What can be done for black puffy eyes?

Hi,

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From from what you have told me and the photo of yourself (attachment removed to protect patient identity), I feel you have atopic conjunctivitis, a form of longstanding allergy. This is a problem which is related to the disease which you are experiencing in your nose and is essentially a form of the same disease in the eye. Although the disease is incurable, we can get the disease activity down to a level where it can not bother you in any way. For your problem of black and puffy eyes please do the following. Stop rubbing your eyes. This is the most important thing to stop your eyes from puffing up and getting darker. The main symptom of atopic conjunctivitis is itching. Itching causes the puffing of eyelids by increasing the allergic response and thickening the skin of your eyelid causing them to appear darker. Use anti-allergic eyedrops. The safest one being Olopatadine 0.1 % (generic name) twice a day or Olopatadine 0.2 % once a day. Although Olopatadine is a weak anti-allergic, it is the safest for long-term use. There are reports of people using them for years together every day with no problems. The action will take about two weeks from the start of treatment to take effect. Cold compresses to reduce eyelid puffing. Using ice packs over closed eyes can help reduce the puffing of your eyelids.