My 3 year old is often getting puffy upper eyes. What is the problem?

Question

Hi doctor,

I have a 3-year-old son. He has mild puffy upper eyes often. It seems to show variations in both the eyes, occurring in one or other day. On one day, it is not puffy. I can see his eyelids looking good. On the other day, it seems puffy involving one or both eyelids which are covered by the skin above them. He usually wakes up with puffy eyes, and it remains throughout the day. Then the next morning, when he wakes up, they will look good. It happens like this, again and again, a couple of times in a week. He does not have itching in his eyes. What could be the cause for it?

Answer 1

Hi,

Welcome to icliniq.com.

I have gone through your query (attachment removed to protect patient identity). I feel that your son is suffering from blepharochalasis. It is a recurrent swelling of the lids which subsides on its own. But in some cases, it may cause drooping of the eyelid along with another eyelid. However, there are no trusted tests to confirm the diagnosis or any other effective treatment for the disease. Consult an Ophthalmologist to be on the safer side. It can be done at your convenience, and it is not an emergency. My advice is to see an Ophthalmologist in case of drooping of his eyelids, any difference in appearance in between his two eyes, when swelling is not resolving on its own, and when he has similar episodes of swelling on other parts of his upper body or arms.