Eye Discharge: Causes and Treatment for Contact Lens Users - Ophthalmology

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There is a large layer of eye discharge membrane on the upper eyelid after it is opened?


Hello, doctor! I have been wearing contact lenses, and I might have gotten an infection due to not rinsing them properly.
I have a lot of eye discharge that is yellow-green and watery, and my eyes are very swollen.
When I flip my upper eyelid, there is a layer that looks like eye discharge, a large patch inside the eyelid, which is white and transparent.
Even after I remove it with a cotton swab, it keeps coming back.
What is that transparent layer? Is it serious? Should I remove it, or is using eye drops sufficient? I have already seen a doctor, but they were not very clear and only gave me two bottles of eye drops.

Yi An, 10~19 year old female. Ask Date: 2017/03/31

Dr. Chen Anping reply Ophthalmology


Dear Ms.
Yi-An, regarding the issue you raised, it is necessary to clear the added eye drops.
Hualien Hospital, Ministry of Health and Welfare, cares about you.

Reply Date: 2017/03/31

More Info


Hello! It sounds like you are experiencing a concerning issue with your eyes, particularly related to your contact lens use. Based on your description, you may be dealing with a condition known as conjunctivitis, which is an inflammation of the conjunctiva, the membrane that lines the eyelid and covers the white part of the eyeball. The yellow-green discharge and swelling you described are common symptoms of an infection, which can be caused by bacteria, viruses, or allergens.

The "transparent membrane" you mentioned could be a buildup of mucus or discharge that can occur with conjunctivitis. This discharge can accumulate, especially if your eyes are irritated or infected. It’s important to note that while some discharge is normal, excessive or colored discharge, especially if accompanied by swelling and discomfort, indicates that you should seek further medical attention.

Here are some key points regarding your situation:
1. Causes of Eye Discharge: In contact lens users, eye discharge can often result from improper lens hygiene, such as not cleaning them properly or wearing them for too long. Bacterial infections are common in contact lens wearers, especially if lenses are not replaced as recommended or if they are worn while sleeping. Allergies can also contribute to discharge, particularly if you are sensitive to dust, pollen, or other allergens.

2. Treatment Options: Since you have already seen a doctor and received eye drops, it’s crucial to follow their instructions carefully. The eye drops may be antibiotic or anti-inflammatory, depending on the diagnosis. If the discharge persists or worsens, or if you experience increased pain, redness, or vision changes, you should return to your eye care provider for a follow-up. They may need to reassess your condition and possibly perform additional tests.

3. Hygiene Practices: To prevent further issues, ensure you are practicing good hygiene with your contact lenses. This includes washing your hands before handling lenses, using the appropriate cleaning solution, and not wearing lenses longer than recommended. Consider switching to daily disposable lenses if you continue to have issues, as they reduce the risk of infection.

4. When to Seek Further Help: If the transparent membrane continues to reappear after cleaning, or if you notice any worsening symptoms, it’s essential to consult with an ophthalmologist. They can provide a more thorough examination and determine if there is a more serious underlying issue, such as a corneal ulcer or a more severe infection.

5. Potential Complications: If left untreated, infections can lead to complications, including corneal scarring or vision loss. Therefore, it’s important to address these symptoms promptly and thoroughly.

In summary, while the symptoms you are experiencing can be alarming, they are often manageable with proper care and treatment. Ensure you maintain good hygiene with your contact lenses and follow up with your eye care provider if your symptoms do not improve. If you have any further questions or concerns, don’t hesitate to reach out for more information or clarification. Your eye health is important, and taking proactive steps can help prevent further complications.

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