There is an entry on this blog that refers to periorbital edema. That is a collection of fluid around the eyes. That can be related to several issues, including heart problems. I saw a picture the other day where his face looked puffy. Steroids came to mind.
Vladimir Putin (click here) was said to be looking 'ashen and bloated' in a meeting today as the global condemnation of his invasion of Ukraine continued. In an image released by the Kremlin, the Russian president was seen in Moscow sitting with the Governor of Saint Petersburg
