Got Swollen Eyelids?
Swollen eyelids can be more than just an eyesore—they may signal a deeper issue. If you’re experiencing eye pain, puffiness, or swelling, the professionals at Carolina Vision Center are here to help.
Why Is My Eyelid Swollen?
Swollen eyelids are a common eye condition typically caused by inflammation or a buildup of fluid in the tissues surrounding the eye. The swelling may affect the upper eyelid, lower eyelid, or both, and can sometimes be painful.
Common causes include:
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Allergies
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Styes or blocked glands
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Eye infections such as conjunctivitis (“pink eye”)
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Eye trauma or injury
Other Causes and Symptoms of Swollen Eyelids
In some cases, swollen eyelids may be a sign of a more serious condition, such as:
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Orbital cellulitis – a sudden, potentially dangerous infection of the tissues around the eye
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Graves’ disease – an autoimmune condition linked to thyroid abnormalities
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Ocular herpes – a recurring viral infection that may cause inflammation and scarring of the cornea
Symptoms that may accompany swollen eyelids include:
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Itching or scratchy sensations
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Watery eyes or excessive tear production
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Redness of the eyelid
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Eye discharge
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Flaking or dry skin on the eyelid
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Blurred or obstructed vision
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Pain (especially if infection is present)
Swollen Eyes vs. Puffy Eyes
While many people use the terms “swollen eyes” and “puffy eyes” interchangeably, there’s a medical difference:
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Swollen eyelids typically result from an immune response to allergens, infections, or injury
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Puffy eyes are more often linked to fluid retention, lack of sleep, or genetics (e.g., hereditary dark circles)
Allergies: The Most Common Cause of Swollen Eyelids
Eye allergies are one of the most frequent reasons for swollen eyelids. The body overreacts to a substance (called an allergen), resulting in inflammation.
Common allergens include:
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Pollen
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Dust
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Pet dander
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Eye drops or contact lens solution (especially in sensitive individuals)
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Seasonal changes
Diagnosis and Treatment Options
Treatment depends on the cause. For allergy-related swelling, antihistamine drops or oral allergy medications are often effective. In more severe cases, mild steroid eye drops may be prescribed.
For infections like ocular herpes or pink eye, your doctor may recommend:
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Antiviral medications
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Antibiotic drops or ointments
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Anti-inflammatory treatments
At-home care tips:
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Remove contact lenses until swelling subsides
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Apply a cool compress to reduce puffiness and discomfort
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Avoid rubbing your eyes, which can worsen the irritation
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Schedule an eye exam if pain worsens or symptoms persist
We’re Here to Help
At Carolina Vision Center, our experienced ophthalmologists serve patients throughout Fayetteville, Clinton, Raeford, Hope Mills, and Elizabethtown, NC.
Frequently Asked Questions About Swollen Eyelids
Q: What causes swollen eyelids?
A: Swollen eyelids can be caused by a variety of conditions, including allergies, styes, blocked glands, infections like conjunctivitis (pink eye), trauma, or even systemic diseases like Graves’ disease.
Q: Are swollen eyelids and puffy eyes the same?
A: While they’re often used interchangeably, puffy eyes are usually due to external causes like fluid retention or lack of sleep. Swollen eyelids, on the other hand, are typically caused by inflammation from allergies, infection, or injury.
Q: How can I treat swollen eyelids at home?
A: Remove contact lenses, avoid rubbing your eyes, and apply a cool compress. Over-the-counter allergy medications or antihistamine eye drops may help if allergies are the cause.
Q: When should I see a doctor about a swollen eyelid?
A: You should schedule an exam if the swelling is painful, persistent, affects your vision, or is accompanied by discharge, fever, or redness that’s spreading.
Q: Can allergies really cause my eyelids to swell?
A: Yes—eye allergies are one of the most common causes of swollen eyelids. Pollen, dust, pet dander, or even some contact lens solutions can trigger this response.