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Hi. I'm online and happy to answer your question today.
When you first noticed the swelling was it a tender?
a about 2 mons ago. it is not tender
Ok. Well, I don't think you have anything serious to worry about....
It sounds like you have orbital fat prolapse. This is a benign condition.
With age the thin, tough membrane (orbital septum) that keeps the normal fat pad in place behind your eye becomes weak and tears. When this happens you start to notice the swelling, or bags, under your eyes. It is nothing to worry about.
The only way to treat this problem is with surgery, called a blepharoplasty. Many times it can be done in a procedure room in the ophthalmologist’s office although some physicians like to do it in the operating room.
the swelling is getting worse,
Does this make sense to you?
i have scleroderma
Yes, it can get worse as the thin orbital septum rips more....it is a very common cause of painless swelling like you are describing. Your ophthalmologist will be able to confirm or deny this condition when you go in for your yag laser capsulotomy next week.
do you have limited or diffuse scleroderma?
is it over use of my left eye that started this?
i have diffuse scleroderma
It doesn't sound like this painless swelling is caused by your scleroderma. As an eye doc I don't treat scleroderma, although it really has not treatment, so I'd suggest you run this past your dermatologist or immunologist if your eye doc doesn't feel the swelling is from a defect in your orbital septum....but that would be my first guess :)
so i have a tear or collapse of the orbital septum
No. It is called orbital fat prolapse. It usually comes from a weak or torn orbital septum, which is a tough fibrous tissue that holds the fat around your eye in place.
It is very common. You probably have friends who suffer from this condition and don't even know it.....
ok. and the treatment for this is ,,,?
a surgery called blepharoplasty.
ok. i will call my eye dr.
Here is a good article on the topic:
Have a good day.
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