Eyelid Issues: Pain, Dryness, and Allergies Explained - Ophthalmology

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Eyelid issues


Hello, doctor.
It seems that the inner part of my right lower eyelid has been scratched at some point, and it's a small area.
After rubbing my eyes, it occasionally causes sharp pain.
What could be the issue? Additionally, as a student, I spend long hours studying and often use electronic devices, which makes my eyes very dry.
The area around my eyes also itches, and I notice some debris around my eyes that looks like eye discharge but isn't quite the same.
Could this be an allergic reaction or something else? Thank you, doctor.

Ning Qing, 10~19 year old female. Ask Date: 2021/02/18

Dr. Gao Pilin reply Ophthalmology


Hello Ning Qing: The inner part of the eyelid is the conjunctiva, which may be inflamed.
If your eyes are dry, itchy, and producing discharge, these are symptoms of conjunctivitis, which could be due to allergies or a bacterial infection.
It is advisable to consult an ophthalmologist.
In Taiwan, the ophthalmology department at Puzi Hospital is available on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only, and it is essential to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pilin

Reply Date: 2021/02/18

More Info


Hello! Thank you for reaching out with your concerns about your eyelid issues. Based on your description, it sounds like you are experiencing a combination of symptoms that could be related to several factors, including irritation, dryness, and possibly an allergic reaction.

Firstly, the pain and redness you mentioned on the inner side of your right lower eyelid could be due to a few reasons. If you have inadvertently scratched or irritated the area, it could lead to localized inflammation or even a minor abrasion. This can cause discomfort and pain, especially if you continue to rub or touch the area. It's essential to avoid further irritation and allow the area to heal. If the pain persists or worsens, or if you notice any discharge or significant swelling, it would be wise to consult an eye care professional.

Regarding the dryness and itching around your eyes, this is a common issue, especially for students who spend long hours reading or using electronic devices. Prolonged screen time can lead to digital eye strain, which often manifests as dry eyes, discomfort, and sometimes even headaches. The symptoms you describe, such as dryness and the presence of flaky debris around your eyes, could indicate dry eye syndrome or even allergic conjunctivitis, particularly if you have a history of allergies.

Allergic reactions can cause symptoms like itching, redness, and tearing. Common allergens include dust, pollen, pet dander, and even certain cosmetics or skincare products. If you suspect that allergies might be the culprit, consider whether you've been exposed to any new products or environments recently. Over-the-counter antihistamines or artificial tears can sometimes help alleviate these symptoms, but it's best to consult with a healthcare provider for a proper diagnosis and treatment plan.

In addition to these considerations, maintaining good eye hygiene is crucial. Ensure that you wash your hands before touching your face or eyes, and avoid rubbing your eyes, as this can exacerbate irritation. If you wear contact lenses, ensure they are clean and that you follow the recommended wearing schedule.
To manage dryness, consider the following tips:
1. Take Breaks: Follow the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds.

2. Stay Hydrated: Drink plenty of water throughout the day to keep your body and eyes hydrated.

3. Use a Humidifier: If you're in a dry environment, using a humidifier can help maintain moisture in the air.

4. Artificial Tears: Over-the-counter lubricating eye drops can provide relief from dryness.

If your symptoms do not improve or if you experience significant discomfort, it is essential to seek medical attention. An eye care professional can provide a thorough examination and determine the underlying cause of your symptoms, whether they are due to irritation, allergies, or another condition.
In summary, while your symptoms could be related to irritation from rubbing your eye and prolonged screen time, it is essential to monitor your condition closely. If you experience persistent pain, significant redness, or changes in vision, please consult a healthcare provider for a comprehensive evaluation. Your eye health is important, and addressing these issues early can help prevent further complications. Take care!

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