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Puffy Eyes : Causes, Symptoms, & Treatment Options Puffy eyes refer to the swelling or puffiness around the eyes , often accompanied by dark circles. This common condition affects people of all ages and can make one appear tired, stressed, or older than they are. Puffiness around the eyes can result from temporary issues like crying, lack of sleep, or more persistent causes such as allergies or underlying health problems. Puffy eyes generally appear as mild swelling or puffiness under the eyes . This condition can occur due to fluid retention around the eyes and is most noticeable in the morning after waking up. Periorbital edema refers to swelling around the eyes that causes them to appear puffy . Learn about symptoms, diagnosis, outlook, and more. While eye puffiness (periorbital edema) is often due to a lack of sleep or allergy, it may also indicate a serious medical issue like thyroid disease or diabetes.