What is the meaning of puffy eyes?
Puffy eye is a swelling of the connective tissue that surrounds the eye especially the eyelid due to the retention of fluid or blood. Most of the time it is a benign condition and resolves by itself but sometimes it can be related to medical conditions that require further investigations and treatments.
What are the causes of puffy eyes?
Most of causes are benign such as fatigue, lack of sleep, stress and poor diet. Diet with high amount of sodium can cause retention of fluid.
Causes related to the eye
Puffy eyelids after crying.
Aging. Normal aging process causes weakness in connective tissues that prevent periorbital fat from herniation.
Allergic eye condition such as Allergic Conjunctivitis.
Contact lenses. Damaged contact lenses, dirty contact lenses and allergy to contact lenses can cause puffy eyelid.
Eye infection. Such as keratitis, periorbital cellulitis and orbital cellulitis.
Eye and face trauma. Can cause collection of blood in the eyelid with red-brown discoloration.
Eyelid and skin infection such as eye stye.
Inflammatory eye and orbital conditions such as idiopathic orbital inflammatory syndrome.
Post Eye surgeries such as after cataract eye surgery, after Photorefractive keratectomy (PRK) and after eyelid surgery or blepharoplasty.
Causes related to sinus and nose
Sinusitis either due to infection or allergy
Upper respiratory tract infection
Allergic conditions of the nose
Nasolacrimal Duct problems
After nose and sinus surgery
Causes related to Systemic diseases
Renal diseases. Can cause fluid retention
Systemic allergic condition
Heart condition with weak heart pump that cause
What are the causes of puffy eyes in the morning?
Waking up with swollen eyes is caused by
Sleep position such as sleeping on your face
Lack of sleep or prolong sleep
Allergy from bed sheets
Food you ate before sleeping especially food with high sodium that cause fluid retention and also if you drink alcohol.
Signs and Symptoms of Puffy eye
Most of the time it is asymptomatic and only swelling eyelid.
Itching can occur in allergic eye conditions and also in systemic allergic conditions.
Eye Pain, red eye and blurred vision can occur with eye infection, periorbital and orbital cellulitis
Nose discharge and coughing with puffy eye can occur in upper respiratory tract infection and nose problems.
When to seek medical advice?
As we said, most of the times it is a benign condition and doesn’t need any medical attention but you should seek medical advice if you suffer from:
Red eye
Eye discharge
Eye pain
Blurred vision or double vision
Headache with nausea and vomiting
Fever
Any restrictions in eye movement
Facial or neck swelling
Breathing difficulties