Swollen Eye with Bump and Headache: When to See a Doctor? - Ophthalmology

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The eyes are swollen with growths, and there is also a headache?


Hello, Doctor He: Since last Thursday, I have been experiencing some pain in my left eye, and then a lump developed under my lower eyelid.
It is not very visible externally, but when I touch it, I can feel a small bump, and the eyelid appears red.
Since that day, I have also had a slight headache and a feeling of discomfort in my sinuses.
I am unsure which specialist I should see.

Ou, 20~29 year old female. Ask Date: 2015/12/21

Dr. He Jianxian reply Ophthalmology


Since there is a growth on the eyelid, it is advisable to first consider seeing an ophthalmologist.

Reply Date: 2015/12/21

More Info


It sounds like you're experiencing a combination of symptoms that could be related to several underlying issues. The swelling in your left eye, the bump on your lower eyelid, and the accompanying headache could indicate a few different conditions, and it's important to approach this systematically.

Firstly, the bump you mentioned could be a chalazion or a stye. A chalazion is a blocked oil gland in the eyelid, which can cause swelling and discomfort. A stye, on the other hand, is an infection of an oil gland that can also lead to redness, swelling, and pain. Both conditions can cause localized discomfort and may be associated with headaches due to referred pain or tension in the surrounding muscles.

The headache you're experiencing could be tension-type headache, which is often exacerbated by stress, poor posture, or eye strain, especially if you spend long hours in front of a computer. The discomfort in your sinuses could also suggest sinusitis, which can occur if there is an infection or inflammation in the nasal passages, leading to pressure and pain in the forehead and around the eyes.

Given these symptoms, it would be advisable to see a healthcare professional. You could start with an ophthalmologist (eye doctor) who can evaluate the bump on your eyelid and assess the overall health of your eye. They can determine if the bump is indeed a chalazion or stye and recommend appropriate treatment, which may include warm compresses, topical antibiotics, or, in some cases, surgical drainage if the bump is persistent.

If the ophthalmologist rules out any eye-related issues, or if your headache persists, you might then consider seeing a neurologist. They can evaluate your headaches further, especially if they are frequent or severe. They may conduct a thorough examination and possibly imaging studies like an MRI or CT scan to rule out any serious conditions.

In the meantime, here are some self-care measures you can take to alleviate your symptoms:
1. Warm Compresses: Applying a warm compress to the affected eye can help reduce swelling and promote drainage if it’s a chalazion or stye.

2. Over-the-Counter Pain Relief: If your headache is bothersome, consider taking over-the-counter pain relievers like ibuprofen or acetaminophen, following the recommended dosages.

3. Stay Hydrated: Ensure you are drinking enough water, as dehydration can contribute to headaches.

4. Rest Your Eyes: If you are working long hours on the computer, take regular breaks to reduce eye strain. The 20-20-20 rule is helpful: every 20 minutes, look at something 20 feet away for at least 20 seconds.

5. Monitor Symptoms: Keep track of your symptoms, including when they occur and their severity. This information can be helpful for your healthcare provider.

In summary, it is important to seek medical attention to properly diagnose and treat your symptoms. Start with an eye specialist, and if necessary, follow up with a neurologist. Early intervention can help prevent complications and improve your overall well-being.

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