Eyelids stuck shut in the morning
You wake up and your lids will not open. The lashes feel stuck, like glue dried on them. Many people have to soak them with a warm wet cloth before the eye will open.
That glue is dried discharge. It is tears, mucus, and cells from a sore eye. It dries along the lash line while you sleep.
The color gives a clue. Thick yellow or green crust often points to a germ. Watery, clear goo points more to a virus or an allergy.
When to see someone
Go to an eye doctor or urgent care the same day if you have any of these. Your sight is blurry or dim and does not clear when you blink.
The eye hurts deep inside, not just on the surface. Bright light hurts your eye.
Go the same day if the lid is very red, hot, or puffy. Go if the skin around the eye is swollen or you cannot open the eye at all. Go if you have a fever with the red eye.
Go the same day if you wear contact lenses and your eye is red and sore. Take your lenses out first and leave them out. Bring the lens case with you.
Go to the emergency room now if the eye was hit, cut, or splashed with a chemical. For a chemical splash, rinse the eye with clean water for 15 minutes on the way.
A baby under 1 month old with a red, goopy, stuck eye needs care right away. Call the doctor or go to the emergency room.
Call your doctor within a few days if the goo is still thick and yellow after 3 days of lid washing. Call if it keeps coming back, or if it started after a cold sore or shingles rash on your face.
Why it happens
Your eye makes fluid all day and night. When you are awake, blinking sweeps it into the tear duct in the inner corner. When you sleep, you do not blink.
So the fluid pools along the lash line. Warm air dries it into a crust. By morning, the crust holds the top and bottom lashes together.
When the eye is inflamed, it makes more mucus than normal. It makes thicker mucus too. That is why a sore eye gets stuck shut and a healthy eye does not.
What else it could be
Not every stuck eyelid is pink eye. The causes look different, so look at the details before you treat it.
Bacterial pink eye: thick yellow or green pus. The eye seals shut most mornings, and may re-crust during the day. It often starts in one eye and moves to the other.
Viral pink eye: watery, thin discharge. The eye is pink and feels gritty, like sand. You often have a cold, sore throat, or swollen glands in front of the ear.
Allergy: both eyes itch, and the itch is the main complaint. The goo is clear and stringy.
You may also sneeze or have a runny nose. Allergy eyes water a lot but rarely seal fully shut.
Blepharitis: flaky crust at the base of the lashes, like dandruff. It is there most mornings for months.
The white of the eye is not very pink. Lids may feel sore, greasy, or burn.
Dry eye: stringy mucus in the corner, burning, and blurry sight that clears when you blink. Odd as it sounds, dry eyes can water a lot.
Blocked tear duct in a baby: one eye waters all day and crusts every morning, often since the first weeks of life. The white of the eye stays clear and the baby is happy.
Stye or chalazion: one tender lump on the lid edge. Crust sits near that lump, not across the whole lash line.
Contact lens problem or a scratch: pain, strong light sting, and blurry sight. This is not simple pink eye. Get it checked the same day.
How to read the grades below
The options below come from our page on Conjunctivitis (Pink Eye). Each one carries two labels.
The first label is the evidence grade. A means strong trials in people, B means smaller or mixed studies, and C means early or limited findings. D means lab work only, and “insufficient” means the research cannot settle it yet.
The second label is the traditional tier. T3 means long use in more than one tradition, T2 means long use in one, and T1 means known use. T0 means no such record.
These grades come from research on Conjunctivitis (Pink Eye), the parent Health Topic, not on eyelids stuck shut in the morning.
A grade tells you how strong the research is, not how well something will work for you. Talk to a doctor or pharmacist before you start anything, above all if you take other medicines.
What to try first
Wash your hands first with soap and water. Wash them again after you touch your eye. This keeps it from spreading to your other eye or to people at home.
Never pull stuck lids apart. Soak the crust off instead.
A Warm Compress (evidence grade A, traditional tier T3) is the first step. Wet a clean cloth with warm water.
Hold it on the closed lid for 5 minutes. Then wipe once from the inner corner out and throw the cloth in the wash.
Use a fresh cloth for each eye. Use a fresh cloth each time. A used cloth can carry germs back.
Saline Solution (evidence grade A, traditional tier T1) can rinse away goo during the day. Sterile saline made for eyes is the safe choice for a rinse. Do not mix salt water at home, and do not use tap water in the eye.
If the lid is puffy and itchy, a Cold Compress (evidence grade B, traditional tier T3) can calm it. Ten minutes at a time is one length people use. This helps most with allergy eyes.
Calendula (Calendula officinalis) (evidence grade B, traditional tier T2) is a folk remedy for sore lids. People use it as a cool compress on closed lids. Ask your doctor before you put any herb near your eye.
Euphrasia (evidence grade C, traditional tier T2), also called eyebright, has long been used for red eyes. That is old tradition, not strong trial proof. The grade is lower for a reason.
Goldenseal (evidence grade D, traditional tier T2) has the weakest grade here. There is very little research behind it for eyes. Do not drop it in your eye.
A few simple steps help a lot. Stop wearing contacts until the eye is clear.
Throw out eye makeup you used while sick. Sticking to your own towel and changing your pillowcase is one simple step some people take.
How long it takes
Morning crusting from a mild germ often eases in 3 to 5 days once you clean the lids daily. Some bacterial cases need drops from a doctor to clear.
Viral pink eye takes longer. It often gets worse for 3 to 5 days, then better over 1 to 2 weeks. It can take up to 3 weeks to fully clear.
Allergy eyes come and go with your trigger. They flare while pollen, dust, or a pet is around.
Blepharitis is the slow one. Daily warm compresses and lid cleaning may take 4 to 6 weeks to help. It often comes back if you stop.
A baby's blocked tear duct clears on its own in most cases by the first birthday.
If crusting has not budged at all after a week, stop guessing and get it checked.