Eyelid problems can occur at any age and may be related to infection, inflammation or problems with muscles around your eyes. Eyelid problems can cause your eyelids to become inflamed or paralysed, develop growths, droop or twitch.
Conditions that can lead to eyelid problems include:
If you have Graves’ disease, an autoimmune condition that affects your thyroid gland, it can sometimes cause your eyelids to become inflamed — this is called Graves' eye disease or Graves' ophthalmopathy.
Allergies can also cause your eyelids to swell, as well as injuries eg if you are hit in your eye, blood may collect under your eyelid, causing swelling.
Often eyelid problems aren’t serious and will get better on their own. However, you should seek urgent medical attention if you suddenly lose your vision or your eyes hurt.
You should also seek urgent medical help if you have eyelid problems and also feel unwell. Sometimes, swollen, painful eyelids can be a symptom of a severe allergic reaction or a serious infection such as cellulitis.
Eyelid problems can cause a range of eyelid symptoms, including:
You may also develop dry, gritty or watery eyes and/or find it difficult to close or open your eyes.
A swollen eyelid isn't usually serious and in most cases, will get better on its own within two days. However, if your swelling goes on for more than two days or you also have blurry or lost vision, eye pain or the sensation that something is stuck in your eye, see a doctor urgently.
Itchy eyelids can be caused by allergies or blepharitis. They can also be caused by an allergic reaction to creams or cosmetic products that you use on or around your eyelids — this is called contact dermatitis and will usually get better when you stop using the product.
Ageing can cause the skin of your upper eyelids to become looser, causing your eyelids to droop. If this blocks your vision, it is called dermatochalasis.
Ageing can also cause the muscles that control your upper eyelid to weaken, causing your eyelids to droop. This is called ptosis and can be corrected with surgery if it reduces your vision.
Ageing can cause the edges of your eyelids and eyelashes to roll inward — this is called entropion. It can cause discomfort and make your eyes water if your eyelashes irritate the front part of your eye (cornea).
Flat yellow patches on your upper or lower eyelids is called xanthelasma and can be caused by high cholesterol. The patches aren't dangerous but it is important to have your cholesterol levels checked and if they are high, take steps to reduce it.
Blepharospasm is an eyelid condition that causes your eyelids to spasm. You may also notice that you blink or close your eyelids excessively.
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You may have an idea of what is causing your eyelid problems based on your symptoms. However, if you are concerned, it is important to see your GP for a diagnosis. If they think you have a serious eyelid problem, they may refer you to an ophthalmologist (a doctor who specialises in treating eye conditions). They may carry out a full examination to check your vision and eye health.
Eyelid problems, such as chalazions and styes, are often caused by common infections (ie bacteria and viruses) or inflammation due to exposure to irritants and can occur at any age.
Other things that increase your risk of developing eyelid problems are:
Eyelid problems often clear up by themselves but sometimes you may need treatment. The specific treatment will depend on the underlying cause of your eyelid problem. You may need antibiotics, taken as eye drops, ointment, cream or tablets, to treat an infection.
If you have blepharitis, a chalazion or a stye, your doctor may show you a twice-daily routine to help it clear up and prevent it returning. This may include:
Severe cases may also need antibiotic ointment or tablets.
Some people with drooping eyelids may benefit from surgery to improve their eye health and appearance. Your doctor can advise on whether this would be right for you.
Other eyelid problems may also need treatment with surgery or steroid medication.
What is the most common eyelid disease?
Blepharitis is one of the most common eyelid diseases. It is caused by inflammation of the eyelids that results in itchy, crusty eyelids.
What is eyelid disease?
Eyelid disease refers to a group of conditions that affect your eyelid, causing swelling, inflammation, paralysis, drooping and/or twitching of your eyelids, or the formation of growths on your eyelids.
How do you get rid of eyelid lesions?
If your eyelid lesion doesn’t go away on its own, eyelid surgery may be needed to remove it.
What does it mean if your eyelid hurts?
Depending on whether or not you have other symptoms, you may have an eyelid problem, such as blepharitis, conjunctivitis, a chalazion or a stye. Painful eyelids can also be a sign of an allergic reaction.