Swollen eyes without good sleep may be due to physiologic and pathologic factors (e.g., heart failure and nephritis). It is usually treated with general therapy as well as medication. 1. Physiological factors: due to a long time to stay up late, do not sleep enough, resulting in the eyes of the blood circulation is not smooth easily caused by eye congestion, and then appear eye swelling. This is a normal physiological phenomenon, just need enough rest, sleep, you can relieve the problem of not sleeping well eye swelling. 2. Pathological factors (1) heart failure: if you suffer from heart failure, it will lead to abnormal blood circulation throughout the body, causing sodium retention and venous stasis, which will lead to the phenomenon of swollen eyes without sleep. It can be treated with hydrochlorothiazide tablets, which act as a diuretic by excreting excessive water and sodium from the body. It can reduce the volume of extracellular fluid, reduce edema, thus relieving the phenomenon of swollen eyes without sleep. (2) Nephritis: It is mainly due to the decline of glomerular filtration function, poor blood circulation and other factors, thus causing the phenomenon of swollen eyes without sleep. Furosemide can be used for treatment, mainly to promote the body’s water discharge, to achieve the purpose of diuretic swelling, so as to alleviate the phenomenon of not sleeping well swollen eyes. If the eyes are swollen without sleep, full rest has not been relieved, it is recommended to go to the hospital in a timely manner, to identify the cause of the targeted treatment.