Why Did My Double Eyelid Turn into a Single Eyelid? - Ophthalmology

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The double eyelids have transformed into single eyelids?


Hello, doctor.
I would like to ask you about my allergic conjunctivitis.
Last night, due to the itching from my allergic conjunctivitis, I rubbed my eyes, which resulted in a lot of discharge.
This morning, my right eyelid has changed from a double eyelid to a single eyelid.
Is this related to my diet? I had some salty soup last night, and since I'm out for leisure, I didn't bring my eye drops or ointment.

Liao Xiaojie, 10~19 year old female. Ask Date: 2023/01/29

Dr. Gao Pilin reply Ophthalmology


Hello: When the eyelids swell, the double eyelids may appear as single.
If there are no medications available, you can first: 1.
Apply a cold compress to relieve itching and pain.
2.
Rinse with saline solution to remove secretions and allergens.
3.
Avoid irritants - steer clear of substances that may cause allergies, such as smoke and dust.
4.
Keep the eyes clean.

Reply Date: 2023/01/29

More Info


The transformation of a double eyelid into a single eyelid, particularly in the context of allergic conjunctivitis, can be attributed to several factors. Allergic conjunctivitis is characterized by inflammation of the conjunctiva, the membrane that covers the white part of the eye and the inner eyelids, due to allergens. When you rub your eyes, as you mentioned, it can exacerbate the inflammation and lead to swelling, which may cause the eyelid to appear different than usual.

1. Swelling and Inflammation: When you experience allergic reactions, the body releases histamines, which can cause swelling in the eyelids. This swelling can make a double eyelid appear to flatten out, resulting in a single eyelid appearance. The irritation and inflammation from rubbing your eyes can further contribute to this change.

2. Fluid Accumulation: Allergic reactions can lead to fluid accumulation in the tissues around the eyes, known as edema. This can cause the eyelids to swell and change their appearance. The more you rub your eyes, the more likely you are to aggravate this condition, leading to a more pronounced single eyelid appearance.

3. Dietary Factors: While your consumption of salty soup may not be the direct cause of your eyelid change, high sodium intake can lead to fluid retention in the body, which might exacerbate swelling. However, the primary cause in your case seems to be the allergic reaction rather than dietary influences.

4. Lack of Medication: Since you mentioned that you did not have your eye drops or ointments with you, this could also play a role in the persistence of your symptoms. Antihistamines or anti-inflammatory eye drops can help reduce the swelling and discomfort associated with allergic conjunctivitis.

5. Temporary Nature: It is important to note that this change in eyelid appearance is likely temporary. Once the allergic reaction subsides and the inflammation decreases, your eyelid may return to its normal double eyelid state.

Recommendations:
- Avoid Rubbing Your Eyes: This can worsen the inflammation and lead to further changes in appearance.

- Cold Compress: Applying a cold compress to your eyes can help reduce swelling and soothe irritation.

- Over-the-Counter Antihistamines: If you have access to them, oral antihistamines can help alleviate allergic symptoms.

- Consult an Eye Care Professional: If the symptoms persist or worsen, it is advisable to see an eye care professional for a thorough examination and appropriate treatment.

In summary, the change from a double eyelid to a single eyelid in your case is most likely due to the inflammation and swelling caused by allergic conjunctivitis, exacerbated by rubbing your eyes. While dietary factors may play a minor role, the primary concern should be managing the allergic reaction and preventing further irritation.

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