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What causes eye chemosis (conjunctival swelling)?

< 1 min read

Chemosis is swelling of the clear membrane covering the white of the eye. It often looks like a blister or jelly-like bulge.

Common causes

Fluid leakage from small blood vessels in the conjunctiva leads to puffiness. This frequently follows irritation or allergy.

  • Allergic conjunctivitis from pollen, dust, or pets
  • Infection or severe dry eye
  • Rubbing the eyes vigorously
  • Post-surgical inflammation or trauma

Serious underlying problems

Marked, one-sided chemosis with pain or limited eye movement can signal orbital disease. These cases require urgent evaluation.

  • Orbital cellulitis infection behind the eye
  • Thyroid eye disease with congestion and proptosis
  • Carotid-cavernous fistula causing red, swollen eye
  • Seek emergency care if chemosis accompanies fever or reduced vision