Scleral Issues: Can Rubbing Your Eye Cause Damage? - Ophthalmology

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Scleral issues


I would like to ask the doctor, I originally intended to use tissue to wipe my eye, but accidentally touched the sclera, which felt a bit lifted.
Later, the sclera became slightly red.
Can the sclera be injured? Thank you for your response, doctor.

anonym, 40~49 year old female. Ask Date: 2017/08/09

Dr. Cai Wenyuan reply Ophthalmology


Hello, it appears that the conjunctiva on the surface of the sclera has been injured.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/08/09

More Info


Rubbing your eyes, especially with an object like a tissue, can indeed cause damage to the sclera (the white part of the eye) and surrounding structures. The sclera is a tough, protective outer layer of the eye, but it is not impervious to injury. When you rub your eyes, particularly with force or an abrasive material, you risk causing micro-abrasions or even more significant injuries to the surface of the eye.

In your case, if you felt a sensation of something being "lifted" or "pulled" on the sclera, it is possible that you have caused some irritation or minor trauma. The redness you observed afterward is a common response to injury or irritation, as the blood vessels in the sclera can become engorged with blood, leading to a condition known as conjunctival injection. This is typically not serious and may resolve on its own, but it can be uncomfortable.

It's important to note that while minor irritation may heal without intervention, more severe injuries could lead to complications. For instance, if the rubbing caused a break in the surface epithelium, it could lead to an increased risk of infection or scarring. If you experience persistent redness, pain, vision changes, or discharge, it is crucial to seek medical attention from an eye care professional.

To prevent such injuries in the future, consider the following tips:
1. Avoid Rubbing: Try to avoid rubbing your eyes altogether. If you feel the need to relieve discomfort, consider using lubricating eye drops instead.

2. Use Clean Hands: If you must touch your eyes, ensure your hands are clean to minimize the risk of introducing bacteria.

3. Be Gentle: If you need to wipe your eyes, use a soft, clean cloth and do so gently. Avoid using tissues or rough materials that could irritate the eye.

4. Consult a Professional: If you have ongoing issues with eye discomfort or if you frequently feel the need to rub your eyes, consult an eye care professional. They can assess for underlying conditions such as dry eye syndrome or allergies that may be contributing to your symptoms.

In summary, while minor rubbing may not cause significant damage, it can lead to irritation and redness. If symptoms persist or worsen, it is essential to seek professional evaluation to ensure there are no serious injuries to the sclera or other parts of the eye. Taking preventive measures can help protect your eyes from unnecessary harm in the future.

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