Periorbital puffiness

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Eye bags - minor periorbital puffiness usually detectable below the eyes only. Eye bags.png
Eye bags – minor periorbital puffiness usually detectable below the eyes only.
Periorbital edema. Oedema.jpg
Periorbital edema.

Periorbital puffiness, also known as puffy eyes, or swelling around the eyes, is the appearance of swelling in the tissues around the eyes, called the orbits. It is almost exclusively caused by fluid buildup around the eyes, or periorbital edema . Minor puffiness usually detectable below the eyes only is often called eye bags. Such transient puffiness is distinct from the age related and gradual increase in the size of the fat pad lying below the lower eyelids (suborbicularis oculi fat – "SOOF") which can also be colloquially referred to as eye bags. [1]

Contents

Causes

While some degree of puffiness may be normal for a given individual, factors such as age and fatigue may make the swelling more prominent. The periorbital tissues are most noticeably swollen immediately after waking, perhaps due to the gravitational redistribution of fluid in the horizontal position.

Eye puffiness may also be caused by:

Risks

Puffy eyes are usually only a temporary cosmetic worry, but occasionally, individuals become concerned about the cosmetic effect of periorbital swelling and seek surgical correction. Severe and persistent puffiness may be a sign of other serious medical conditions.

Remedies

For someone predisposed to eye puffiness, changes to diet and lifestyle (under the supervision of a physician) may be required to reduce the possibility of swelling.

A cold compress near the eye can act as a short-term remedy as cold temperature constricts blood vessels, preventing the flow of fluid into tissues and diminishing puffiness in the process. [8]

Live Yeast Cell Derivative (LYCD) may be effective. [9]

Prevention

Elevating the head while sleeping can prevent the gravitational redistribution of fluid that is associated with eye swelling. Eating foods rich in vitamins, especially A, C and E, helps to reduce eye puffiness and to maintain clear, moist skin. [10]

See also

Related Research Articles

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Edema, also spelled oedema, and also known as fluid retention, dropsy and hydropsy, is the build-up of fluid in the body's tissue, a type of swelling. Most commonly, the legs or arms are affected. Symptoms may include skin that feels tight, the area feeling heavy, and joint stiffness. Other symptoms depend on the underlying cause.

<span class="mw-page-title-main">Ulcer (dermatology)</span> Type of cutaneous condition

An ulcer is a sore on the skin or a mucous membrane, accompanied by the disintegration of tissue. Ulcers can result in complete loss of the epidermis and often portions of the dermis and even subcutaneous fat. Ulcers are most common on the skin of the lower extremities and in the gastrointestinal tract. An ulcer that appears on the skin is often visible as an inflamed tissue with an area of reddened skin. A skin ulcer is often visible in the event of exposure to heat or cold, irritation, or a problem with blood circulation.

<span class="mw-page-title-main">Bruise</span> Type of localized bleeding in tissues outside blood vessels

A bruise, also known as a contusion, is a type of hematoma of tissue, the most common cause being capillaries damaged by trauma, causing localized bleeding that extravasates into the surrounding interstitial tissues. Most bruises occur close enough to the epidermis such that the bleeding causes a visible discoloration. The bruise then remains visible until the blood is either absorbed by tissues or cleared by immune system action. Bruises which do not blanch under pressure can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone.

<span class="mw-page-title-main">Anasarca</span> Medical condition of severe edema

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<span class="mw-page-title-main">Eyelid</span> Thin fold of skin that covers and protects the eye

An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. "Palpebral" means relating to the eyelids. Its key function is to regularly spread the tears and other secretions on the eye surface to keep it moist, since the cornea must be continuously moist. They keep the eyes from drying out when asleep. Moreover, the blink reflex protects the eye from foreign bodies. A set of specialized hairs known as lashes grow from the upper and lower eyelid margins to further protect the eye from dust and debris.

<span class="mw-page-title-main">Chalazion</span> Inflammatory swelling of the eyelid due to meibomian gland blockage

A chalazion or meibomian cyst is not a cyst but a granuloma in the eyelid that results from a blocked meibomian gland. It typically occurs in the middle of the eyelid, red, and not painful. They tend to come on gradually over a few weeks.

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<span class="mw-page-title-main">Periorbital dark circles</span> Dark blemishes around the eyes

Periorbital dark circles are dark blemishes around the eyes. There are many cause of this symptom, including heredity and bruising.

<span class="mw-page-title-main">Chemosis</span> Swelling of the conjunctiva

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<span class="mw-page-title-main">Rhytidectomy</span> Type of cosmetic surgery

A facelift, technically known as a rhytidectomy, is a type of cosmetic surgery procedure intended to give a more youthful facial appearance. There are multiple surgical techniques and exercise routines. Surgery usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on the patient's face and neck. Exercise routines tone underlying facial muscles without surgery. Surgical facelifts are effectively combined with eyelid surgery (blepharoplasty) and other facial procedures and are typically performed under general anesthesia or deep twilight sleep.

<span class="mw-page-title-main">Dermatochalasis</span> Excess of skin in the upper or lower eyelid

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A periorbital hematoma, commonly called a black eye or a shiner, is bruising around the eye commonly due to an injury to the face rather than to the eye. The name refers to the dark-colored bruising which is the result of accumulated blood and fluid in the loose areolar tissue following a blow to the head. This blood tracks freely under the scalp producing a generalised swelling over the dome of the skull but cannot pass into either occipital or the temple regions because of the bony attachments of the occipitofrontalis muscle. But this fluid can, however, track forward into the eyelid because the occipitofrontalis muscle has no bony attachment anteriorly. This leads to formation of hematoma a few hours after the head injury or cranial operation. If injury is more extensive, potentially even a skull fracture, an apparent black eye can sometimes worsen and may require professional medical treatment before it will resolve. This is more likely if the area around both eyes has been injured or if there is a history of prior head injury or fracture around the eye. Though disfiguring, the vast majority of black eyes are not serious, require little or no treatment, and will resolve spontaneously within a week or two.

<span class="mw-page-title-main">Blepharoplasty</span> Surgical modification of the eyelids

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<span class="mw-page-title-main">Lagophthalmos</span> Medical condition

Lagophthalmos is the inability to close the eyelids completely.

<span class="mw-page-title-main">Graves' ophthalmopathy</span> Medical condition

Graves' ophthalmopathy, also known as thyroid eye disease (TED), is an autoimmune inflammatory disorder of the orbit and periorbital tissues, characterized by upper eyelid retraction, lid lag, swelling, redness (erythema), conjunctivitis, and bulging eyes (exophthalmos). It occurs most commonly in individuals with Graves' disease, and less commonly in individuals with Hashimoto's thyroiditis, or in those who are euthyroid.

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Stasis papillomatosis is a disease characterized by chronic congestion of the extremities, with blood circulation interrupted in a specific area of the body. A consequence of this congestion and inflammation is long-term lymphatic obstruction (lymphedema). It is also typically characterized by the appearance of numerous papules. Injuries can range from small to large plates composed of brown or pink, smooth or hyperkeratotic papules. The most typical areas where injuries occur are the back of the feet, the toes, the legs, and the area around a venous ulcer formed in the extremities, although the latter is the rarest of all. These injuries include pachydermia, lymphedema, lymphomastic verrucosis and elephantosis verrucosa. The disease can be either localized or generalized; the localized form makes up 78% of cases. Treatment includes surgical and pharmaceutical intervention; indications for partial removal include advanced fibrotic lymphedema and elephantiasis. Despite the existence of these treatments, chronic venous edema, which is a derivation of stasis papillomatosis, is only partially reversible. The skin is also affected and its partial removal may mean that the skin and the subcutaneous tissue are excised. A side effect of the procedure is the destruction of existing cutaneous lymphatic vessels. It also risks papillomatosis, skin necrosis and edema exacerbation.

References

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  2. The Look You Like; Paul Lazar, M.D.
  3. Plast Reconstr Surg. 1995 Jan;95(1):37–42. "The suborbicularis oculi fat pads: an anatomic and clinical study." Aiache AE, Ramirez OH.
  4. The Merck Manual, 18th Edition, Merck Research Laboratories, 2006.
  5. Markell and Voge's Medical Parasitology, John and Petri, Ninth Edition
  6. Carroll GG. "Multiple Cranial Neuropathies." Semin Neurol. 2009;29(1):53-65. http://www.medscape.com/viewarticle/588522_9
  7. Gr, Decker; Bj, Berberian; Vi, Sulica (May 1991). "Periorbital and Eyelid Edema: The Initial Manifestation of Acute Infectious Mononucleosis". Cutis. 47 (5): 323–324. PMID   2070653 . Retrieved 2020-06-03.
  8. The Doctor's Beauty Hotline; Fredric Haberman, D.D.
  9. https://patents.google.com/patent/US5643587?oq=live+yeast+cell+derivative Composition and method for under-eye skin lightening USPTO Patent number: 5643587
  10. Nourishing your skin from within