[20F] With acute onset of red, watery eyes and eyelid swelling

Patient Description

A 20-year-old female presents with acute onset of red, watery eyes and a red splotch on the inner corner of the left eyelid that has started to swell. The redness and watering have been present for 2 days, while the swelling began today. The redness is described as a pinkish hue and the eyes water occasionally, with a few tears rather than constant streaming. There are no known triggers or relieving factors identified. The patient has no known allergies, is not on any medications, and has no past medical history of eye conditions or chronic illnesses. There has been no exposure to irritants or individuals with eye infections, and no symptoms of systemic infection such as fever or chills.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Conjunctivitis (Pink Eye): This is an inflammation or infection of the transparent membrane (conjunctiva) that lines your eyelid and covers the white part of your eyeball. It can cause redness, itching, and tearing. It's usually caused by a bacterial or viral infection, or an allergic reaction.

    • Treatment typically involves either waiting for the infection to clear on its own, or using prescribed eye drops or ointments.
  • Blepharitis: This is an inflammation of the eyelids, usually where the eyelashes grow, causing red, irritated, itchy eyelids and the formation of dandruff-like scales on eyelashes. It's often a chronic condition associated with bacterial infection or certain types of skin conditions.

    • Treatment often involves good eyelid hygiene, including warm compresses and eyelid scrubs.
  • Stye: This is a red, painful lump near the edge of your eyelid that may look like a boil or a pimple. Styes are often filled with pus. A stye can cause the eyelid to become swollen and even affect the entire eyelid.

    • Treatment usually involves applying a warm washcloth to your closed eyelid.

What you can do

While waiting for your appointment with a healthcare provider, you can try the following:

  1. Avoid touching or rubbing your eyes. This can worsen the condition and spread it to your other eye.
  2. Wash your hands frequently to avoid spreading the infection.
  3. If your eyes are itchy, a cold compress may provide some relief.

What you should look out for

Please seek immediate medical attention if you experience:

  • Pain in the eye
  • Sensitivity to light or blurred vision that does not improve when discharge is wiped from the eye(s)
  • Intensification of redness in the eye
  • Worsening or persistence of symptoms after 3 days of home treatment

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of conjunctivitis?

Conjunctivitis, or pink eye, can be caused by bacterial or viral infections, allergies, or exposure to irritants. It is characterized by redness, itching, and tearing of the eyes.


How can I differentiate between a stye and blepharitis?

A stye is a red, painful lump near the edge of the eyelid, often filled with pus, while blepharitis is an inflammation of the eyelids causing red, irritated, and itchy eyelids with dandruff-like scales. Blepharitis is usually chronic, whereas a stye is more acute.


What home remedies can help alleviate symptoms of eye infections?

Home remedies for eye infections include applying warm compresses to the affected eye, maintaining good eyelid hygiene, avoiding touching or rubbing the eyes, and using cold compresses to relieve itching.


When should I seek medical attention for eye redness and swelling?

You should seek medical attention if you experience eye pain, sensitivity to light, blurred vision that does not improve, intensification of redness, or if symptoms persist or worsen after 3 days of home treatment.


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