Differential Diagnosis for Draining Clear Fluid from the Eye after Leaving Makeup On Overnight
- Single most likely diagnosis:
- Blepharitis or Conjunctivitis: Leaving makeup on overnight can irritate the eyes, leading to inflammation of the eyelids (blepharitis) or the conjunctiva (conjunctivitis), which can cause a clear discharge.
- Other Likely diagnoses:
- Dry Eye Syndrome: Irritation from makeup can exacerbate dry eye, leading to increased tear production, which may appear as a clear fluid draining from the eye.
- Allergic Reaction: An allergic reaction to the makeup can cause the eyes to become itchy, red, and produce a clear discharge.
- Eye Irritation: Direct irritation from the makeup or its removal can cause the eye to produce excess tears or fluid.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
- Endophthalmitis: Although rare, if the makeup introduces bacteria into the eye, it could lead to endophthalmitis, a severe infection within the eye that requires immediate medical attention.
- Corneal Ulcer: A scratch or severe irritation from the makeup could lead to a corneal ulcer, which is an open sore on the cornea that can become infected and threaten vision.
- Rare diagnoses:
- Canaliculitis: Infection of the canaliculi (small ducts in the eyelid), which could be caused by makeup pushing bacteria into these areas, leading to inflammation and discharge.
- Dacryocystitis: Inflammation of the lacrimal sac, usually due to a blockage, which could potentially be irritated by makeup, leading to infection and discharge.