What causes eyelid swelling and inflammation? Treatment and surgery


Eyelid swelling can be caused by many reasons such as infection, edema, allergies or insect bites. If the cause is infection or edema, it may be necessary to see a doctor. However, eyelid swelling usually goes away on its own within a day. If the swelling is accompanied by problems such as itching or pain, the cause of the problem may be a more serious illness. Among the main symptoms of eyelid inflammation; eye redness, pain, discharge, and extreme sensitivity to light. If the problem is preventing the person’s vision, it is absolutely necessary to go to an ophthalmologist.

What is eyelid swelling?

Eyelid swelling is common and can be caused by many different causes. The eye may be infected or edema may have developed. These problems are mostly harmless and go away on their own within 24 hours. In this process, warm compresses on the eye help.

If swelling is accompanied by itching or pain, different causes should be considered. While swelling is usually harmless, some can cause serious discomfort. If it affects the person’s life to such an extent that it hinders their vision, it is absolutely necessary to go to an ophthalmologist (1).

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Why does the eyelid swell?

although rare Graves’ disease or eye cancer can also cause these symptoms. If swelling persists for more than 24 to 48 hours, contact your ophthalmologist. (2nd)

eyelid inflammation

What causes eyelid inflammation?

It is an inflammation of the eyelid with a small red bump that occurs as a result of inflammation of the eyelash roots on the eyelid. the reason abscess or it could be a stye. The site of the inflammation swells, and a feeling of itching and discomfort occurs around it. A stye is a type of inflammation that usually recurs. It can be tender and painful if it spreads to other areas of the eyelid.

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But mostly in 1-2 days, a white tip will come off and burst, or it will shrink on its own and disappear. If it does not shrink or disappear, surgical intervention may be required.

Eyelid inflammation symptoms

  • redness of the eye
  • Eye pain and discomfort
  • change in visual acuity
  • Stream
  • hypersensitivity to light

eyelid inflammation treatment

A warm compress can reduce inflammation. If the inflammation is not caused by an infection eye dropEye drops, especially eye drops that relieve dryness, may help to relax the eyes. If there is an infection antibiotic must use.

Eyelid diseases


It is a swelling caused by inflammation of the eyelashes, which usually occurs with itching and pain. It usually does not require treatment, it goes away on its own in a few days, it is safe, but it can recur. (3)

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on the eyelid itchingIt appears with a feeling of discomfort and swelling, it heals by itself when avoiding substances that cause allergic reactions, it is harmless. (4)

Orbital Cellulite

It is the infection of the soft tissues inside the eye, which is mostly seen in children and sinusitis associated with. Since it can spread rapidly and cause serious complications and even loss of vision, it should be diagnosed and treated immediately. (5)


It is a chronic disease that occurs in the form of itching, redness and dandruff in and around the eyelid. There is no cure. In cases where it is very painful and uncomfortable, the ophthalmologist may prescribe antibiotics. (6)

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herpes eye

It is a virus that occurs with itching and blisters. For diagnosis, the doctor should take a sample of the eye fluid and perform laboratory analysis. The virus cannot be eliminated from the body, but antiviral drugs help reduce symptoms. (7)

Graves’ disease

It is a disease caused by an overactive thyroid gland that can cause swelling and inflammation of the eyes. It can be treated with various medications. (8)

tear duct obstruction

It causes swelling, pain and redness in the eye. It is harmless and clogged channels can be opened with a hot compress. If it is infected, it may be necessary to use antibiotics or have a medical procedure.


It is a type of eye infection that causes the pupils to turn pink, causing pain, itching, and swelling. It can be caused by a virus or bacteria that clears itself after 7-10 days, or it can be caused by allergies or eye-damaging substances. (10)

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What is blepharochalasis?

Painless edemas occur on the eyelids at indeterminate intervals, and these edemas recur, causing wrinkling, thinning, laxity, and deterioration of the eyelid structure. Blepharochalasis is a rare disease and usually occurs in childhood and adolescence. It is mostly observed on both eyelids.

It can be treated surgically, depending on the condition of the disease and the person. However, there is a possibility of recurrence due to the patient’s lifestyle or different reasons.

How does eyelid swelling go away?

Eyelid swelling usually disappears within 24 hours. edema (fluid retention), allergies, fatigue, stress or insomnia You can treat this problem yourself at home. The presence of swelling in both eyes is the hallmark of these conditions. Simple ways you can apply at home:

  • Wet a clean cloth with cold water and apply a compress to your eyes.
  • If you wear contact lenses, remove them.
  • Put the chilled black tea bags over your eyes. Caffeine helps reduce swelling.
  • Sleep with an extra pillow under your head at night to reduce edema.
  • If the problem is due to allergies, you can use antihistamine eye drops. However, for severe allergic reactions, you may need to use prescription eye drops or an oral antihistamine.

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How to treat swelling of the eyelid?

If the eyelid swelling is painful and sensitive to the touch, it is important to find out what is causing the swelling, different treatments are used for different causes.

  • Cyst: If the swelling is in the middle part of the eyelid, the cause may be a cyst. Compressing the eye with a warm and wet cloth 4-5 times a day can help to release the oil that clogs and forms a cyst.
  • Stye: It is a small swelling that occurs at the base of the eyelid at the base of the eyelashes. It occurs due to infection. You can clean the eye in a few weeks by applying a warm compress.
  • Conjunctivitis: It is an infection that causes inflammation of the surface of the eye and the formation of pus and sticky fluid around the eyes. The sticky part is cleaned with warm water and cotton, and it can heal on its own without the need for any other treatment, just by paying attention to the hygiene conditions. Keeping pillowcases clean, being careful not to touch the eyes, and avoiding the use of cosmetics and contact lenses aid healing.
  • Orbital cellulitis: It is an infection of the skin around the eyes and you need to use antibiotics for treatment. With this infection, fever, nauseaIt is recommended to consult a doctor for immediate intervention if you are unable to move your eyes, have vision problems, swaying and confusion.

You should see a doctor immediately if the following symptoms are seen along with the swelling in the eyelid.

  • ache
  • Inability to move the eye muscle
  • Blurred or distorted vision
  • problems with vision
  • stinging sensation in the eye

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droopy eyelid

The drooping of the upper eyelid from birth or with age is called drooping of the eyelid. In addition to the effect of aging, some injuries, long-term use of lenses, allergic diseases and some infections, stress, alcohol and cigarette use, constant insomnia and fatigue can also cause this condition. Since sagging or bagging will cause restriction of vision, surgical intervention is required.

Eyelid surgery (aesthetics)

As the age progresses, the eyelids may droop, pouches may form, and these pouches may droop up to the eyelashes, preventing proper vision. Generally, the eyelids are tight at a young age, but genetically, eyelid drooping can be seen at a young age in some people.

In addition, some of the swelling that occurs over time on the eyelid may become permanent on the eyelid as an oil layer or cyst. These bags, which make the face look old and tired, affect the facial expression. Eyelid surgery is the removal of the sagging eyelid and the accumulated fat or bags with an operation. (13)

Why is eyelid surgery (blepharoplasty) performed?

  • Eyelid drooping and sagging
  • Loosening and sagging of the skin on the upper eyelids that impede peripheral vision
  • Skin sagging on the lower eyelids
  • Blepharoplasty may be preferred in case of under-eye bags.

Blepharoplasty can be done at the same time as another procedure, such as a brow lift, facelift, or skin resurfacing.

Causes of pain, burning, stinging, itching and redness in the eye

Eyelid aesthetic risks

As in any surgery, some complications may develop in this operation, which is mostly easy and has low risks. (14) E.g:

  • Infection and bleeding
  • Dryness and irritation of the eyes
  • Difficulty closing the eyes or other eyelid problems
  • Scar
  • eye muscle injury
  • skin discoloration
  • No need for repeat surgery
  • Temporarily blurred vision or, rarely, loss of vision

It is extremely important for you to talk to your doctor in detail about the risks and advantages before surgery, in order to make the right decision.

Before eyelid surgery

Before surgery, your surgeon may require a physical examination and some tests to measure your tear production and peripheral vision. Your eyes are photographed from different angles. Also:

  • If you are using any blood thinners or herbal supplements, stop before the surgery.
  • Quit smoking a few weeks before surgery.
  • Take a companion with you.

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How long does eyelid surgery take?

Eyelid surgery is an operation that takes a very short time, has few side effects and provides a permanent effect. It takes about 1 hour, local anesthesia It is done with, does not require hospitalization. Although it varies according to the area of ​​the eyelid that is operated on, the eyes can be used within 4 days and heal completely in 1 week.

Fatigue and old age expression on the face disappears, the face gains a younger and healthier appearance. Eyes appear larger.

After eyelid surgery

After the surgery, you may experience temporary discomfort such as blurred or double vision, watery eyes, sensitivity to light, numbness or pain in the eyelids.

You can reduce these annoyances with some simple practices:

  • The night after surgery, apply ice packs to your eyes for 10 minutes every hour. The next day, repeat this application four to five times throughout the day.
  • Gently clean your eyelids and use the eye drops or ointment provided.
  • Avoid heavy sports and swimming for a week.
  • Do not smoke.
  • Do not rub your eyes.
  • If you wear contact lenses, do not use them for about two weeks after surgery.
  • Use dark sunglasses.
  • Sleep with your head elevated for a few days.
  • Apply cold compresses to reduce edema.
  • Do not use blood thinners for about a week.

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eyelid surgery prices

If the surgery is performed for a medical reason, such as having problems with your vision, it may be considered under insurance. However, surgeries performed for aesthetic purposes are borne by the patient. Although surgery prices vary according to the hospital and doctor, upper eyelid surgery is priced between 4.000-7.500 TL and lower eyelid surgery is priced between 6.000-10.000 TL.


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