Unusual Skin Changes Around the Eyes: Causes and Concerns

Abnormalities of the skin around the eyes?

Initially, there was a skin protrusion near the inner corner of the eye, approximately the size of a mung bean, which faded after a few days but not completely.
Subsequently, a raised area appeared on the upper outer side of the eye, about the size of a fava bean, and it has been three days now.
The affected skin areas are neither painful nor itchy, and there is no inflammation or ulceration of the epidermis.
Prior to the skin abnormalities, I was using eye drops for dry eye syndrome.
Could this be an allergic reaction due to an overdose of the eye drops?

Xiao Tian Tian, 80~89 year old female. Ask Date: 2022/04/20

Dr. Wu Yuxin reply Dermatology

Without actually seeing the lesion, it is impossible to determine the issue.
If it is very concerning, please seek medical attention as soon as possible.
A proper examination is necessary to understand the problem and to determine the appropriate treatment.

Reply Date: 2022/04/20

More Info

Unusual skin changes around the eyes can be concerning, especially when they appear suddenly and without accompanying symptoms such as pain or itching. Based on your description, it seems you are experiencing localized skin protrusions near the inner and outer corners of your eyes. These changes can be attributed to several potential causes, and it is essential to consider various factors, including your recent use of eye drops for dry eye syndrome.

Firstly, the skin around the eyes is particularly sensitive and can react to various irritants, including medications. If you have been using eye drops, especially those containing preservatives or certain active ingredients, it is possible that your skin is reacting to these substances. Allergic reactions can manifest as localized swelling or bumps, even if there is no redness or inflammation. If the eye drops were used excessively, this could potentially exacerbate the sensitivity of the skin, leading to the changes you are observing.

Another possibility is that the bumps you are seeing could be related to a condition known as milia, which are small cysts that can form when keratin becomes trapped beneath the skin's surface. While milia are typically painless and do not require treatment, they can appear around the eyes and may be mistaken for other skin changes.
Additionally, the protrusions could be a form of dermatitis, such as contact dermatitis, which occurs when the skin reacts to an irritant or allergen. This can happen even if there is no visible inflammation. In some cases, the skin may swell in response to allergens, leading to the formation of small bumps.

Given that these changes have persisted for several days, it is advisable to consult a dermatologist or an ophthalmologist. They can perform a thorough examination and provide a more accurate diagnosis. It is crucial to avoid self-diagnosing or treating the condition without professional guidance, as this could lead to further irritation or complications.

In the meantime, consider the following recommendations:
1. Discontinue Use of Eye Drops: If you suspect that the eye drops may be contributing to the skin changes, it may be wise to stop using them until you can consult a healthcare professional.

2. Avoid Irritants: Be cautious with any skincare products or makeup you apply around your eyes. Avoid using new products until you determine the cause of the skin changes.

3. Maintain Hygiene: Keep the area around your eyes clean and avoid touching or rubbing the skin, as this can exacerbate irritation.

4. Monitor Symptoms: Keep track of any changes in the size, color, or texture of the bumps, as well as any new symptoms that may arise.

5. Seek Professional Help: Schedule an appointment with a dermatologist or ophthalmologist to discuss your symptoms and receive appropriate care.

In summary, while the skin changes you are experiencing may be benign, it is essential to seek professional evaluation to rule out any underlying conditions and to receive tailored advice for your situation. Early intervention can help prevent potential complications and ensure the health of your skin and eyes.

Similar Q&A

Understanding Unexplained Skin Changes Around the Eyes

Hello Dr. Hong: Today my girlfriend noticed that the area around her eyes (similar to the black circles of a panda, but in an oval, figure-eight shape) is whiter than her original skin tone. She has been weak and sickly since childhood, often feeling unwell and taking medication,...

Dr. Hong Zhengsheng reply Dermatology
Hello Jwy: From your letter, it is evident that you care deeply for your girlfriend. You mentioned, "...I hope the doctor can give me some direction!...". My suggestion is to "consult a physician in person." The most significant characteristic of skin diseases...

Understanding Skin Issues Around the Eyes: Fatty Bumps or Milia?

Hello Dr. Zheng: I have small raised bumps on the skin around my eyes (below the inner corners). A sales associate at a skincare counter mentioned that these are fat balls caused by excessive moisture and suggested that I use an eye cream. Is this really the case? Could this be w...

Dr. Zheng Lizhen reply Dermatology
Hello: Please visit a dermatology specialist for an accurate diagnosis and treatment. Sincerely, Dr. Cheng Li-Chen, Dermatologist.

Common Eye Issues: Understanding Shadows, Light Sensitivity, and Glaucoma

Doctor, I have some questions I would like to ask: 1. Recently, whenever I am in sunlight (even just a little), I see dark, shadow-like lines in front of my eyes. Could this be due to my long eyelashes casting a shadow that I am perceiving? Is this a possibility? 2. I have be...

Dr. Gao Pilin reply Ophthalmology
Hello: 1. Seeing black streaks in sunlight: This condition is likely what you are experiencing as "floaters." Floaters are caused by changes in the vitreous body of the eye and typically become more noticeable with age. While it is possible that your eyelashes may cas...

Understanding White Growths with Hair Near the Inner Eyelid

Hello, recently I've been experiencing itchy eyes, and when I pulled back the upper eyelid, I discovered a growth with a white surface that has several hair-like structures resembling eyelashes.

Dr. Gao Pilin reply Ophthalmology
Hello: If you experience itchy eyes and notice a growth above your eye, it is advisable to seek medical attention promptly, as this may be a symptom of an eye condition. This growth could be a ciliary cyst, which is a benign tumor that typically appears on the skin near the eyela...