Eye White Issues: When to Seek Medical Attention - Ophthalmology

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Issues with the sclera?


I took a short nap last night, but I woke up because my eyes were very itchy.
When I looked in the mirror, I noticed that the whites of my eyes had developed what looked like blisters.
However, this morning it has improved somewhat, but my eyes are still a bit red.
Should I still see a doctor?

Qing, 10~19 year old female. Ask Date: 2017/11/23

Dr. Cai Wenyuan reply Ophthalmology


Hello: It is advisable to seek medical examination if you experience any discomfort or abnormalities in your eyes.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/23

More Info


When it comes to eye health, any noticeable changes in the appearance of the eye, especially the sclera (the white part of the eye), should be taken seriously. Based on your description, it sounds like you may be experiencing a condition known as conjunctival cysts or possibly a form of conjunctivitis, which can cause redness and irritation. The fact that you noticed a "bubble-like" appearance on the sclera and experienced itching suggests that there may be some form of irritation or inflammation present.


When to Seek Medical Attention
1. Persistent Symptoms: If the redness and irritation persist beyond a day or two, or if they worsen, it is advisable to seek medical attention. Persistent symptoms can indicate an underlying issue that may require treatment.

2. Vision Changes: If you experience any changes in your vision, such as blurriness or difficulty focusing, this is a clear sign that you should see an eye care professional immediately.

3. Increased Discomfort: If the itching and redness escalate to pain, or if you experience swelling around the eye, this could indicate a more serious condition, such as an infection or allergic reaction.

4. Discharge: If you notice any unusual discharge from the eye, whether it is clear, yellow, or green, this is another reason to seek medical help. Discharge can be a sign of conjunctivitis or other infections.

5. Sensitivity to Light: If you find that your eyes become increasingly sensitive to light, this could be a sign of inflammation or other issues that require evaluation.


Possible Causes of Your Symptoms
- Allergic Reaction: Itchy eyes and redness can often be attributed to allergies. Allergens such as pollen, dust, or pet dander can cause the eyes to react, leading to symptoms like yours.

- Infection: Conditions such as viral or bacterial conjunctivitis can cause redness, itching, and discharge. These infections can be contagious and may require antibiotic or antiviral treatment.

- Irritation: Sometimes, simply rubbing your eyes can lead to irritation, especially if there are any foreign substances present, such as dust or smoke.

- Cysts: As mentioned earlier, conjunctival cysts can appear as bubble-like formations on the sclera. These are generally harmless but can be bothersome.


Recommendations
1. Avoid Rubbing Your Eyes: This can exacerbate irritation and potentially introduce bacteria, leading to infection.

2. Cold Compress: Applying a cold compress to your eyes can help reduce redness and itching. This can provide temporary relief.

3. Artificial Tears: If your eyes feel dry or irritated, using preservative-free artificial tears can help lubricate the eyes and alleviate discomfort.

4. Monitor Symptoms: Keep an eye on your symptoms over the next few days. If they improve, it may have been a minor irritation. However, if they persist or worsen, do not hesitate to consult an eye care professional.

5. Consult an Eye Care Professional: If you are unsure about the nature of your symptoms or if they do not improve, it is always best to err on the side of caution and seek professional advice. An eye care specialist can provide a thorough examination and determine the appropriate course of action.

In conclusion, while some eye issues can resolve on their own, it is crucial to be vigilant about any changes in your eye health. If you have any doubts or if your symptoms do not improve, seeking medical attention is the best course of action to ensure your eyes remain healthy.

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