Red Eye: Causes and Concerns of Visible Blood Vessels - Ophthalmology

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Redness in the eyes?


Hello doctor, recently I have noticed a prominent and thick blood vessel appearing from the lower right corner of my right eye, close to the edge of the iris.
I have been wearing contact lenses, but I don't wear them for more than 8 hours at a time, about once a week.
Could this be due to neovascularization or is it something else? Thank you for your response, doctor.

Xiao Chen, 10~19 year old female. Ask Date: 2017/05/01

Dr. Cai Wenyuan reply Ophthalmology


Hello: It is possible, but a medical examination is necessary to determine.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/01

More Info


Hello! Thank you for your question regarding the visible blood vessels in your eye, particularly the prominent red line you've noticed. It's understandable to be concerned about changes in your eye, especially when wearing contact lenses.

The appearance of a noticeable red line or blood vessel in the eye, especially if it is located near the cornea (the clear front part of the eye), can often be attributed to a condition known as subconjunctival hemorrhage. This occurs when small blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) break, leading to localized bleeding. While this can look alarming, it is usually harmless and resolves on its own within a couple of weeks without any treatment.

However, there are several factors that could contribute to the appearance of these blood vessels:
1. Contact Lens Use: Wearing contact lenses, especially if they are not fitted properly or if they are worn for extended periods, can lead to irritation and dryness of the eyes. This irritation can cause the blood vessels to become more prominent. It's important to follow the recommended guidelines for contact lens wear, including proper cleaning and replacement schedules.

2. Eye Fatigue: Prolonged screen time, reading, or any activity that requires intense focus can lead to eye strain. Symptoms of eye fatigue can include redness, dryness, and discomfort, which may also cause blood vessels to become more visible.

3. Environmental Factors: Dry air, allergens, or irritants in your environment can exacerbate eye redness. If you are in a dry climate or exposed to smoke or dust, this could contribute to the symptoms you are experiencing.

4. Underlying Health Conditions: While less common, certain health issues such as hypertension or blood disorders can lead to more frequent occurrences of subconjunctival hemorrhage. If you have a history of such conditions or if you notice other symptoms, it may be worth discussing with a healthcare provider.

5. Infection or Inflammation: Conditions such as conjunctivitis (pink eye) or other inflammatory processes can also cause redness and visible blood vessels. If you experience additional symptoms such as discharge, pain, or changes in vision, it is essential to seek medical attention.

Given that you mentioned wearing contact lenses, it would be prudent to ensure that you are using them correctly and not exceeding the recommended wear time. If the redness persists, worsens, or is accompanied by discomfort or vision changes, I recommend consulting an eye care professional for a thorough examination. They can assess your eye health and determine if any underlying issues need to be addressed.

In summary, while the appearance of a prominent blood vessel in your eye can be concerning, it is often benign and related to factors such as contact lens use, eye fatigue, or environmental irritants. However, if you have ongoing concerns or if the situation changes, seeking professional advice is always the best course of action. Take care of your eyes, and don't hesitate to reach out for help if needed!

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