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Why does my eye swell up every morning?

Q: I am 26 years old. For the past few months, whenever I wake up in the morning, my left eye swells up leading to pain. Then automatically after an hour, the swelling subsides and the pain also goes away. This problem occurs at least thrice every week. What is the reason for the swelling and what precautions do I need to take?

A:Swelling and pain in one eye could be due to many reasons. One important thing to differentiate is the site of the swelling - whether it is the eyelid or the white surface of the globe. If the problem is in the lids, suspect something behind the globe, for example changes due to increased orbital pressure like in thyroid disease or orbital masses or inflammation. If it is in the eye (globe) it could be inflammation of the layers of the eye. In both cases you need a thorough eye examination of the eyes to rule out underlying diseases.

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