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Puffy eyes Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Puffy eyes. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the puffy eyes?

    Why: to determine if acute or chronic.

  2. What areas of the eyes are puffy?

    Why: e.g. eyelids or the eyes themselves. If the eye itself is puffy may suggest glaucoma, orbital cellulitis or ulcers on the surface of the eye.

  3. Are the puffy eyes unilateral or bilateral?
  4. Are the puffy eyes generalized or localized?

    Why: e.g. localized puffiness near the inner corner of the eye may suggest dacrocystitis; styes cause a painful, red localized swelling of the lid margin, usually on the side of the lid closest to the nose; allergies, nephrotic syndrome, cellulitis, sinusitis usually cause generalized puffiness of the eyelid.

  5. What is the age of the person with puffy eyes?

    Why: Normal aging may cause mild puffy eyes and sagging skin around the eyes.

  6. Have you had a cold or running nose recently?

    Why: may indicate viral conjunctivitis.

  7. Is there a history of exposure of a red discharging eye at school, work or home?

    Why: may indicate bacterial conjunctivitis.

  8. Have you recently used any new cosmetics, hair sprays or make-ups?

    Why: may indicate possible allergic reaction with puffy eyelids.

  9. Do you suffer from hay fever?

    Why: may suggest allergic conjunctivitis.

  10. Past medical history?

    Why: e.g. Nephrotic syndrome may cause generalized puffiness of the eyelids and may be caused by systemic lupus erythematosus and diabetes; blepharitis may be associated with seborrheic dermatitis, eczema or Rosacea; ocular herpes is caused by a reactivation of varicella zoster virus (acquired from primary infection of chickenpox) sometimes by an underlying malignancy (e.g. leukemia or lymphoma) or immunosuppression ( e.g. AIDS infection).

  11. Medications?

    Why: e.g. many medications such as penicillamine, high dose captopril and gold may cause nephrotic syndrome which can cause generalized eyelid puffiness.

  12. Known allergies?

    Why: e.g. dust mite, mold, pollens, chemicals - may indicate allergic conjunctivitis or hay fever; allergies may be associated with minimal change disease which is a cause of nephrotic syndrome.

  13. Travel history?

    Why: e.g. West African trypanosomiasis found mainly in West Africa, Southern Sudan and Uganda and may cause puffy face and puffy droopy eyelids; Lassa fever is confined to sub-Saharan West Africa and may cause puffy eyelids; Trichinosis is found predominantly in the USA and Europe; Chagus' disease is confined to South and Central America.

  14. Rash?

    Why: may indicate herpes zoster if rash is blister-like.

  15. Eye pain?

    Why: may indicate sinusitis, herpes zoster infection, orbital cellulitis.

  16. Itchy eye?

    Why: may suggest allergies or blepharitis.

  17. Fever?

    Why: may indicate sinusitis, orbital cellulitis, trichinosis, Chagas' disease.

  18. Eye discharge?

    Why: e.g. purulent (pus-like) discharge usually indicates a bacterial infection; a clear watery or mucous discharge may suggest viral or allergic conjunctivitis.

  19. Symptoms of sinusitis?

    Why: e.g. nasal blockage, facial pain and tenderness, puffy eyelids.

  20. Symptoms of nephrotic syndrome?

    Why: e.g. facial swelling, especially around the eyes; swelling of the arms, genitals and sometimes abdomen; frothy urine.

  21. Symptoms of orbital cellulitis?

    Why: e.g. abrupt onset of swelling and redness of the eyelids, proptosis (forward bulging of the eye).

  22. Symptoms of a stye?

    Why: e.g. painful , tender, red, swelling of the lid, which after a few days localizes and cures itself spontaneously by discharging pus at the lash base.

  23. Symptoms of blepharitis?

    Why: e.g. eyelids have burning, itching with red and sometimes puffy margins, eyelashes may have crusting and scales, discharge or stickiness especially in the morning. If present for years there may be loss of eyelashes or distortion (in-growing) of the eyelashes. There may be a Staphylococcal bacterial infection which can cause severe inflammation with pus-like discharge.

  24. Symptoms of dacrocystitis?

    Why: e.g. swelling and redness of the tear sac near the inner corner of the eye.

  25. Symptoms of Ocular shingles?

    Why: e.g. pain, tingling and numbness around the eye may precede a blistering rash and eyelid puffiness. Fifty percent of people have the eye itself affected with either corneal ulcers, episcleritis or iritis.

  26. Symptoms of Rosacea?

    Why: e.g. flushing of the face with increases in skin temperature, acne-like rash over the face. May be complicated by blepharitis, conjunctivitis, episcleritis or corneal ulcers.

  27. Symptoms of trachoma?

    Why: e.g. watering eye, intense redness of the eye, scarring under the eyelids, ulcers on the surface of the eye, eyelid turn inwards and eyelashes scratch the surface of the eye. Trachoma is especially prevalent in outback areas and in aboriginal communities where hygiene may not be adequate.

  28. Symptoms of trichinosis?

    Why: e.g. 24 hrs after the ingestion of contaminated meat may develop vomiting, diarrhea, abdominal pain and headache then may develop eyelid puffiness, conjunctivitis, photophobia (dislike of eyes for light), fever, muscle pain and muscle spasm.

  29. Symptoms of Chagas' disease (American trypanosomiasis)?

    Why: e.g. red hard lump at the bite site and enlarged local lymph nodes. If the portal of entry is the conjunctiva, may get unilateral puffiness of the eyelids, conjunctivitis and enlarged neck lymph nodes. May also have fever, transient rash and swelling of the face and trunk.

Conditions listing medical symptoms: Puffy eyes:

The following list of conditions have 'Puffy eyes' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Puffy eyes or choose View All.

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