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Hi...let's see if we can help. Are there any other medical problems other than the swelling?
Based on the described symptoms, the most likely cause is either a sty or an inflammation in a larger eyelid gland called a chalazion. It's probably the latter. The primary treatment for a chalazion is moist hot compresses....they usually will resolve in a day or two. But they can be painful ( personally I have had two so I can really sympathize ). Sometime more treatment is necessary if the swelling does not clear up spontaneously. Please let me know if I can answer any question that you might have thought of?
Yes it is possible....but unlikely. And it is pretty typical for a chalazion to start out as a generalized swelling as you described. Then there is some consolidation when there can be point tenderness. You are quite right about cellulitis being something to be on alert about, but that implies an infection, and chalazia are inflammatory reactions, and usually do not become infected. Severe pain, fever and pain on eye movement could indicate cellulitis, and would warrant urgent medical evaluation. As for the present situation, were the teen my patient, I would advise an office check up if things weren't a lot better in another 24 hours. May I answer anything else?
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