and they can help open blocked glands and reduce inflammation.
In addition, new studies examine the role of nutrition and hygiene in balancing the immune system and preventing eyelid infections. A better understanding of the links between nutrition and eye disease can lead to dietary recommendations that can help prevent trapped barley.
Summary about barley trapped in the eye
Barley trapped in the eye is a common phenomenon that can cause discomfort and pain in the eyelids. Here we have reviewed the causes of trapped barley, its symptoms and diagnosis, as well as the treatment and prevention options available today.
It is important to remember that trapped barley is not dangerous in most cases, but may lead to complications if not treated properly. Maintaining personal hygiene, regular cleaning of the eyelids and adopting healthy habits can reduce the risk of the formation of trapped barley.
In the event of the appearance of trapped barley, seek appropriate medical treatment and follow the instructions given by the doctor. Adherence to proper treatment can help in a quick recovery and prevent the recurrence of barley in the future.
New research and medical updates continue to improve the knowledge and medical tools available to patients and doctors, and will offer more effective and safer solutions for the treatment and prevention of trapped barley. It is important to follow the developments in this field and consult with an ophthalmologist about the new and advanced treatments available.
In conclusion, a thorough understanding of trapped barley, its symptoms and existing treatment and prevention methods, together with the information on the latest innovations and research in the field, can help maintain the health of the eyelids and eyes and reduce the disturbing phenomenon of trapped barley.


















