What are puffy eyes?

Puffy eyes refer to a common condition where the area around your eyes appears swollen or puffed up. While it might look similar, puffy eyes are not the same as swollen eyes. The key difference between puffy eyes and swollen eyes lies in the underlying cause and the degree of increased volume in the eyelids.

Puffy eyes are usually temporary and often harmless, resulting from factors like lack of sleep, crying, or fluid retention. Where swollen eyes can be a sign of underlying conditions that may require medical attention. Understanding this distinction can help you determine the appropriate course of action.

Symptoms

The symptoms of puffy eyes can vary depending on what's causing them. Swollen or puffy eyes may also be accompanied by one or more of the following symptoms. The combination of symptoms can help ascertain the likely cause. You might experience one or more of these common signs:

Woman touching her eyes beneath her glasses, expressing discomfort, possibly due to irritation or fatigue.
  • Swelling around the eyes
  • Dark circles under the eyes
  • Redness or irritation
  • Sensitivity to light
  • Watery eyes
  • Itching or discomfort
  • A feeling of heaviness around the eyes

Causes

Puffy eyes can result from a variety of factors, ranging from lifestyle choices to medical conditions. Understanding these causes can help you pinpoint why you're experiencing puffiness and guide you towards the right solution. While most causes are temporary and easily treatable, some might require medical attention. Common reasons behind puffy eyes:

  • Allergies: A reaction to allergens like pollen or dust
  • Lack of sleep: Not getting enough rest can lead to puffy eyes
  • Crying: Emotional tears can cause temporary puffiness
  • High-salt diet: Excess sodium can lead to fluid retention
  • Ageing: As we get older, the skin around our eyes becomes less elastic
  • Hereditary factors: Some people are genetically predisposed to puffy eyes
  • Dehydration: Not drinking enough water can cause puffiness
  • Eye infections: For example, conjunctivitis can cause swelling
  • Sinus problems: Congestion can affect the area around your eyes
  • Hormonal changes: Pregnancy or menstruation can cause temporary puffiness
  • Trauma or injury to the eye: Such as getting hit in the eye or a scratched eye
  • Poor diet: Lack of nutrients can affect the appearance of your eyes

When should I see my GP?

While puffy eyes are often harmless, it's a good idea to check with your doctor or optometrist if the puffiness lasts for more than a day or two. Some symptoms might indicate more serious complications. Seek medical attention if you experience:

  • Sudden and severe swelling
  • Pain around the eye
  • Changes in vision
  • Difficulty closing or opening the eyes
  • Persistent redness
  • Fever
  • A persistent gritty feeling in your eye
  • Any discharge from the eye

Treatment

It's important to remember that puffy eyes can be a sign of multiple conditions. There are various ways to address this common problem. The right treatment approach depends on the underlying cause and severity of your symptoms.

Under-eye masks designed to reduce puffiness, fine lines, and dark circles.

If you're experiencing persistent or severe puffiness, it's best to consult with your GP, optometrist or optician. They can rule out any underlying conditions and recommend the most appropriate treatment. However, there are some home remedies that can help reduce puffiness:

  1. Cold compress: Apply a cool, damp cloth to your eyes
  2. Stay hydrated: Drink plenty of water throughout the day
  3. Reduce salt intake: Cut back on salty foods to reduce fluid retention
  4. Get enough sleep: Aim for 7-9 hours of sleep per night
  5. Elevate your head: Use an extra pillow while sleeping
  6. Cucumber slices: Place cool cucumber slices on your eyes for 10-15 minutes
  7. Tea bags: Cool, used tea bags can help reduce puffiness
  8. Gentle massage: Lightly massage the area around your eyes to improve circulation
  9. Use lubricating eye drops: These may help if your eyes are dry. If you suffer from allergies like hay fever, consider using allergy-specific eye drops.

Takeaway

Puffy eyes are a common issue that can be caused by various factors, from lack of sleep to allergies. While often harmless, persistent puffiness or severe symptoms should be checked by a healthcare professional. Simple home remedies can often help reduce puffiness, but it's essential to maintain good eye health through regular check-ups and a healthy lifestyle. Don't hesitate to seek professional advice if you're concerned about any changes in your eye health.

FAQs

In most cases, puffy eyes are not serious and are often caused by temporary factors like lack of sleep or allergies. However, if puffiness persists, is accompanied by pain, vision changes, or other concerning symptoms, it's best to consult with a healthcare professional to rule out any underlying conditions.

Yes, puffy eyes can often be treated at home with simple remedies. These include applying a cold compress, staying hydrated, reducing salt intake, getting enough sleep, and using cucumber slices or tea bags on your eyes. However, if home treatments don't help or if symptoms worsen, it's important to seek medical advice.

Yes, stress can contribute to puffy eyes. When we're stressed, our body releases cortisol, which can lead to fluid retention and puffiness. Stress can also disrupt sleep patterns, another common cause of puffy eyes. Managing stress through relaxation techniques, exercise, and adequate sleep can help reduce eye puffiness.

While puffy eyes alone are not typically a sign of liver problems, severe liver disease can sometimes cause fluid retention throughout the body, including around the eyes. However, this would usually be accompanied by other symptoms. If you're concerned about liver health, it's best to consult with a healthcare professional for proper evaluation and advice.

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With the arrival of darker evenings, we’re likely to be spending more time in front of screens than we were in the summer, while in daytime we can find ourselves out in cold autumn wind. These are all key contributors to dry eye syndrome, so now is the time to think about how to help your eyes stay healthy through the autumn and winter months!    What is dry eye syndrome?  From time to time we all feel like our eyes can get dry and tired, but if your eyes regularly feel red, sore and uncomfortable, you might be suffering from dry eye syndrome.   Dry eye is common and occurs when your tears evaporate faster than usual, or if your eyes cannot produce enough tears. Tears don’t just flow when you start welling up while watching a sad film, they should always be there, to constantly lubricate your eyes. You can also have dry eyes despite tears rolling down your cheeks – if the tears are of poor quality, they stay on the surface of your eyes.  Dry eye becomes more common as you get older because we produce fewer tears and our eyelids are less effective in spreading the tears across the surface of our eyes – about 33% of people over 65 experience problems with dry eyes.  However, this condition is becoming more prevalent in young people, and it’s thought to be related to excessive screen use. When we’re looking at a screen we blink less frequently, at a lower rate and not fully, so our tears evaporate and are not spread evenly over the surface of the eyes.     What are the symptoms?  If you have itchy eyes, redness, the sensation of having something in your eye, a gritty feeling or watery eyes as you try to over-compensate for the lack of tears, you could have dry eyes.  At Leightons we can diagnose dry eye syndrome by thoroughly discussing your symptoms and making an assessment of the front of your eye (the anterior eye). This includes a fluorescein or lissamine green dye test. These dyes highlight dry or damaged cells and help us examine the flow of tears.   If you think you have dry eye and exhibit some of the above symptoms, contact our Dedicated Patient Support team on 0800 40 20 20 or book an appointment online for diagnosis and treatment.     Why does it happen?  There’s no single cause of dry eye syndrome, but there are a number of factors that can contribute:  * Due to dry, windy weather or even high altitude  * Central heating and air conditioning will further evaporate tears in the home, office or car  * Underlying medical conditions, such as blepharitis (an inflammation of the eyelids), lupus, contact dermatitis and rheumatoid arthritis  * Side effects of some medicine, such as antihistamines, antidepressants and diuretics  * For women, dry eye can happen during menopause, pregnancy, or while using the pill  * Following laser eye surgery many people initially are aware of having dry eye  * Activities like reading, writing or working at a computer without breaks. Try blinking regularly to stimulate the flow of tears around your eyes    How can it be treated?  You can make the most of your natural tears by drinking more fluids and staying well hydrated, and eating more foods containing omega 3 and omega 6, such as oily fish, sunflower seeds and walnuts.  You can also try artificial tear eye drops. This is a common treatment clinically proven to relive the gritty, sore sensation of dry eye syndrome. Pop into your local Leightons branch to pick up artificial tear eye drops such as Thealoz Duo – a dual-action eye drop that hydrates and protects the surface of the eye.    We can take a look  If you’re unsure if you have dry eye syndrome and want to book an eye test to find out, or simply want to try eye drops, just speak to your local eye care experts at Leightons.   Call us on 0800 40 20 20 or visit your nearest branch. You can also book an eye exam online. 
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