A lump suddenly appeared on the lower eyelid after rubbing the eye

Swelling of a lump on the lower eyelid after rubbing the eye may be caused by physiological factors or pathological factors, such as allergic conjunctivitis or hordeolum. Different management approaches can be adopted depending on the underlying cause.

I. Physiological Factors

This may result from drinking excessive fluids before sleep, leading to water and sodium retention in the eye area. The swelling usually resolves gradually with rest and normal metabolic processes.

II. Pathological Factors

1. Allergic Conjunctivitis

If allergic conjunctivitis is triggered by using substandard cosmetics or exposure to allergens such as pollen, eye rubbing may exacerbate conjunctival edema. Treatment may include prescription eye drops such as tobramycin-dexamethasone, olopatadine hydrochloride, or sodium cromoglicate, as directed by a physician.

2. Hordeolum (Stye)

Hordeolum may develop due to frequent eye rubbing with dirty hands or infection with bacteria such as Staphylococcus aureus, resulting in localized purulent inflammation of the eyelid. Treatment may involve antibiotic eye drops or ointments such as tobramycin eye drops, levofloxacin eye drops, or chlortetracycline eye ointment, as prescribed. If swelling and pain are severe, surgical drainage may be recommended by a doctor.

In addition, conditions such as chalazion may also cause similar symptoms. It is advisable to seek medical guidance for proper diagnosis and treatment.