[24F] With sudden onset eye swelling and redness

Patient Description

A 24-year-old female reports sudden onset of swelling and redness around the eye since yesterday morning. The swelling is significant enough to partially block vision. The redness developed gradually, and the patient experiences occasional itching. There is yellow discharge noted in the mornings. The patient recently used a new mascara but has since discontinued its use. She has attempted cold and hot compresses to alleviate symptoms. There is no history of allergic reactions to cosmetics. The patient is currently taking ibuprofen 500mg on an as-needed basis. No other medications or significant medical history reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Allergic Reaction: The new mascara could have caused an allergic reaction, leading to swelling, redness, and itching. Allergic reactions to cosmetics are common and can cause irritation and inflammation.

    • Treatment typically involves discontinuing the use of the product and using antihistamines to reduce symptoms.

  • Conjunctivitis (Pink Eye): The yellow discharge and redness could indicate conjunctivitis, which can be caused by bacteria, viruses, or allergens.

    • Treatment depends on the cause: bacterial infections may require antibiotic eye drops, while viral infections usually resolve on their own. Allergic conjunctivitis can be managed with antihistamines.

  • Blepharitis: This is an inflammation of the eyelid margins, which can cause redness, swelling, and discharge.

    • Treatment includes maintaining eyelid hygiene with warm compresses and eyelid scrubs.

What you can do

  1. Avoid the Mascara: Since the symptoms began after using a new mascara, continue to avoid it and any other new eye products.

  2. Maintain Eye Hygiene: Use warm compresses to clean your eyelids gently. This can help with any discharge and reduce inflammation.

  3. Over-the-Counter Relief: Consider using antihistamine eye drops or oral antihistamines to help with itching and swelling.

  4. Monitor Symptoms: Keep track of your symptoms using MDandMe to journal your progress and share insights with your healthcare provider.

What you should look out for

Seek medical attention if:

  • The swelling or redness worsens or does not improve in a few days.
  • You experience severe pain, vision changes, or increased discharge.
  • You develop a fever or feel generally unwell.

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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26 d ago

People Also Ask

What are common causes of eye swelling and redness?

Common causes of eye swelling and redness include allergic reactions, infections like conjunctivitis, and conditions such as blepharitis. Allergens, bacteria, and viruses are typical culprits.

How can I differentiate between an allergic reaction and conjunctivitis?

An allergic reaction often involves itching and occurs after exposure to a new product, while conjunctivitis may include yellow discharge and can be caused by bacteria, viruses, or allergens. A healthcare provider can help differentiate between them.

What are effective home remedies for reducing eye swelling and redness?

Effective home remedies include avoiding the irritant, using warm compresses to clean the eyelids, and applying cold compresses to reduce swelling. Over-the-counter antihistamines can also help with allergic symptoms.

When should I seek medical attention for eye symptoms?

Seek medical attention if the swelling or redness worsens, does not improve in a few days, or if you experience severe pain, vision changes, increased discharge, fever, or general unwellness.

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