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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Visual disturbances or aura such as flashing lights, zigzag patterns or coloured spots or lines. Feeling sick or being sick. Sometimes you can get the eye symptoms without having a headache. Diagnosing Retinal Migraines To diagnose you with retinal migraines, the examining clinician will ask you about your symptoms, family history, and examine your eyes. This is why keeping a note of your migraines and symptoms will be useful. Your clinician will try to rule out other conditions that could cause similar problems, such as: Amaurosis fugax (transient darkening) – temporary blindness due to a lack of blood flow to the eye. It can happen because of a blockage in an artery that leads to the eye. Spasms in the artery that brings blood to the retina Giant cell arteritis – a problem that causes inflammation in blood vessels. It can lead to vision problems and blindness. Other blood vessel problems related to autoimmune diseases Substance use disorder or overusing illicit drugs Conditions that keep your blood from clotting normally, like sickle cell disease and polycythemia Stroke or transient ischemic attack (TIA) At Leightons, we offer an Optomap Eye Examination (also part of our Ultimate Eye Examinations) to patients of all ages. This enhanced examination allows us to see more than ever before with 2D and 3D imaging (OCT) of the inside of your eye which can help identify and diagnose eye conditions and rule out conditions with similar symptoms as retinal migraines. Treatment Options Treatment for retinal migraines is not usually needed if you do not have them very often but if you do get them frequently, your doctor might suggest some treatments to help. Lifestyle changes If you have noticed that a particular food or activity makes your symptoms worse, you may need to consider reducing your exposure to help ease your migraines. 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Additionally, if you have a headache that comes on suddenly and is extremely painful, you suddenly have problems speaking or remembering things, you have sudden vision loss, blurred vision or double vision, seek medical help immediately. Book an eye test today For your peace of mind, whether you experience retinal migraines or not, regarding your eye health, book an eye test with Leightons. Conclusion Retinal migraines can be frustrating and painful. If you have experienced any of the symptoms associated with these kinds of migraines or are concerned that you have eye migraines, don’t hesitate to seek professional help. A diagnosis from a medical professional can help you manage your symptoms and regain your quality of life. Book an eye test
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