How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Dan B. Your Own Question

Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3197
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
36528250
Type Your Eye Question Here...
Dr. Dan B. is online now
A new question is answered every 9 seconds

My lower lids feel thick and puffy, but there is nothing

Resolved Question:

My lower lids feel "thick" and puffy, but there is nothing obviously visible. There is a discolored area on the sclera toward the inner corner of my right eye as shown here: http://www.flickr.com/photos/11182709@N00/5894031145/in/photostream/. 1. Do I need to be concerned about any of this? 2. Possible causes and treatments for thick puffy feeling? ---Thanks!
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 3 years ago.

Doctor DanB :

Hello and thanks for your question. Are you available to chat?

Customer:

yes!

Doctor DanB :

How long have your eyelids been thick and puffy?

Customer:

about 1 week

Doctor DanB :

Do they seem boggy, like there is fluid in there or do they feel more leathery?

Customer:

boggy

Doctor DanB :

Do they itch at all? Do your eyes itch at all?

Customer:

oddly, no itching, nor any general signs of allergy

Doctor DanB :

Usually when the lids are boggy swollen there is some allergic component of the swelling. This usually responds well to cool compresses and 1% hydrocortisone ointment placed on them twice daily. If the are not red and itchy, you can probably hold on the ointment and just use the compresses and if they get red and itchy then start to use the ointment as well.

Customer:

any possibility that there is infection?

Doctor DanB :

If the lids are not red, tender, itchy or discharge present, then this is very likely not infectious.

Customer:

OK. What do you make of that discoloration of my sclera?

Doctor DanB :

How long has this been there?

Customer:

It was noticed about a week ago. At the same time as the puffy lids. Initially there was a small bump there: http://www.flickr.com/photos/11182709@N00/5894402338/in/photostream/

Doctor DanB :

Actually I got your link initially and have been examining the pictures. Great pictures! Thanks--it makes my job much easier. So do you think that this could've been there for much longer and you just didn't notice or are you fairly sure this popped up in the past week?

Customer:

Fairly sure this just popped up because the discomfort prompted the examination.

Customer:

(yw - made effort to take good pictures )

Doctor DanB :

If it is that new then I would want to err on the side of caution and get it removed--surgery--excisional biopsy.

Customer:

But as of today the bump seems to have disappeared. So would you exicise some of the discolored area?

Doctor DanB :

I would elect to excise all of the discolored area.

Customer:

ocular melanoma worries?

Doctor DanB :

That is the ultimate concern. While the way it looks right now doesn't scare my pants off, the fact that has cropped up so extensively in such a short time, this makes me worried for malignancy.

Customer:

yikes. what kind of problems could ensue from removing such a large area of the sclera

Doctor DanB :

This is actually on the conjunctiva which is the thin, transparent skin overlying the sclera and which is usually fairly forgiving when a large piece is taken out. Although it looks very large, that amount is commonly removed, and if need be a little bit of conjunctiva from elsewhere on that eye or on the other eye can be transplanted in, if need be.

Customer:

ok. any way to connect this to the puffy lid feeling since they came up around the same time?

Doctor DanB :

No, they're about as unrelated as you can get, actually.

Customer:

Will see a local opthamologist. Any addtl comments?

Doctor DanB :

No, I think going to see your ophthalmologist is the right thing to do. While this isn't an emergency, I wouldn't wait several months to see that doctor either. Being as proactive as possible will put you in the best position possible. Do you have any other concerns that I haven't addressed?

Customer:

You in California by any chance?

Doctor DanB :

Actually, not far away, relatively. I'm in Oregon.

Customer:

OK. One more thing - would it make any sense to wait a week or two and see whether this area is growing or shrinking by comparison to the photographs?

Doctor DanB :

I don't think it would hurt you to wait a week or two, but I don't have any expectations of this pigmented area shrinking at all. They usually do not spontaneously resolve once they start.

Customer:

OK. Thanks. That's all I can think of.

Doctor DanB :

You're welcome. I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need.


 


If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter; this allows part of the funds that you have deposited to the website to be released for my efforts to assist you. This does not end our conversation, however—we can continue to discuss any of your concerns without further charges until you are satisfied.


 


Any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. Thanks for trusting me to help you with your concerns!


 


My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3197
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Dr. Dan B. and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. Dan B.
Dr. Dan B.
Eye Doctor
3197 Satisfied Customers
Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology