Persistent Redness and Pain Under Glasses: Skin Issues Explained - Dermatology

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Persistent redness and pain under glasses, particularly in the area where the nose pads sit, can be attributed to several factors, including pressure-induced irritation, allergic reactions, or even contact dermatitis. Given that you have been experiencing these symptoms for 1 to 2 years, it is essential to consider both the mechanical and chemical aspects of your situation.


Mechanical Irritation
When glasses are worn, the weight of the frames and the pressure from the nose pads can lead to localized irritation. This is especially true if the glasses do not fit properly or if the nose pads are too tight. Over time, this pressure can cause the skin to become red, inflamed, and painful. To alleviate this, consider the following:
1. Adjust the Fit: Visit an optician to have your glasses adjusted. They can modify the nose pads to reduce pressure on the skin.

2. Change Frame Style: If your current frames are particularly heavy or ill-fitting, consider switching to a lighter pair or one with a different design that distributes weight more evenly.


Allergic Reactions
Another possibility is that you may be experiencing an allergic reaction to the materials in your glasses. Common allergens include nickel, which is often found in metal frames, or even certain plastics. Symptoms of an allergic reaction can include redness, swelling, and itching. If you suspect this might be the case, consider the following:
1. Material Check: Check the materials used in your glasses. If they contain metals like nickel, consider switching to hypoallergenic materials such as titanium or plastic frames.

2. Use of Barrier Creams: Applying a barrier cream or ointment to the affected area can help protect the skin from allergens.


Contact Dermatitis
Contact dermatitis is another potential cause of your symptoms. This condition occurs when the skin reacts to substances that come into contact with it, leading to redness, itching, and pain. This could be due to the cleaning solutions used on your glasses or even skincare products that may come into contact with the area. To manage this:
1. Identify Triggers: Keep a diary of any products you use on your face or glasses to identify potential irritants.

2. Gentle Cleansing: Use mild, fragrance-free cleansers and avoid harsh chemicals that could exacerbate the irritation.


Other Considerations
Given the chronic nature of your symptoms, it may also be worthwhile to consult a dermatologist. They can perform a thorough examination and may recommend patch testing to identify any specific allergens. Additionally, they might prescribe topical treatments, such as corticosteroids, to reduce inflammation and redness.


Conclusion
In summary, persistent redness and pain under glasses can arise from mechanical irritation, allergic reactions, or contact dermatitis. Adjusting the fit of your glasses, considering the materials used, and identifying potential irritants are crucial steps in managing your symptoms. If these strategies do not lead to improvement, seeking professional medical advice is essential to rule out any underlying conditions and receive appropriate treatment. Remember, taking care of your skin is just as important as addressing the discomfort caused by your eyewear.