Eye Swelling and Pain: Causes and Treatments Explained - Ophthalmology

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Swollen and painful eyes?


The eye pressure is normal, but the eyes are swollen and painful.
The doctor said it is due to inflammation of the skin around the eyelashes, which affects tear production.
Is that really the case?

max, 40~49 year old female. Ask Date: 2005/02/04

Dr. Wang Zhangji reply Ophthalmology


Hello: There are many reasons for swollen and painful eyes.
For example, individuals who frequently use computers or read may experience ciliary muscle fatigue, which can also cause symptoms of swelling and pain.
If your intraocular pressure is normal, there is no need to worry too much; regular check-ups will suffice.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmology.

Reply Date: 2005/02/04

More Info


Eye swelling and pain can be caused by a variety of factors, and understanding these causes is crucial for effective treatment. In your case, the doctor mentioned that inflammation of the skin around the eyelashes (often referred to as blepharitis) is affecting tear production, which can lead to discomfort and swelling. This explanation is indeed plausible, as blepharitis can result in irritation and inflammation of the eyelid margins, leading to symptoms such as redness, swelling, and pain.

Blepharitis can be caused by several factors, including bacterial infections, seborrheic dermatitis (a skin condition that causes flaky scales), or meibomian gland dysfunction (where the glands that produce the oily layer of tears become blocked). When these glands are not functioning properly, it can lead to dry eyes, as the tears evaporate too quickly without the necessary oil layer. This dryness can cause the eyes to become irritated and swollen, leading to discomfort.

In addition to blepharitis, other potential causes of eye swelling and pain include:
1. Allergic Reactions: Allergies to pollen, dust, pet dander, or certain cosmetics can cause the eyes to swell and become itchy or painful.

2. Infections: Conditions such as conjunctivitis (pink eye) or a stye (an infection of the eyelid) can lead to swelling and pain.

3. Sinusitis: Inflammation of the sinuses can cause pressure and pain around the eyes, leading to a sensation of swelling.

4. Injury or Trauma: Any injury to the eye or surrounding area can result in swelling and pain.

5. Systemic Conditions: Conditions such as thyroid disease or autoimmune disorders can also manifest with eye symptoms.

To manage and treat your symptoms effectively, consider the following approaches:
1. Warm Compresses: Applying a warm compress to the affected area can help soothe inflammation and promote drainage of any blocked glands.

2. Proper Eyelid Hygiene: Keeping the eyelid margins clean can help reduce inflammation. This can be done using diluted baby shampoo or over-the-counter eyelid scrub pads.

3. Artificial Tears: If dryness is a significant issue, using preservative-free artificial tears can help lubricate the eyes and alleviate discomfort.

4. Avoiding Irritants: If allergies are suspected, try to identify and avoid potential allergens. Over-the-counter antihistamines may also help reduce allergic symptoms.

5. Consulting a Specialist: If symptoms persist or worsen, it is essential to follow up with an eye care professional. They may prescribe antibiotic ointments for infections or recommend other treatments based on the underlying cause.

6. Lifestyle Adjustments: Ensure you are getting adequate rest, managing stress, and maintaining a balanced diet, as these factors can influence overall eye health.

In summary, while the inflammation of the skin around the eyelashes can indeed affect tear production and lead to swelling and pain, it is essential to consider other potential causes as well. A thorough evaluation by an eye care professional can help determine the exact cause and appropriate treatment plan for your symptoms.

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