Redness and Pain in Your Eye: When to Seek Help - Ophthalmology

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Bloodshot eyes with a feeling of pressure or pain?


Hello Doctor, for the past two days, I have noticed some blood vessels in my left eye, and it often feels itchy.
After a day, there is a slight swelling and pain.
What could these symptoms indicate? Do I need to see a doctor? Thank you for your response!

Mr. Wu, 10~19 year old female. Ask Date: 2016/04/28

Dr. Wang Zhishun reply Ophthalmology


Hello, it seems to be an allergy.
If the symptoms persist, it would be better to seek medical attention.

Reply Date: 2016/04/28

More Info


When experiencing symptoms such as redness, itching, and swelling in the eye, it's important to understand the potential causes and when to seek medical attention. The symptoms you describe could be indicative of several conditions, ranging from mild to more serious issues.

1. Allergic Conjunctivitis: This is a common cause of eye redness and itching. It occurs when the eyes react to allergens such as pollen, pet dander, or dust mites. Symptoms typically include redness, itching, and tearing. If this is the case, over-the-counter antihistamine eye drops may provide relief.

2. Infectious Conjunctivitis (Pink Eye): This condition can be caused by bacteria or viruses. Symptoms include redness, discharge (which may be watery or pus-like), and sometimes swelling. If you notice a significant discharge, especially if it is yellow or green, or if your symptoms worsen, it is advisable to see a healthcare provider.

3. Dry Eye Syndrome: If your eyes feel itchy and red, it could be due to dryness. This can happen due to prolonged screen time, environmental factors, or certain medications. Artificial tears can help alleviate dryness.

4. Blepharitis: This is an inflammation of the eyelids that can cause redness, itching, and swelling. It is often associated with dandruff of the scalp or skin conditions like rosacea. Regular eyelid hygiene can help manage this condition.

5. Corneal Abrasion: If you have experienced any trauma to the eye, such as rubbing it too hard or getting something in it, a corneal abrasion could cause redness, pain, and sensitivity to light. This condition requires prompt medical attention.

6. Uveitis: This is an inflammation of the middle layer of the eye and can cause redness, pain, and vision changes. It is a more serious condition that requires immediate medical evaluation.

Given that you are experiencing swelling and pain alongside redness and itching, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination to determine the underlying cause of your symptoms and recommend appropriate treatment.
In general, you should seek immediate medical help if you experience any of the following:
- Sudden vision changes or loss of vision
- Severe pain in the eye
- Sensitivity to light
- A significant increase in redness or swelling
- Discharge from the eye that is persistent or worsening
In conclusion, while some eye conditions can be managed at home, others require professional evaluation and treatment. It is always better to err on the side of caution when it comes to eye health. If your symptoms persist or worsen, do not hesitate to contact an eye care professional.

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