Swollen Eye

A red, swollen eye can be a sign of many different issues. Learn about symptoms, causes. diagnosis, and treatment options for swollen eyes.

Swollen eye overview

A swollen eye can look very dramatic. However, while it can seem alarming, it’s usually a fairly minor issue ‑ although sometimes it can indicate a more serious condition. Here, you'll learn about symptoms and causes of eyelid swelling, and treatment options for swollen eyes.

What can a swollen eye look like?

A swollen eye can look different depending on the causes. Here's one example.

  1. 1 of 3

    Blocked gland

    An oil gland in the upper eyelid becomes blocked.

  2. 2 of 3

    The oil builds up

    Inside the gland, the oil builds up and starts to form a lump called a chalazion.

  3. 3 of 3

    Chalazion grows

    The chalazion gradually grows over a few weeks or months.

What is a swollen eye?

A swollen eyelid is when your eyelids become puffy and enlarged. You might have only one swollen eyelid, or it could affect both. For people with lighter skin tones, the area may appear red or pink. On darker skin tones, the colour change might be less visible. 

There are many causes of a swollen eye

Swollen eye can be caused by many different things, including allergies, infections, inflammation, or injury. 

Often looks dramatic 

Because your eye lid skin is very thin and flexible, even mild swelling can look quite pronounced.

Swollen eye can be mild, moderate or severe 

In most cases, a swollen eye is mild and clears up on its own with simple home remedies. However, some situations may require medical attention. In rare instances, it could be a sign of a serious condition that needs immediate treatment.

Symptoms of a swollen eye

Depending on the underlying causes, the symptoms of a swollen eye vary quite a lot. Below are some common symptoms people experience when they have a swollen eye.

Swelling in one or both eyelids

Swelling may only affect one, but could affect both at the same time, it may start suddenly or develop over time.

Affects eyelids in different ways

Depending on the cause, you may get a swollen upper eyelid, a swollen lower eyelid, or swelling in just one part of one eyelid. 
Learn more about puffy eyes

Lumps on the eyelid

You may notice you get lumps, bumps or swelling that start to appear on the inside or outside of your eyelids. 
Learn more about eye styes

Blurry vision

You may get blurry vision. Sometimes, you can't see through affected eye at all when eyelid swelling is severe.
Learn more about blurry vision

Feeling like something's in your eye

You may get an itchy, scratchy or gritty feeling in your eyes, almost as if there's something stuck in your eye. 
Learn more about the feeling of something in your eye

Sensitivity to light

You may find that your eyes feel more sensitive than usual when they're exposed to sunlight or some kinds of indoor lighting. 

Discharge from your eyes

You may notice discharge that appears sticky or like pus around the eye.

Watering eyes

You may find that your eyes are much more watery or teary than usual. Your eyes will feel very watery and tears may run down your face. 
Learn more about watering eyes

Red or pink eyelids

If you have a lighter skin tone, you may notice that your eyelids have gone red or pink. If you have darker skin, the eyelid may not appear a noticeably different colour. 
Learn more about red, bloodshot eyes

Eyelid dryness or flaking

The skin on your eyelids can become dry, and you might notice areas of flaking on the surface. The flakiness can be on the eyelid or around the eye.

Pain in the affected eyelids

The eyelids themselves, as well as the area around your eyes, might feel very painful. This can range from uncomfortable through to severe pain. 
Learn more about eye pain

Eye movement difficulties

You might find it hard to move your eye, which can make looking up, down or side to side feel uncomfortable. 

Swelling elsewhere in your body

Depending on what's causing your swollen eye, you may also notice you get swelling in other parts of your face, hands, feet or limbs. 

Bruising

You may also notice bruising of the skin around the eye. The colour of the bruise will change over time. This is most common with a black eye. 

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When is a swollen eye an emergency? 

Contact Healthdirect Australia on 1800 022 222, or call the emergency services on 000 if your eyelid droops suddenly, the pain is in your eye itself, you get a severe headache, you become very sensitive to light, have vision changes, or you think it could be an allergic reaction. 

An eye care professional smiles while talking to two patients in an examination room with medical equipment and computer monitors.

Causes of swollen eye

If you've noticed you have a swollen eye, it can be pretty alarming. If the swelling is gradual and not painful, book an emergency appointment with an optometrist or your GP ‑ they can help identify the cause. If it's happened very fast or is causing a lot of pain, call Healthdirect Australia on 1800 022 222. While it's not usually an emergency, it's important to get swollen eyelid treatment fast. 
 
The most common causes of a swollen eye include infections, inflammation, injury, allergic reactions, eye disorders, and other medical conditions. We’ll look at each of these in turn.

Swollen eye caused by infections

A swollen eye can happen when a bacterial or viral infection affects your eye or another part of your body. 

Hordeolum (stye)

A hordeolum or 'stye' is a small painful lump on the inner or outer surface of the eyelid. It is usually caused by bacterial infection in an eyelash follicle. 
Read more about stye

Sinusitis

There are four sinus cavities in your face that produce mucus. When these become blocked (a condition known as sinusitis) it can cause swelling around the eyes. 

Orbital cellulitis

This is a rare but serious condition that's caused by an infection of the fat and muscle around the eye. It progresses rapidly and requires urgent medical care. 

Swollen eye caused by inflammation 

Inflammation is your body's reaction to injury or infection. It can lead to a swollen eye if the eye, or the skin, muscles or tendons around it, gets affected. 

Conjunctivitis (pink eye)

This is a common condition in Australia. It happens when the thin layer of tissue that covers the front of the eye and inner surfaces of the eyelid (the conjunctiva) gets inflamed. 
Learn more about conjunctivitis  

Objects in your eye

If something gets in your eye (such as a bit of dust, sand or smoke particles) it can cause eyelid inflammation. 

Chemical splash

You may get eyelid swelling if chemicals get into your eyes. This is common with household cleaning fluids and makeup, and is also a risk in some workplaces. 

Swollen eye caused by injuries 

Injuries to the eye itself or the surrounding skin, muscles or tendons can cause a swollen lower eyelid or swollen upper eyelid. 

A black eye

A knock to the area around your eye sockets, forehead, or nose often results in a black eye. This causes swelling of the eyelids along with noticeable bruising. 

An insect or spider bite

Insect bites on the skin around your eyes can lead to significant swelling and puffiness. 

Swollen eye caused by allergies 

Allergies are a major cause of swollen eye. Some kinds of allergic reaction are mild, but they can also be very dangerous and need urgent care. 

Hay fever

Hay fever is an allergic reaction to pollen (from trees or grass, for instance) and can cause red, swollen eyes. Almost a quarter of Australians have hay fever, according to recent research.

Learn more about hay fever

Allergies

There are many other kinds of allergies and they often cause swollen and itchy eyes. Common allergens include pet hair, shellfish, sesame and peanuts. 
Learn more about itchy eyes

Anaphylaxis

A very severe allergic reaction that can be life threatening. It might be caused by certain foods (such as peanuts), medications or bee stings. If you have difficulty breathing, call for emergency help. 

Swollen eye caused by other eye conditions 

A swollen eye is a symptom of a number of other eye health issues. 

Chalazion

A chalazion is a small painless lump that develops slowly on one of your eyelids and causes a painless lump or swelling. 
Learn more about chalazion

Blepharitis

Blepharitis is a common eye condition that causes swelling of the lid, itching, irritation or occasionally redness of the eye itself. 
Learn more about blepharitis

Contact lens issues

Contact lens‑related issues may cause swollen eyes. A damaged contact lens, allergic reaction to lens solution, or minor injuries when putting lenses, can lead to swollen eyes. 

Swollen eye caused by other illnesses 

Several other conditions can also cause swollen eyes ‑ including things that might not be directly related to the eye. 

Graves' disease

This is a rare thyroid disorder which makes the thyroid gland become overactive and causes hormonal imbalances. It can cause puffy eyelids or bulging eyes among other symptoms. 

Oedema

A few health conditions can make your body retain fluid, meaning that parts of your body appear puffy. It can affect eyelids as well as fingers, lips, feet, ankles and the lower back. 

Cancer and cancer treatments

Some kinds of cancer that affect the eyes or other areas in the face can cause swollen eyes. Some types of cancer treatment may also make eyes appear puffy. 

Diagnosing a swollen eye

If your eyelids are swollen, it’s important to have it checked by an optometrist or your doctor. They’ll use various methods to learn more about what's happening. 

Medical history

Your optometrist or GP will ask about when the issue started, any other symptoms you've got, and how you're feeling generally. 

Eye tests

An optometrist will use a few different methods to inspect the eye itself, including an OCT scan, a slit lamp test or dilated eye exam. Anyone with a valid Medicare card can get an eye test at any Specsavers store in Australia which is bulk billed to the government (meaning you don't pay). 

Scans

If your optometrist, GP, or emergency department staff suspect certain conditions, they might refer you for a CT or MRI scan to get a clearer view of what’s going on around your eye. 

Blood tests

Doctors may also take a blood sample and send it to the lab. This can help with identifying which kind of bacteria, virus or other issues are causing the swelling. 

Book an eye test

Treatment for swollen eye

Book an appointment with your optometrist or GP if you've noticed any eyelid swelling. They'll decide how to get rid of a swollen eye, depending on what's causing it. 
 
Below, we’ve outlined some potential home remedies for swollen eyes, along with treatments your optometrist or GP may suggest. 

How to reduce eye swelling with home remedies 

Eyelid swelling can often be treated with some simple home remedies. Still, it’s important to seek medical advice ‑ especially if you experience concerning symptoms like eye pain, sensitivity to light, or trouble opening the eye. 

Gently cleaning the eye

Use warm, soapy water to clean away any discharge or pus from your eyelid. Keep your eyes closed and gently wipe the area to clear any debris or pus. 

Apply a cold compress

Try applying a cold compress to your eyelids can help relieve soreness and inflammation. Try placing a cool, damp cloth over the affected eyelid. 

Use over‑the‑counter antihistamines

If your swollen eye is caused by an allergy to things like pollen or pet hair, over‑the‑counter antihistamines can really make a difference. 

Wash chemicals out of your eyes

If you get eyelid swelling after a chemical splash from makeup or cleaning fluids, wash your eyes out with cool, clean water for several minutes. 

Medical treatments for swollen eye

A swollen eye may need medical treatment. Depending on the cause, your doctor or optometrist might recommend some of the following methods. 

Antibacterial eye drops

Antibacterial eye drops can be a very effective treatment for inflamed and swollen eyes. They can resolve the infection and reduce irritation. 

A course of antibiotics

If your swollen eye is caused by a viral or bacterial infection, you may be prescribed a course of antibiotics that you'll take for a few days. 

Managing allergies

For severe allergies that cause serious reactions, your doctor will work with you to develop a management plan to help with managing the risk. 

Surgery for a swollen eye

Sometimes, surgery may be required to treat the cause of a swollen eye. For instance, a blocked tear duct might need to be operated on. 

Book an eye test

Swollen eye prevention 

There are many things that can cause a swollen eye ‑ and many of them are out of your control. For example, if your swollen eye is caused by a grain of sand scratching the eye's surface and getting infected, this is hard to avoid. That being said, there are some general things you can do to reduce your risk. 
 
Eyelid hygiene is important ‑ try to clean your eyelids daily with soapy water. Also, if you wear contacts, follow good contact lens habits (don't wear them too long, keep the lenses in their correct fluid, don't wear while swimming etc.). Also, avoid excessive eyelid rubbing ‑ even if your eyes are itchy. 
 
Avoiding things that could cause eyelid swelling is also sensible. If you have allergies, avoid allergy triggers or take antihistamines before exposure. Wear helmets or eye protection when taking part in any risky sports, DIY or work where objects might get into your eyes. 

Book an eye test

Your swollen eye questions, answered

Did you know?

Eye tests are bulk billed to Medicare, so there are no out‑of‑pocket expenses for you*.

Written with care and checked for accuracy

https://images.ctfassets.net/uuaxywrybmpn/6niex0EEfnFmnGH7JMKBNA/bb4c0ef06a52d0d4b0a0e835308a4b07/David_Vu__2_.jpg

David Vu

BVisSc, MOptom

David Vu graduated from Queensland University of Technology with a Bachelor of Vision Science and a Master of Optometry. He has worked across the optical industry in roles ranging from dispenser to optometrist, and has held both resident and locum optometrist positions with Specsavers.

David is passionate about clinical optometry and has a growing interest in business management and practice leadership. He is currently part of the Specsavers development program for future leaders and remains actively engaged in ongoing professional development and industry networking.

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