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Eye Swelling

Swelling of the eyes, or eyelids, is a very common symptom among many people. Believe it or not there are over 70 causes of why ones eye swells. Some of the causes are rare, but most of them are due to allergies, Conjunctivitis and Blepharitis. There are many different ways to treat the swelling of your eyelids, but it’s very important that you know what is causing the swelling in the first place. If your experiencing any swelling of the eyelids and don’t know the cause you can visit one or more of the following medical professionals to determine the cause; a general practitioner, emergency physician, ophthalmologist or dermatologist will be able to pinpoint the reason behind the swelling.

Causes of Eye Swelling

We will only focus on the most common causes of eye swelling such as:

•Allergies - Allergies are a very common reason why most people suffer from any type of eye symptom. Indoor and outdoor allergies can release histamines into your system, which only makes the problem worse and causes you to do things such as rub your eyes, which releases more histamines and causes swelling, sometimes severe swelling.

•Eye Infections – Eye infections often lead to swelling of the tissue surrounding the eyes and eyelids. There are many types of infections caused by viruses or bacteria.

•Blepharitis - This is a condition that causes inflammation within your eyelids. There could be underlying conditions such as dandruff, dry eyes and infections which can cause Blepharitis. Besides the swelling of your eyes, symptoms will also include burning, itchiness, excessive tearing and the feeling of a foreign substance within your eye.


•Conjunctivitis - This is a contagious infection that could be viral or bacterial in origin. It can also be triggered by allergens, contact lenses, environmental irritants and eye drops and ointments. Besides swelling, it causes your eyes to burn, itch and become red in color. As said before, it’s contagious, so take precautions to reduce transmitting it to someone else, or receiving it.


•Styes - Styes are similar to pimples, only they are inflamed sebaceous glands located near the base of your eyelids. It is so important you leave styes alone, and don’t try to pierce or squeeze them, as they can spread throughout your eyelids. Washing your hands is crucial before touching your eyes, especially when you have a stye.


Other factors that can cause swelling of the eyes are things such as crying, sleeping, or too much sodium in a diet.


Treatment of Swollen Eyes.

For eye infections, there are over the counter medications that can help alleviate swelling but visiting a doctor will help fix the problem. If you're suffering from allergies, you can either alleviate your swollen eyes by using oral antihistamines and decongestants, as well as eye drops that contain antihistamines and decongestants. If you're not suffering from allergies, you can apply either a warm washcloth over your eyes for a period of time, or a cold ice pack over your eyes for a period of time. Both ways reduce the swelling. Keeping your head elevated will also reduce the swelling around your eyes. Try not to lie down or keep your head in a position where blood can flow to it quicker. If bacteria is causing the swelling around your eyes, you can receive antibiotics to eliminate the infection as well as the swelling. Another option you can do is to splash cool water on your face and in your eyes. This can remove any particles that could be irritating your eyes. Also, avoid rubbing your eyes the best you can, this will only cause the swelling to worsen, even to the point of temporary blindness. For eye swelling that is persistent and will not go away, seek medical help from a medical professional.

Preventing Swollen Eyes.

The number one thing you can do to prevent further swollenness, is to not rub your eyes and to seek medical attention if your situation is severe. Your doctor can provide you with medicine that will reduce the swelling almost immediately or can determine if there are more serious problems causing the swelling. If you suffer from allergies, try to take precautions while indoors, such as keeping air filters and air ducts clean, as well as vacuuming often to remove dust and dander. Outdoor precautions can include wearing face masks, especially if doing yard work or spending time outside during the spring and fall seasons. Also, you can ask your doctor to prescribe you antihistamine and decongestant medication to minimize the effects of allergy season.

Eye Disease Glossary

Some of the more common eye disease terms you may have heard about are included here.


Adie's Pupil - a pupil that does not react normally to bright light due to impaired nerve function; usually does not interfere substantially with vision

Amaurosis Fugax - temporary loss of vision in one eye; may be a sign of a transient ischemic attack (TIA) or an impending stroke

Amblyopia - the inability of an eye to see normally due to lack of input from the eye to the brain during childhood; also termed "lazy eye"

Aphakia - the absence of the eye's natural lens, usually after cataract surgery

Arcus Senilis - a hazy ring at the edge of the cornea where the iris meets the white of the eye; does not impair vision



Bell's Palsy - paralysis of the muscles on one side of the face due to nerve damage; usually temporary, but can interfere with blinking and protection of the eye

Blepharitis - inflammation of the eyelid; can cause irritation, discharge and even blurred vision



Chalazion - a bump in the eyelid caused by a clogged oil gland;may require surgical removal

Conjunctivitis - inflammation or infection of the conjunctiva, the mucous membrane covering the white of the eye

Corneal Edema - swelling of the cornea, often causing blurred vision

Corneal Erosion - spontaneous loss of a part of the surface "skin" of the eye-causes pain, light sensitivity and occasionally blurriness, and often occurs on awakening

Corneal Ulcer - a localized inflammation or infection of the cornea extending beneath the surface layer-must be treated immediately to prevent permanent damage

Central Retinal Artery Occlusion - blockage of the main blood supply to the eye often; causes blindness

Central Retinal Vein Occlusion - blockage of the main vein transporting blood away from the retina; causes hemorrhage in the retina and usually results in permanent vision impairment

Central Serous Retinopathy - spontaneous leakage of fluid into the retina, often in young, healthy people - cause is unknown


Dacryocystitis - infection in the tear sac adjacent to the nose-causes pain, swelling, tenderness and tearing

Dermatochalasis - excess or baggy skin on the eyelids, usually from loss of elastic tissue in the skin

Diplopia - double vision; usually caused by misaligned eyes

Drusen - discolored spots in the retina - can be an early sign of macular degeneration



Ectropion - loosening of the eyelid causing it to turn outward, away from the eye

Entropion - "collapsing" of the eyelid, causing the edge of the lid to turn inward, toward the eye-often results in discomfort due to eyelashes rubbing against the eye

Epiretinal Membrane - wrinkling of the surface of the retina; can cause blurriness or distortion in vision - severe cases can be treated with surgical removal

Esotropia - having an eye that turns inward

Exophthalmos - bulging forward of the eyes, sometimes caused by thyroid problems

Exotropia - having an eye that turns outward


Fuchs' Dystrophy - a deterioration of the cells in the cornea that maintain the cornea's clarity;often has no visual effect but may require a corneal transplant if severe


Hemianopia - the loss of one half of the visual field (left or right); usually affects both eyes and is often caused by brain injury, especially stroke

Hyphema - bleeding inside the eye, often due to an injury

Herpes Simplex - a cause of serious corneal infection - the same virus that causes cold sores

Herpes Zoster - "shingles" - the same virus that causes chicken pox, which can return and affect many areas of the body, including the eye


Iritis - inflammation inside the eye, primarily in the front of the eye - causes redness, pain, blurred vision and sensitivity to light in most cases


Keratitis - inflammation in the cornea-may cause scratchiness, pain, blurred vision and light sensitivity

Keratoconus - a progressive change in the shape of the cornea, creating a "cone" - like configuration and causing blurred vision - severe cases may require a corneal transplant


Macular Edema - swelling in the center of the retina caused by fluid leakage; results in blurred vision and visual distortion


Neovascularization - growth of new abnormal blood vessels - can occur at several locations in the eye

Nystagmus - oscillating movements of the eye


Ocular Migraine - a visual disturbance usually including an arc of zigzag light and blurry vision - disappears spontaneously and does not usually include a headache

Optic Neuritis - inflammation of the optic nerve, resulting in blurred vision or other visual disturbances - can be caused by multiple sclerosis


Papilledema - swelling of the optic nerve where it enters the eye - can be caused by increased fluid pressure around the brain

Pinguecula - a thickening of the white of the eye;often caused by chronic irritation

Pterygium - growth of tissue from the white of the eye over the cornea - may interfere with vision if it nears the center of the cornea

Ptosis - droopiness of the eyelid - may result from nerve or muscle damage, and sometimes requires surgical correction


Retinal Detachment - separation of the retina from its normal location covering the inner surface of the back portion of the eye

Rubeosis - growth of abnormal blood vessels on the iris


Scotoma - a blind spot

Strabismus - any misalignment of the eye

Stye - an acute inflammation of a gland at the base of an eyelash, caused by bacterial infection.


Trichiasis - abnormal eyelash growth, usually pointing toward the eye


Uveitis - inflammation of the interior of the eye



Vitreous Detachment - separation of the vitreous gel from the back of the eye - a common occurrence which can result in sudden floaters and occasionally causes a tear in the retina

Visual Simulation

On this page we will look at the same scene through the eyes of four different people, one with normal vision, and the others with different vision problems. This should give you a feel for how these people see the world.


Normal




This is the scene as viewed through normal eyes. Things near and far appear in focus.



Nearsightedness

This is the scene through nearsighted eyes. Close up objects like the chairs are in focus, while objects far away like the islands are blurry.


Farsightedness


This is the scene through farsighted eyes. Objects far away like the islands are in focus, but close up objects, like the chairs are blurry.


Astigmatism



This is the scene through astigmatic eyes. This is like a combination of both near and farsightedness, making all objects blurry.

Eye Cancer.

What Is Eye Cancer?

An eye cancer is a cancer that starts in the eye. There are different types of eye cancers. To understand eye cancers, it helps to know something about the normal structure and function of the eye.

Parts of the eye

The eye has 3 major parts: the eyeball (globe), the orbit, and the adnexal structures.





Eyeball

The main part of the eye is the eyeball (also known as the globe), which is filled with a jelly-like material called vitreous humor. The eyeball has 3 main layers -- the sclera, the uvea, and the retina.

Sclera: The sclera is the tough, white, outer covering over most of the eyeball. In the front of the eye it is continuous with the cornea, which is clear to let light through.

Uvea: The uvea is the middle layer of the eyeball. It is where most melanomas of the eye develop. The uvea has 3 main parts:

The iris is the colored or pigmented part of the eye. It surrounds the pupil, the small opening that allows light to enter the eyeball.
The choroid is a thin, pigmented layer lining the eyeball that nourishes the retina and the front of the eye with blood.
The ciliary body contains the muscles inside the eye that change the shape of the lens so that the eye can focus on near or distant objects. It also contains cells that make aqueous humor, the clear fluid in the front of the eye between the cornea and the lens.
Retina: The retina is the inner layer of cells in the back of the eye. It is made up of specialized nerve cells that are sensitive to light. These light-sensing cells are connected to the brain by the optic nerve. Light enters the eye and passes through the lens, which focuses it on the retina. The pattern of light (image) appearing on the retina is sent through the optic nerve to an area of the brain called the visual cortex, allowing us to see.

Cancers that affect the eyeball are called intraocular (within the eye) cancers.

Orbit

The second part of the eye, called the orbit, consists of the tissues surrounding the eyeball. These tissues include muscles that make the globe move in different directions and the nerves attached to the eye.

Cancers of these tissues are called orbital cancers.

Adnexal structures

Finally, there are adnexal (accessory) structures such as the eyelids and tear glands.

Cancers that develop in these tissues are called adnexal cancers.

Cancers in the eye (intraocular cancers)

Two types of cancers can be found in the eye.

Primary intraocular cancers are cancers that start inside the eyeball. In adults, melanoma is the most common primary intraocular cancer, followed by primary intraocular lymphoma.

In children, retinoblastoma (a cancer arising from cells in the retina) is the most common primary intraocular cancer, and medulloepithelioma is the next most common (but it is extremely rare). These cancers are discussed in our separate document, Retinoblastoma.

Secondary intraocular cancers are cancers that have spread to the eye from another part of the body. These are not truly "eye cancers," but they are actually more common than primary intraocular cancers. The most common cancers that spread to the eye are breast and lung cancers. Usually these cancers spread to the part of the eyeball called the uvea. For more information on these types of cancers, refer to the specific American Cancer Society documents on these cancers.

Intraocular melanoma (melanoma of the eye)

Intraocular melanoma is the most common type of cancer that develops within the eyeball in adults, but it is still fairly rare. Melanomas of the skin are much more common than intraocular melanomas.

Melanomas develop from pigment-producing cells called melanocytes. When melanoma develops in the eyeball, it is usually in the uvea, which is why these cancers are also called uveal melanomas. About 9 out of 10 intraocular melanomas develop in the choroid. Choroid cells have the same kind of pigment as melanocytes in the skin, so it is not surprising that these cells sometimes form melanomas.

Nearly all of the remaining intraocular melanomas start in the iris. These are the easiest for the patient and doctor to see because they often arise in a pigmented spot on the iris that has been present for many years and then begins to grow. These melanomas usually are fairly slow growing, and they rarely spread to other parts of the body. For these reasons, people with iris melanomas generally have a good prognosis (outlook).

Intraocular melanomas are generally made up of 2 different kinds of cells.

spindle cells: These are long, thin cells.
epithelioid cells: These cells are almost round but with some straight edges.
Most tumors are composed of both kinds of cells. The outlook is better if the tumors are mostly spindle cells as opposed to mostly epithelioid cells. Epithelioid tumors are more likely to metastasize (spread) to distant sites. If you have intraocular melanoma, your doctor can tell you which type of cells were found.

Primary intraocular lymphoma (lymphoma of the eye)

Lymphoma is a type of cancer that starts in immune system cells called lymphocytes. It usually starts in lymph nodes, which are bean-sized collections of immune system cells. But lymphomas can also start in internal organs such as the stomach, lungs, and rarely in the eyes.

There are 2 main types of lymphoma -- Hodgkin disease and non-Hodgkin lymphoma. Primary intraocular lymphoma is always a non-Hodgkin lymphoma. Most people with primary intraocular lymphoma are elderly or have immune system problems such as the acquired immunodeficiency syndrome (AIDS).

Orbital and adnexal cancers

Cancers of the orbit and adnexa develop from tissues such as muscle, nerve, and skin around the eyeball and are just like their counterparts in other parts of the body. These are described in other American Cancer Society documents on cancers of muscle, nerve, skin, etc. For example, cancers of the eyelid are usually skin cancers, which are described in our documents on skin cancers (Melanoma Skin Cancer and Skin Cancer: Basal and Squamous Cell)

Blurry Vision

Blurry vision can be caused by several different things.

Almost everybody has experienced it at some point in there lives, and often blurry vision is caused by our own stupidity. Not always, but most of the time. That’s probably why I’ve experienced blurry vision several times in my own life.

The easiest way to get blurry vision is to walk around without your glasses on. This may sound stupid, but lots of people refuse to go to the eye doctor and get their eyes checked or re-checked. The result: blurry vision.

Common Blurry Vision Causes
You can also get blurry vision from consuming too much alcohol or taking illegal drugs. I’m sure most of you have had a few too many beers and had your vision go wacko as a result. I’m also sure that none of you have ever done illegal drugs, so you wouldn’t have any first hand experience with blurry vision because of it. Guess you’ll just have to take my word for it.

If you have high blood pressure you may experience some blurry vision. This is explained in depth in the articles on high blood pressure found on this site.

Blurry vision can also be a result of over exerting yourself. For instance, if you go jogging and push your body to the limits, it’s only a matter of time before you aren’t getting enough oxygen to fuel your body and so your vision may blur.

If you have a cold or viral infection you may get blurry vision in short doses. If your body is fighting off an infection of some type, it saps your resources and sometimes you end up with blurry vision. Do yourself a favour and get some rest.

Some prescription drugs have the added bonus of giving you blurry vision. If you are experiencing blurry vision from a prescription drug, you might want to consult your doctor. They may change your prescription to one that doesn’t give you blurry vision.

I suffer from migraine head aches occasionally. Often, when I’m suffering from one of these episodes, I get blurry vision.

You may experience blurry vision at steep altitudes. I’m sure that most of you don’t mountain climb so you will never have to worry about this side effect. You never know for sure though, so I thought I’d add it in for good measure.

I’m also afraid of heights. If I’m up high (high for me may not be high for you. Anything over ten feet is a major accomplishment for me. I’m such a wimp.) I tend to get blurry vision. Funny how the body works. I’m afraid of heights because I don’t want to fall, so naturally my body gives me blurry vision. Who says nature doesn’t make mistakes?

Sometimes blurry vision could be a symptom of a more serious health problem. If you suffer from blurry vision frequently, you should see a doctor and get checked out. Perhaps, you might also think about seeing your friendly neighbourhood eye doctor for good measure.

MACULAR HOLE

You should read this information sheet in conjunction with the vitrectomy information sheet.

A macular hole occurs in the macular region of the retina. The retina is the seeing part of the eye. A macular hole tends to develop around the age of 65 and is 4 times more common in females. It is thought to be due to a transparent membrane on the surface of the retina, which contracts and causes a stretching progressive enlargement of a hole in the most sensitive part of the retina. Eventually fluid can collect beneath the retina causing further deterioration of vision.


Natural course

There are 4 stages of macular hole -( 1 to 4).

80 to 90% progress from stage 2 onwards.

60% of eyes with macular hole eventually only see the top or the second line ( the largest letters) on the test chart.

Less than 10% retain driving vision in the eye with macula hole.

A macular hole can develop in the second eye.

The risk to the second eye is 7%, by 6 years later.

It is extremely rare for the condition to recover without treatment( 3%).


Treatment

The aim of treatment is to peel away the membrane and seal the hole. The procedure usually requires a gas bubble to be placed inside the eye to seal the hole. Afterwards strict posturing is essential for the success of the operation.


Results

The best results are achieved in patients who have not had symptoms for long that is less than 6 months do better than less than a year. Similarly the better the vision the better the results.

Furthermore the more advanced stages do worse.

For example: For stage 2 there is 90% success for closure of the hole. For stage 3 to 4, there is 30 to 70% successful closure.

For a large group of patients receiving treatment, I would expect half the patients to report an improvement in vision. Half would report no change and 5% would be worse.


Late problems

Macular holes sometimes reopen, then further surgery can be considered.

Within 2 years of surgery it is very likely that a cataract would have developed, requiring surgery.

Rarely retinal detachment occurs.

what is blind spot in human eye ?

Blind Spot

It is a spot at which the optic nerve enters the eye and is insensitive to light and hence the name.


The human eye has a blind spot in its field of vision. This lies on the point of the retina where the optic nerve leads back into the brain. The retina has no light-sensitive rods or cones at this point, and so a small object in the field of vision's blind spot becomes invisible. (Dr.Rashmi Sudha)