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Puffy Eyes
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cowboy1970 Offline

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Posts: 61
Joined: Jun 2012

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Puritan Bennett Breeze
Humidifier: H5i
CPAP Pressure: around 11 now (2/20/13)
CPAP Software: ResScan

Other Comments: Try not to think about a spider crawling up your nose from inside your tubing as your drift off. lol

Sex: Male
Location: Tacoma, WA

Post: #1
Puffy Eyes
I don't drink or smoke or other things that cause puffy eyes. Of course, I did suffer from sleep apnea and insomnia for the last couple years, but my puffy eyes or dark circles always went away over time.

Now that I have been doing CPAP therapy for over a year now, I have noticed that everyday I wake up with puffy eyes that DO NOT go away. I have lowered my air pressure and my data shows that my machine doesn't even reach that upper limit anyway (ResMed S9 AutoSet).

Any advice? Others affected? I referring specifically to bags under my eyes.
02-18-2014 11:02 PM
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herbm Offline

Advisory Members

Posts: 848
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #2
RE: Puffy Eyes
How long do you sleep?

Do you use your machine for ALL sleeping? (or how much?)

What is your AHI?

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
(This post was last modified: 02-18-2014 11:25 PM by herbm.)
02-18-2014 11:24 PM
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me50 Offline

Advisory Members

Posts: 2,184
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i set at 86/4
CPAP Pressure: 18/8 how this is auto I dunno
CPAP Software: ResScan SleepyHead

Other Comments: DONATE TO APNEA BOARD IF YOU'VE RECEIVED HELP YOU CAN'T GET FROM YOUR DOC OR RT!

Sex: Undisclosed
Location: USA

Post: #3
RE: Puffy Eyes
allergies maybe or maybe you are getting air blown in your eyes? just a few thoughts
02-19-2014 01:33 AM
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PaulaO2 Offline
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Moderators

Posts: 7,003
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Simplus and Nuance
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #4
RE: Puffy Eyes
You have the Breeze, so it's not air in your eyes.

What's happening is the air pressure can sometimes cause moisture from the sinuses to come out the tear duct. I sometimes wake up with one or both eyes glued shut then they will be puffy for the rest of the day.

If your eyes are puffy all the time, see your GP or an eye doc to discuss if there is anything you can do to help it out. I have dry eyes due and use artificial tears stuff. I've not thought to see if there's any connection between when I do and do not use it and when my eyes get puffy.

I think it is a cold cloth on the face that helps with puffy eyes (like from crying). You can also try that.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
02-19-2014 11:13 AM
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justMongo Offline

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Posts: 1,358
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 10 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #5
RE: Puffy Eyes
(02-19-2014 11:13 AM)PaulaO2 Wrote:  What's happening is the air pressure can sometimes cause moisture from the sinuses to come out the tear duct. I sometimes wake up with one or both eyes glued shut then they will be puffy for the rest of the day.

Got that alright. The tear duct in the corner of the eye, next to the nose, is actually a drain that connects directly with the sinuses. My xPAP blows "crud" from the sinuses into my eyes.
02-19-2014 11:20 AM
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ImaSurvivor Offline

Preferred Members-2

Posts: 318
Joined: Nov 2013

Machine: ResMed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: H5i Heated Humidifier, ClimateLine Tubing
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: Moderate Sleep Apnea, Began using CPAP 11/27/2013

Sex: Female
Location: New York State

Post: #6
RE: Puffy Eyes
This makes me wonder now about something going on with my eyes. Mine seem very susceptible to water very easily when cold air hits them or a breeze from a fan and even bright sunlight will trigger it. I can't get them to stop tearing sometimes and people often think I have been crying. They did it occasionally before I began CPAP and I have been told chemo will cause it so I have attributed it to that ... although I have been away from that for several years now. Seems much more often and severe recently. Wonder if the CPAP has anything to do with it.
02-19-2014 12:46 PM
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Shastzi Offline

Advisory Members

Posts: 944
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #7
RE: Puffy Eyes
Yup. I got "The Breeze" bad enough such that I have to use a total face mask to keep the air pressure equal outside the eyesocket as well. I use a good bit of pressure too.
I dont like the mask as much but...No Puffy Eyes!
Zero. Zip.

Why dont the techs know this stuff by now? *glare*

Wink

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
02-19-2014 04:04 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 7,003
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Simplus and Nuance
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #8
RE: Puffy Eyes
(02-19-2014 12:46 PM)ImaSurvivor Wrote:  This makes me wonder now about something going on with my eyes. Mine seem very susceptible to water very easily when cold air hits them or a breeze from a fan and even bright sunlight will trigger it. I can't get them to stop tearing sometimes and people often think I have been crying. They did it occasionally before I began CPAP and I have been told chemo will cause it so I have attributed it to that ... although I have been away from that for several years now. Seems much more often and severe recently. Wonder if the CPAP has anything to do with it.

I'm sure it's not helping any. But CPAP would only make it do it during the night. It wouldn't have anything to do with it during the day. Other than lasting effects such as puffiness/swelling.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
02-19-2014 04:38 PM
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woozie38 Offline

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Posts: 181
Joined: Jan 2013

Machine: Fisher & Paykel Icon+ Auto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Integral
CPAP Pressure: 8 to 14
CPAP Software: SleepyHead Other Software

Other Comments: 15 years of CPAP + supp. oxygen @ 3 L/min

Sex: Male
Location: Toowoomba, Queensland Australia

Post: #9
RE: Puffy Eyes
(02-18-2014 11:02 PM)cowboy1970 Wrote:  I don't drink or smoke or other things that cause puffy eyes. Of course, I did suffer from sleep apnea and insomnia for the last couple years, but my puffy eyes or dark circles always went away over time.

Now that I have been doing CPAP therapy for over a year now, I have noticed that everyday I wake up with puffy eyes that DO NOT go away. I have lowered my air pressure and my data shows that my machine doesn't even reach that upper limit anyway (ResMed S9 AutoSet).

Any advice? Others affected? I referring specifically to bags under my eyes.

One of the symptoms of a person suffering a sleep disorder is dark circles under the eyes. In fact it's almost certain the person (unless burning midnight oil), has sleep disordered breathing (SDB), & needs help from a sleep doc.
Nasal pillows masks use the best seal type known, which is, a taper. That said, nasal pillows don't leak as a rule, so it is very important when using them, not to have the max pressure set any higher than is necessary to control events.
High PA pressure in conjunction with nasal pillows in addition to splinting the airway to prevent its collapse also operates in all directions. Thus mouth leaks are common, so is aerophagia but the pressure also acts on the tear ducts running from the nasal cavities to the eyes, allowing air to escape via these ducts into the eyes. Try holding your nose & blowing hard. In most people air will bubble into the corners of their eyes.
Solution? - Set maximum PA pressure to the lowest possible level that doesn't compromise X-PAP therapy. It's all you can do. Other than that - change to a FFM, which scientifically makes good sense.

[Image: signature.png]Keep on breathin'
(This post was last modified: 01-10-2015 05:10 PM by woozie38.)
01-10-2015 05:04 PM
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PaytonA Offline
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Advisory Members

Posts: 1,400
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VPAP 20-16
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #10
RE: Puffy Eyes
Shastzi is right the total face mask would prevent air blowing out of the Lachrymal ducts in the corner of your eyes and Mongo is right that it is a drain. Weird since I grew up thinking that the ducts in the corner of my eyes were "tear ducts" and that was where tears came from. What do you mean there is no Santa Claus. Huhsign

I was somewhat concerned about this because I was getting air through the lachrymal ducts occasionally when I switched to the Mirage Quattro mask and reduced my leak rates. I finally got a chance to ask an Ophthalmologist face to face what issues might be caused by this. He said the only thing to be concerned about was dry eyes which could make the eyes susceptible to a number of other problems. That squelched my concerns since i have no problem with dry eyes. He did tell me that if dry eyes were a problem during CPAP use there were 2 solutions. The first and easiest is to use a gel in your eyes during CPAP. The other solution that i did not like much was to plug the lachrymal ducts.

Best Regards,

PaytonA
01-10-2015 09:44 PM
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