眼皮肿的原因分析

眼睛过敏
眼睑肿胀的最常见原因是眼睛过敏。1眼睛过敏可能会引起真正的不适，并扰乱日常活动，出现令人讨厌的症状，包括眼睑刺激和肿胀。

当免疫系统对灰尘或花粉等物质反应过度时，就会发生眼睛过敏。眼睛中的细胞释放组胺和其他化学物质，试图保护眼睛。这会导致眼睛内的血管肿胀，眼睛变得瘙痒，发红和流泪。

处方药在舒缓眼睛过敏症状方面非常有效。抗组胺药通常可以相当迅速地减少过敏引起的眼睑肿胀。
 

眼部麦粒肿和霰粒肿
麦粒肿是由炎症和感染引起的。当细菌进入眼睑的产油腺体时，就会发生这种情况。麦粒肿会感到瘙痒和压痛。它们通常看起来像眼睑上的红色凸起。当麦粒肿第一次开始时，眼睛可能会对光敏感，也许有点瘀伤。

霰粒肿是当其中一个腺体被阻塞时发生的事情。腺体变成坚硬的肿块，可能导致眼睑发红和肿胀。2

如果你有麦粒肿，试着给它一个温暖，湿的敷料，每天几次，每次5到10分钟。这通常使眼睛感觉更好，也可能有助于打开任何堵塞的毛孔。然后麦粒肿可以排出并开始愈合。
 

红眼病
红眼病或结膜炎是结膜的炎症。结膜是一层透明的膜，排列在眼睑内侧，覆盖眼睛的白色部分。红眼病通常由过敏、细菌或病毒引起。3

红眼病患者在早上醒来时可能会发现一只或两只眼睛粘在一起。眼睑可能肿胀，眼睛可能发红、发痒和刺激。

 如何治疗红眼病（结膜炎）
 

蜂窝织炎
蜂窝织炎是眼睑肿胀的更严重原因。它是皮肤下层的细菌感染。眼科医生关注两种主要类型，当有人出现眼睑肿胀时。它们被称为前期蜂窝织炎和眼眶蜂窝织炎。4

前期蜂窝织炎是眼睑和/或周围皮肤的感染。患者经常有红眼，以及肿胀引起的疼痛。在大多数情况下，它只影响一只眼睛。

眼眶蜂窝织炎与鼻窦感染有关。感染扩散到构成眼窝的骨骼周围区域。4患有眼眶蜂窝织炎的人可能有眼睛凸出，来回移动眼睛时会感到疼痛。

 如何发现和治疗蜂窝织炎

 Grave's病病
患有格雷夫斯病或其他甲状腺问题的人经常患有眼睑肿胀。格雷夫斯病会导致眼睛凸起。虽然它可以比另一只眼睛更多地影响一只眼睛，但它通常涉及双眼。

有时格雷夫斯病会限制眼睛运动或导致复视。任何类型的甲状腺功能减退症或甲状腺激素水平低下都可能导致双眼肿胀或浮肿。5

概述

疱疹感染
疱疹成为眼病并不罕见 。疱疹病毒可以感染角膜，引起炎症。这是覆盖眼睛前部的透明圆顶。

眼疱疹，也称为眼部疱疹，可引起眼睑或眼表面本身的疼痛性溃疡。角膜和眼睑都受到影响。6 

眼部疱疹的症状通常与红眼病的症状相同。
 眼带状疱疹
总结
当你早上醒来时，眼睛看起来有点肿胀是正常的，但严重的眼睛肿胀不是。最常见的病因包括过敏、红眼病和麦粒肿，但皮肤感染、甲状腺疾病和疱疹是其他可能的原因。

EYE HEALTH  
MORE EYE ISSUES & SAFETY
Common Causes of Eyelid Swelling
By Troy Bedinghaus, OD  

 
 
 
Updated on November 01, 2021
 Medically reviewed by Johnstone M. Kim, MD
Print 
It's normal to see a bit of eyelid swelling when you first glance in the mirror in the morning. Yet sometimes the swelling doesn't go away as your body wakes up from sleep.

Most people will have a swollen eyelid at some point in their lives. It may cause a little anxiety if the cause is unknown or if people around us can see it. Most causes of swollen eyelids are not serious, but you may need to see a doctor to rule out any related health problems.

This article looks at the most common reasons for swollen eyelids. It also offers a few quick tips that may help you care for a swollen eyelid, as well as more serious medical issues to watch for.

 
 Verywell / Brianna Gilmartin.

Eye Allergies
The most common cause of eyelid swelling is eye allergies.1 Eye allergies may cause real discomfort and disrupt daily activities with annoying symptoms that include eyelid irritation and swelling.

Eye allergies happen when the immune system overreacts to a substance like dust or pollen. Cells in the eyes release histamines and other chemicals to try and protect the eyes. This causes blood vessels inside the eyes to swell, and the eyes become itchy, red, and watery.

Prescription drugs are very effective at soothing eye allergy symptoms. Antihistamines often reduce eyelid swelling caused by allergies rather quickly.
 

Eye Styes and Chalazion
A stye is caused by inflammation and infection. It happens when bacteria get into the oil-producing glands in the eyelid. Styes can feel itchy and tender. They usually look like a reddish bump on the eyelid. When a stye first starts, the eye may feel sensitive to light and maybe a little bruised.

A chalazion is what happens when one of these glands gets blocked. The gland turns into a hard lump, which may cause redness and swelling of the eyelid.2

If you have a stye, try to put a warm, wet compress on it for five to 10 minutes a few times a day. This often makes the eye feel better, and may also help to open any blocked pores. The stye can then drain out and start to heal.
 

Pink Eye
Pink eye or conjunctivitis is an inflammation of the conjunctiva. The conjunctiva is a clear membrane that lines the inside of the eyelid and covers the white part of the eye. Pink eye usually is caused by allergies, bacteria, or viruses.3

People with pink eye may wake up to find one or both eyes stuck together with mucus when they wake up in the morning. The eyelids may be swollen, and the eyes may be red, itchy, and irritated.

 How to Treat Pink Eye (Conjunctivitis)
 

Cellulitis
Cellulitis is a more serious cause of eyelid swelling. It is a bacterial infection of the lower layers of the skin. There are two main types that eye doctors focus on when someone comes in with eyelid swelling. They are called preseptal cellulitis and orbital cellulitis.4

Preseptal cellulitis is an infection of the eyelid and/or surrounding skin. People often have red eyes, along with pain due to swelling. In most cases, it will affect just one eye.

Orbital cellulitis is linked with a sinus infection. The infection spreads into the area around the bones that make up the eye socket.4 People with orbital cellulitis may have a bulging eye, and pain when moving their eyes back and forth.

 How to Spot and Treat Cellulitis

Graves' Disease
People with Graves' disease or other thyroid problems often suffer from eyelid swelling. Graves' disease can cause the eyes to bulge. Although it can affect one eye more than the other, it usually involves both eyes.

Sometimes Graves' disease can limit eye motion or cause double vision. Any type of hypothyroidism, or low levels of thyroid hormones, can cause both eyes to seem swollen or puffy.5

 An Overview of Graves' Disease

Herpes Infection
It is not uncommon for herpes to become an eye disease. The herpes virus can infect the cornea, causing inflammation. This is the clear dome that covers the front part of your eye.

Eye herpes, also called ocular herpes, can cause painful sores on the eyelid or the eye surface itself. The cornea is affected as well as the eyelid.6 

Symptoms of eye herpes often seem the same as symptoms of pink eye.
 Herpes Zoster Ophthalmicus
Summary
It's normal for eyes to look a little swollen when you wake up in the morning, but severe eye swelling is not. The most common causes include allergies, pink eye, and styes, but skin infections, thyroid disease, and herpes are other possible causes.

A Word From Verywell
Fortunately, a case of swollen eyelids usually will pass without trouble and be forgotten. Most people will experience them at some point, and they are easy to treat in most cases.

That, however, may lead to a false sense of security. When a swollen eyelid is "no big deal," it seems like there's no reason to have the eye looked at by a doctor. But in some cases, it may be a symptom of a larger problem. If you're not sure, or if your eye doesn't get better in a few days, be sure to call your doctor for advice.

FREQUENTLY ASKED QUESTIONS
Why are my eyelids puffy in the morning?
 

 

 

 
 
 
 
 

 

How do you treat a swollen eyelid?