New parents must stay alert to any changes in their infant's behavior or physical symptoms of a possible problem. One such sign is a puffy eyelid, which may not indicate a problem but simply stem from a bout of crying. However, swelling of the lids could indicate a more serious condition. Knowing the potential causes and accompanying symptoms may help you determine when to contact the pediatrician, preventing the condition from getting worse.
Causes
Puffy eyelids may occur from an eye infection, which can be caused by a virus or bacteria. In some instances, this can result from a baby passing through the birth canal. Your baby also may have an allergic reaction to the eyedrops used shortly after birth to help prevent an eye infection. In some instances, a child may have a blocked tear duct, which prevents the tears from draining. This could lead to eyelid irritation and swelling in the nasal corner of the lid. A blocked gland in the eyelid, also known as a sty or chalazion, may cause puffiness, as well.
Additional Symptoms
Eyelid puffiness alone may not tell you if your infant has an eye condition. Look for additional symptoms, such as redness on the white of the eye, eyelid bumps and excessive watering. If your child has discharge from her eye, you may notice that she has a crust on the margins of her eyelids or in her eyelashes, especially after she wakes. Since an infant cannot tell you her eyes itch or hurt, watch for rubbing or other motions that may indicate irritation.
Treatment
Mild puffiness that stems from an allergy or minor infection may resolve within a day or so without any need for treatment. However, if your infant has swollen lids that seem to worsen, or if he has other symptoms along with puffy lids, he may require treatment. The type of treatment will depend on the cause for the symptoms, and your child's pediatrician will tell you the best approach. Eyedrops may help resolve an infection or allergy. Damp, warm washcloths may help loosen matter in a clogged gland in the eyelid, and gentle massage may help relieve a blocked tear duct.
Considerations
If you notice swelling or other eye-related symptoms but do not know if these signs may indicate a problem, contact the pediatrician. She may recommend an appointment to evaluate your child's condition and begin treatment, if necessary. Prompt treatment may help prevent serious complications that may occur with certain eye conditions.
