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Eye Inflammation - How To Diagnose & Manage It?

MBBS, MS - Ophthalmology
Ophthalmologist, Mumbai
Eye Inflammation - How To Diagnose & Manage It?

Some parts of our body like our eyelids are ignored until we face a problem related to it. One such ailment that affects our eyelids is the swelling of the eyelid. This can affect both the upper and lower eyelid and may or may not be painful. This is triggered by the inflammation of fluid in the connective tissues around the eye as a result of eye infections, injuries and allergies. It could also be a sign of a more serious health condition such as Graves disease, orbital cellulitis or ocular herpes.

Some of the symptoms you may notice with swollen eyelids are:

  1. Itchiness in and around the eye
  2. Excessive tearing
  3. Redness of the eyelid and white part of the eye
  4. Dry, scaly skin on the eyelid
  5. Obstructed vision depending on the extent of swelling

As mentioned above, these symptoms can be triggered by a number of factors. Allergic reactions to pollen, dust, dander, makeup and certain eye drops are the most common causes of swollen eyelids. The swelling of blood vessels in and around eyes is a common effect of histamines. Conjunctivitis or the inflammation of the inner lining of the eye can also result in swollen eyelids along with making the eyes water and itch. Bacterial infection or the inflammation of the meibomian gland in the form of styes can also make the entire eyelid swell. In such cases, the eyelid is also very tender to the touch. A blocked meibomian gland can also trigger the formation of a chalazion. This later develops into a hard sebaceous cyst which makes the eyelid swell.

An injury to the eye can also trigger inflammation and make the eye look swollen. Another common cause of eye infections is improper use of contact lenses such as not keeping them clean or swimming with lenses on.

The form of treatment best suited to you will depend on the underlying factors triggering the condition. In cases of allergic reactions being the trigger, antihistamine drops or lubricating ‘artificial tears’ could help relieve the symptoms. In more serious cases, your doctor may also prescribe mild steroid drops. Infections caused by conjunctivitis or ocular herpes usually respond well to antiviral and anti-inflammatory medication in the form of eye drops or ointments.

To prevent further aggravation of the condition, avoid rubbing your eyes and minimize touch to the area. Applying a cool compress over the eyes can also help relieve the itchiness and swelling. In addition to this, splash your face with cold water as many times a day as possible. Lastly, avoid wearing contact lenses for the duration of the infection.

2080 people found this helpful

Orbital Cellulitis - Have Ayurveda At Your Rescue!

BAMS, CRAV - Ophthalmology
Ayurvedic Doctor, Gurgaon
Orbital Cellulitis - Have Ayurveda At Your Rescue!

Infection of the soft tissues in the eye socket is known as orbital cellulitis. It is a serious infection that can cause permanent vision damage and fatal complications. Such an infection can occur at any age, although it commonly affects children. It is known as orbital cellulitis since it develops behind the eyeball, i.e. in the orbit of the eye.

One may also suffer from Periorbital Cellulitis when the infection occurs in front of the eyeball. Such an infection can spread to the skin around the eye but is less serious compared to orbital cellulitis. Nevertheless, both kinds of cellulitis require immediate attention.


Orbital cellulitis is a kind of infection that involves the muscle and fat tissues in the orbit of eyes. The infection precipitates an inflammation of the soft tissues which, in effect, can push out the eye of the orbit. This leads to swelling, pain, and protrusion of the eye.

However, there may also be other symptoms like:

  • Limited movement of eyeballs or pain while moving the eyeballs

  • Sudden loss of vision

  • Swollen and red eyelid

  • Difficult opening of eyes

  • Discharge from eye

  • Fever

  • Loss of appetite

  • Fatigue

  • Headache, etc.


Since the infection can spread rapidly, it needs to be treated early. Treatment may include the application of antibiotics, surgical intervention, etc.

  • Using Antibiotics: Immediate application of antibiotics is the primary recommendation of any doctor when you are diagnosed with orbital cellulitis. The antibiotic has to be administered intravenously.

  • Surgical Intervention: It includes draining the accumulated fluid from the infected eye, removing foreign objects, if any, getting a culture sample for analysis, and application of precise antibiotics.

Despite these treatments being available, it must be said that treating orbital cellulitis is a difficult task. Ayurveda can be a potent remedy against this dreaded disease.

Ayurveda For Orbital Cellulitis

Studies have been conducted to assess the effectiveness of herbs in treating orbital cellulitis. For one such study, researchers adopted the Bidalaka procedure as laid down in ancient Ayurvedic text. The procedure entails the application of a paste of selected herbs on the eyelid. It is a concoction of herbs having analgesics, antibiotics, anti-inflammatory as well as soothing property. This line of treatment is also similar to a conventional line of treatment. Owing to the unique mode of application, the bioavailability of all the herbs in the paste is more. This leads to a high rate of absorption of the beneficial elements which in turn can offer quick relief from symptoms. In the study, the bidalaka procedure has led to significant improvement in symptoms of the patient.

Take Away

Infection is the Orbital Cellulitis can be cured with proper care and Ayurvedic treatment. However, it is always advisable to consult an ayurvedic specialist before going for any of Ayurvedic herbs and treatment.

3381 people found this helpful

Uveitis - How To Detect It?

Dr.Anurag Bansal 85% (14ratings)
DNB Ophtalmology, MBBS
Ophthalmologist, Ludhiana
Uveitis - How To Detect It?

Uveitis is a set of inflammatory diseases that results in the swelling and damaging of the eye tissue. It can lead to temporary or permanent loss of vision. This disease often affects a part of the eye called the uvea, from which it has derived its name. It can affect people of all ages and can last from a short to long period of time. Ophthalmologists categorize uveitis into four major parts posterior uveitis, anterior uveitis, panuveitis uveitis and intermediate uveitis. This disease can be infectious or noninfectious, depending on the nature of the infection.

What causes uveitis and what are the major risk factors?
This disease is caused by the eye's inflammatory response and is caused by a series of potential factors such as the following:

  • Immune system attack from the body
  • Eye bruises
  • Eye infection or tumor within the eye
  • Foreign toxins that penetrate the eye

What are the diseases associated with uveitis?
Uveitis is associated with a range of diseases such as multiple sclerosis, Behcet's syndrome, Vogt-Koyanagi-Harada's (VKH) disease, psoriasis, herpes zoster infection, tuberculosis, rheumatoid arthritis, ulcerative colitis, toxoplasmosis, and cytomegalovirus (CMV) retinitis.

What are the typical symptoms of uveitis?
One or both eyes can be affected by uveitis. Some of the common symptoms include pain in the eye, light sensitivity and blurred and dark spots in vision. Moreover, the symptoms might vary from person to person and greatly depends on the type of inflammation. The symptoms also vary according to the type of uveitis.

What is the detection process?
The process of detection starts with a patient's medical history followed by several medical tests to rule out autoimmune disorders. This is followed by an evaluation of the central nervous system to rule out multiple sclerosis. Some of the other tests conducted by ophthalmologists include measuring the ocular pressure, slit lamp exam, funduscopic exam and visual acuity test.

The primary aim of the treatment is to eradicate inflammation, restore vision, prevent tissue damage and reduce pain. The treatment plan depends on the type of uveitis a patient displays. Doctors often suggest a dose of corticosteroid eye drops to arrest the infection in and around the eye. Other treatment methods include the prescription of immunosuppressive agents.

Furthermore, a doctor may suggest steroidal medication in the form of an eye drop, pill or injection. It can also be surgically infused into the eye. Some other agents used for treatment are azathioprine, methotrexate and mycophenolate. Medications such as these require regular monitoring of the blood to check for any side effects. Doctors also suggest biologics such as infliximab, rituximab, and adalimumab. Most of these drugs have a specific target in the immune system.

1804 people found this helpful

Red Eyes - What Can Attribute To It?

MBBS, MS - Ophthalmology, MD - Social & Preventive Medicine / Community Medicine
Ophthalmologist, Bhopal
Red Eyes - What Can Attribute To It?

Red or bloodshot eyes occur when there is a dilation of the blood vessels on the white part of the eye, also called as sclera. One or both the eyes can experience redness which can be accompanied by itching, pain in the yes, eye-discharge, swelling in the eye and other symptoms.

Red-eye is related to 

  1. Subconjunctival haemorrhage- when one or more blood vessels on the sclera burst open
  2. Blephartis- a condition of inflamed eyelids
  3. When there is a red bump on the eyelid (Stye)
  4. Sometimes, using contact lenses also causes red-eye effect

Red-eye appears because of several reasons such as;

  1. Conjunctivitis
  2. Allergy to dust
  3. Tiredness of the eyes
  4. Over-wearing of contact lenses

Sometimes, red eye happens because of more serious diseases such as glaucoma or uveitis.

What causes red-eye

  1. Cornea ulcerIf there is an untreated eye-wound then it might degenerate into a cornea ulcer. This medical condition is accompanied by eye pain, eye discharge and reduced vision. Corneal ulcers are life threatening so rush to a doctor if you suspect you are suffering from this disease.
  2. Ocular herpes: Caused by Type1 herpes simplex virus, this disease is viral in nature. Symptoms include sensitivity to light, eye pain, eye discharge, eye redness and swollen eyes. If left untreated, ocular herpes may lead to scarring of the cornea and partial blindness. In such cases, a corneal transplant may be needed.
  3. Uveitis: This medical condition refers to the inflammation of the middle layer of the eye. Unless treated in time, this may lead to cataract, detached retina, high ocular pressure and later a permanent loss of vision. Uveitis may be caused by eye infections, trauma or a systemic auto-immune disorder.
  4. Glaucoma: One of the main reasons behind red-eye is this medical condition. There is increased pressure in the aqueous humor on the sclera in this condition and this leads to glaucoma. If you have red-eye and are over 40 and have diabetes, then you must consult your doctor for the treatment of glaucoma.
  5. Cold and fluOne of the most common reasons for having red-eye are cold and red flu. Infected and blocked sinuses are the underlying causes behind puffy and bloodshot eyes.
  6. PregnancyDuring pregnancy, there are changes in the hormonal levels and these lead to red and puffy eyes.
  7. Smoking and drinking: Did you know drinking also causes red eyes? That is so because alcohol in your bloodstream reduces the oxygen content in the blood vessels. As a result, they clump together and the eyes sport a red look for want of oxygen. Smoking also causes red eyes because the toxic smoke irritates the eyes.
2069 people found this helpful

Acute Red Eye - How To Treat It?

Dr.Sanjay Sen 90% (20ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Ophthalmology
Ophthalmologist, Agra
Acute Red Eye - How To Treat It?

A red eye is one of the first and most common symptoms of conjunctivitis. Conjunctivitis is the inflammation of the tissue that lies over the white part of the eye and lines the inner side of the eyelid. It is usually the result of a viral infection and can easily spread from one person to another. Conjunctivitis can also be a symptom of STDs like gonorrhea or Chlamydia. In newborns, conjunctivitis can be vision threatening while in grownups it is not considered a serious health risk. 

The symptoms of conjunctivitis differ according to the cause of the infection. Some common symptoms of conjunctivitis are:

*  Green or white discharge from the eye
*  Redness of the white part of the eye
*  Inflammation of the eyelid
*  Waking up to crusted yellow discharge
*  Itchiness and burning in the eyes
*  Increased sensitivity to light
*  Blurred vision

An eye examination and testing a sample of the fluid secreted by the eye can be used to diagnose conjunctivitis.  It can easily be treated at home and does not require hospitalization. Antibiotics are often given in the form of eye drops and ointments to treat conjunctivitis. These usually need to be applied 3-4 times a day for a period of 5-6 days. Wash your eyes before putting the eye drops. Once applied, close your eyes and roll the eyeball around to distribute the medicine and keep it from overflowing out of the eye. Wash your hands immediately after applying the eye drops.

Viral conjunctivitis is highly contagious. If you are suffering from it, you should take a few days off work and restrict your social interactions. Wash your hands frequently as you may unconsciously rub your eyes. This is especially important with regards to meals and finger foods. Also, avoid sharing towels, pillow cases etc to minimize the transmission of the disease from one person to another.  

Avoid using makeup while being treated for conjunctivitis. With conjunctivitis, the eye is more sensitive to irritants and thus a speck of makeup can worsen the situation. Also, avoid contacts. If you wear contacts regularly, dispose the current set and start using a fresh pair after your doctor gives you a clean chit. 
Artificial tears or non prescription eye drops can also be used to relieve the itchiness and burning in the infected eye. If only one eye had been affected by conjunctivitis, do not use the same eye drop bottle for both eyes.

1514 people found this helpful

Meibomianitis - Know Signs Of It!

MBBS, MS - Ophthalmology
Ophthalmologist, Mumbai
Meibomianitis - Know Signs Of It!

In order to see clearly, the eyes need to be constantly lubricated. This function is performed by small glands located in the eyelids known as meibomian glands. These glands secrete oil onto the surface of the cornea through tiny openings on them. Malfunctioning of this gland can create an excessive amount of oil.

When oil accumulates on the eyelids, it encourages the bacteria present in the eye and the skin around it to multiply leading to inflammation. This condition is known as meibomianitis. Adults are at a higher risk of suffering from this condition as compared to children.

Some of the factors that could trigger meibomianitis are:

  1. Allergic reactions
  2. Fluctuation of hormones associated with puberty and adolescence
  3. Acne and other skin conditions
  4. Lice or mites on the eyelashes
  5. Unsanitary contact lens solution
  6. Contaminated eye makeup
  7. Certain medications such as isotretinoin for acne that increases bacteria on the eyelids
  8. However, in some cases, a clear trigger factor may not be identifiable.

Some of the characteristic symptoms of this disease are:

  1. Dry eyes
  2. Constant watering from the eyes
  3. Inflammation and reddening of the eyelids
  4. Burning sensation in the eyes
  5. Itchiness
  6. Flaking of skin around the infected eye
  7. Heightened sensitivity to light
  8. Excessive blinking
  9. Crusting of eyelashes
  10. Blurred vision
  11. Frequent formation of sties
  12. Loss of eyelashes or abnormal growth of eyelashes

Regular cleaning of the eyes with warm water and abstaining from the use of contact lenses and eye makeup can help reduce irritation and manage the inflammation. Additionally, the doctor may also prescribe antibiotics or steroids in the form of pills, eye creams or drops. Artificial tears may also be recommended to patients exhibiting dry eye symptoms.

1931 people found this helpful

Print Vs. Digital - Which Is Good For Your Eye Health?

MS - Ophthalmology, Fellowship in Vitreoretinal Surgery
Ophthalmologist, Kolkata
Print Vs. Digital - Which Is Good For Your Eye Health?

Ebooks are a lot easier to carry, and with the emerging trend of Kindles, it may appear to be more convenient than paperbacks, but the smell of new books, the texture of its pristine pages, is unparalleled to the inanimateness of ebooks. But that is not just why you must choose paperbacks over ebooks. Read on to find out why paperbacks work well over ebooks for better eye health.

  • Does not involve light-emission - The backlit electronic devices, strain your eyes, causing redness, irritation and watering. Most doctors advise that exposure to light during the evening, especially from artificial sources should be minimal. On the other hand, books do not emit any harmful rays, making it the obvious choice if you want to take good care of your eyes.
  • Do not hamper body clock - Our system has a tendency to adapt itself to the rhythm of life by responding to the surrounding light. However, the blue light in reading devices disrupt the release of melatonin or the sleep hormone, causing inadequate, less deep sleep, and fatigue and irritation the following morning. Thus, not giving enough time to your eyes and body for revitalizing. On the other hand, studies have shown that people reading books sleep better and timelier than those reading on devices.
  • Proximity to device not required - The admonition of not sitting too close to the television's screen glare is nullified by reading devices where a certain level of proximity is required for comfortable reading, which harms our eyes. But paperbacks do not have any such risk involved as there is no glare that would affect our eyes.
  • Does not induce disrupted winking - Electronic devices often trigger a tendency to not blink and stare at the screen constantly for longer than advisable. That does not give the lenses in your eyes the momentary rest that the eyes require in order to replenish themselves.
3016 people found this helpful

Cornea And Corneal Diseases - Know The Facts!

MD - Ophthalmology, MBBS
Ophthalmologist, Navi Mumbai
Cornea And Corneal Diseases - Know The Facts!

The cornea is a highly organized and advanced tissue present in the eye. It is one of the few tissues in the body that doesn't contain any blood vessels. It nourishes itself from the aqueous humor (or tears). The cornea has three different layers with two membranes embedded in it. Every membrane has its own set of functions.

Here is a list of 10 important facts about the cornea and corneal diseases:

  1. The cornea plays a pivotal role in helping the eye to focus on the light rays that enter it. Approximately 70 percent of the focusing power comes from the cornea. The cornea, along with the lens, is responsible for reflection and refraction in the eye.
  2. The epithelium is the outermost layer of the cornea. It restricts the entry of foreign particles into the eye and absorbs oxygen. This membrane is followed by the Bowman's membrane. The third layer is known as the stroma. It is responsible for the eye's elasticity and strength. The fourth layer is called the Descemet's membrane. This is a protective layer that safeguards the eye from any injury. The last layer is known as the endothelium. The primary task of this layer is to pump excess fluid into the other layers of the eye.
  3. Tears play a key role for an eye to function properly. Tears have three layers, namely lipid, aqueous and mucin. It helps the eye to heal any possible wounds and infection.
  4. The cornea, for the most part, heals by itself. Deeper injuries of the cornea can result in vision loss. Some of the common symptoms of corneal diseases are light sensitivity, pain in the eye, redness and reduced vision.
  5. The most common of eye allergies are caused due to pollen. This often happens when the weather is dry or warm. Some common symptoms include burning sensation, redness, tearing and stinging.
  6. The eye encounters a condition called 'dry eye' wherein the quantity of tears reduces, thereby creating a problem for lubrication. An ophthalmologist should be immediately consulted if this condition is encountered.
  7. Corneal dystrophy is a condition that clouds the cornea. It is a gradual progression and often affects both the eyes. It is usually inherited and can affect healthy individuals as well.
  8. Keratoconus is an eye condition that thins the cornea over a period of time. It is mostly prevalent among young adults. This condition results in changing the shape of the cornea and development of an outward bulge.
  9. Shingles is a recurrence of the viral infection caused by the Vatic El - La Zoster Virus. This virus has the capability to remain dormant inside the eye. It can become active after many years of dormancy and affect the cornea by travelling through the optic nerve. Doctors mostly prescribe an oral antiviral treatment to avoid inflammation.
  10. Some advanced treatment for corneal diseases includes corneal transplant surgery, anterior lamellar keratoplasty and endothelial lamellar keratoplasty
3240 people found this helpful

Cornea Disorders - How To Administer Them?

DNB Ophthalmology, MD - Ophthalmology, MBBS
Ophthalmologist, Mumbai
Cornea Disorders - How To Administer Them?

Common conditions affecting the cornea: Some of the common conditions that affect the cornea are:

Injuries: In case of a minor injury and scratch the cornea has the capability to heal on its own. But in case of deeper injuries, there might be corneal scarring, leading to a haze in the cornea along with impaired vision. In case of deep injury, you could experience pain in the eye, sensitivity, reduced vision, inflammation of the eye, headache, vomiting and nausea.

Allergies: The common allergies that affect the eye are related to pollen, especially in the warm and dry weather. Symptoms are burning sensation, redness of the eye, itching, and watery discharge. These symptoms can be reduced by antihistamine decongestant eye drops. Rain and cold weather also improve the symptoms.

Keratitis: This is the inflammation of the cornea. Though infection is a common cause of keratitis, non-infectious keratitis is due to minor injuries and wearing the contact lenses for too long. Infectious keratitis is mainly due to parasites, fungi, viruses and bacteria. These can be treated with antibacterial eye drops.

Dry Eye: This is a condition where the eye produces less tears and is unable to keep the surface of the eye lubricated. The symptoms of this are scratchy feeling due to the dryness of the eye, along with a burning and stinging sensation of the eye.

Common diseases affecting the cornea: Some common diseases affecting the cornea are:

Herpes Zoster: This is basically the reactivation of the varicella zoster virus. This virus also causes chickenpox and if you have had chicken pox then the virus can live in the nerve cells and become activated later in life. The virus might travel through the nerves to the cornea, affecting the cornea.

Iridocorneal endothelial syndrome: This is more common in women aged 30-50 years. It has three features: glaucoma, swelling of the cornea, and changes of the iris.

Pterygium: This is the pinkish, triangular tissue growth, which occurs on the cornea. This might grow slowly throughout life. This is commonly seen in sunny weather in adults aged between 20-40 years.

Treatment of corneal disorders:

Laser surgery: Phototherapeutic keratectomy is a surgical technique. In this UV light is used to restore and reshape the cornea. This is used to treat corneal dystrophies and recurrent erosions.

Anterior lamellar keratoplasty and endothelial lamellar keratoplasty: This procedure removes the damaged or diseased endothelial tissue which is then replaced by the healthy tissue from a donor.

Corneal Transplant Surgery: This removes the damaged part of the cornea and then it is replaced by the healthy tissue through a donor.

Artificial Cornea: Keratoprosthesis is usually known as artificial cornea. This is an option for people who have not had a successful tissue implant.

2745 people found this helpful

Red Eyes - Know Reasons Of It!

Dr.Kartikeya Sangal 86% (18ratings)
MS - Ophthalmology, MBBS Bachelor of Medicine and Bachelor of Surgery
Ophthalmologist, Delhi
Red Eyes - Know Reasons Of It!

While red bloodshot eyes may look worrisome at first sight, it is not a cause for concern all the time. There are benign, short-lasting bouts that will disappear on their own to serious medical reasons that could require intervention.

Listed below are some common causes and ways to manage red eyes.

Conjunctivitis- The most common cause of red or pink eye is conjunctivitis- infection of the membrane covering the sclera. The blood vessels are irritated and give the eye a red hue. This is contagious and very common in children, needs to be treated with antibiotic drops based on the cause.

Allergy- Be it pollen, dust, dander, or some chemicals, the eyes could be sensitive to it and get inflamed and take on a red colour. This can be treated with a combination of prevention by avoiding exposure to the allergen (which causes the allergy) and some antihistamine drops if required.

Contact lenses- Extended or improper use of contact lenses is the main reason for red eyes in contact lens users. There is reduced lubrication, increased accumulation of dust and microbes if the lens are not removed at frequent intervals. Removal of the lens and visit to the doctor are important for managing this.

Computer Vision Syndrome- With people spending a large amount of time staring at computer screens and tablets and phone screens, the dryness in the eyes increases, thereby leading to red eyes. The reduced blinking when working on computers also affects the condition.  It is therefore very important to take conscious breaks to stare away from the monitors and use special glasses if required. In some cases, eye drops may also be required.

Occupational Hazard- For people working outdoors, conditions such as dust, heat, smoke, and dry air increase the chances of red eyes. Reducing exposure as much as possible and use of protective eyewear is extremely essential.

Dry Eye Syndrome- The tear glands produce a constant source of lubrication for the eyes and also cleanse the eyes from the minute dust particles and other irritants. For various reasons, the tears produced may not be sufficient and can lead to red eyes. Artificial tear substitute could be used for managing this.

Some benign reasons like swimming, smoking, lack of sleep, pregnancy, common cold also produce bloodshot eyes.

On the other hand, corneal ulcer, uveitis, ocular herpes, glaucoma, and other medical conditions could also lead to red eyes. 

If it persists for more than 2 days, is painful, associated with discharge or sensitivity to light, it is important to seek medical help, especially if associated with injury or trauma.

1443 people found this helpful

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