Conjunctival Issues: Symptoms, Treatments, and Care Tips - Ophthalmology

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Conjunctival issues?


Hello, Doctor Gao.
I would like to ask:
1.
Recently, I have noticed a lot of dense blood vessels in my left eye, and there is a spot that looks like a small blister or a raised membrane.
Is this related to the condition of the blood vessels in my eye? I don't feel any discomfort (I don't have a habit of rubbing my eyes).
Can I just leave it alone?
2.
Is it true that steroids or vasoconstrictors prescribed by the ophthalmology clinic should not be used frequently? Can artificial tears be used regularly? Thank you, Doctor Gao.
😊

mandy, 20~29 year old female. Ask Date: 2016/06/15

Dr. Gao Pilin reply Ophthalmology


Hello Mandy: Sometimes the conjunctiva may exhibit some vascular fibrous proliferation, with the most common condition being pterygium.
Whether treatment is necessary should be determined after an examination by your ophthalmologist.
Corticosteroids or vasoconstrictors can be used if needed.
Artificial tears can be used regularly as directed by your physician.
The ophthalmology department at Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Online responses should only be used as a reference; it is essential to seek medical care at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2016/06/15

More Info


Hello! Thank you for your questions regarding conjunctival issues. Let's break down your concerns and provide some insights based on medical knowledge.

1. Understanding Symptoms: The presence of "密集血絲" (intense redness) in your left eye, along with a small blister-like structure that resembles a growth, can be indicative of several conditions. The redness in the eye, often referred to as conjunctival injection, can occur due to various reasons, including allergies, infections, or irritation. The blister-like structure could be a pinguecula or a pterygium, which are benign growths on the conjunctiva. While these conditions are generally not painful and may not cause discomfort, they can sometimes lead to vision issues if they grow large enough or if they affect the cornea.

If the symptoms are not causing any discomfort and you do not have a history of rubbing your eyes, it might be tempting to ignore them. However, it is essential to monitor the situation. If the redness persists, worsens, or if you start experiencing discomfort or vision changes, it would be wise to consult an eye care professional for a thorough examination. They can determine whether the growth is benign or if it requires treatment.

2. Medication Use: Regarding the use of steroids or vasoconstrictors prescribed by your ophthalmologist, it is crucial to follow their guidance. Steroids can be effective in reducing inflammation but should be used cautiously and typically for short durations due to potential side effects, such as increased intraocular pressure or cataract formation with prolonged use. Vasoconstrictors can help reduce redness but are not recommended for long-term use as they can lead to rebound redness, making the condition worse over time.

On the other hand, artificial tears are generally safe for regular use. They can help lubricate the eyes, wash away irritants, and provide relief from dryness. Using artificial tears regularly can be beneficial, especially if you are in an environment that may cause eye irritation or dryness.

Care Tips:
- Avoid Eye Irritants: Try to identify and avoid any potential irritants, such as smoke, dust, or allergens that may exacerbate your symptoms.

- Maintain Eye Hygiene: Ensure that your hands are clean before touching your face or eyes. This practice can help prevent infections.

- Stay Hydrated: Drinking plenty of water can help maintain overall eye health.

- Regular Check-ups: Schedule regular eye exams, especially if you notice any changes in your symptoms or if they persist.

In conclusion, while your current symptoms may not seem alarming, it is always best to err on the side of caution. Regular monitoring and consultation with an eye care professional are essential to ensure that any underlying issues are addressed promptly. If you have further questions or concerns, don't hesitate to reach out to your healthcare provider. Take care!

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