How to Determine Eye Injury After a Finger Poke During Sports - Ophthalmology

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Ocular issues?


I just got poked near my eye by someone's finger while playing basketball.
How can a doctor determine if the eyeball has been injured? Currently, my eye is not red and there is no significant pain, but there are some blood vessels visible.

JKL, 10~19 year old female. Ask Date: 2019/03/15

Dr. Cai Wenyuan reply Ophthalmology


Hello, please observe and seek medical attention if symptoms arise.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/15

More Info


When assessing an eye injury after being poked or hit near the eye, it is essential to consider several factors to determine whether the eyeball itself has been affected. Here are some steps and considerations to help you evaluate the situation:
1. Immediate Symptoms: After the injury, pay attention to any immediate symptoms. If you experience significant pain, vision changes (such as blurriness, double vision, or seeing spots), or excessive tearing, these could indicate a more serious injury to the eye. The presence of blood in the eye or around the eyelid can also be a sign of trauma.

2. Visual Acuity: Test your vision by reading something or looking at a clock. If you can see clearly without distortion, it is a good sign, but it does not rule out internal injuries. If you notice any changes in your vision, such as blurriness or dark spots, seek medical attention promptly.

3. Physical Examination: Look for signs of swelling, redness, or bruising around the eye. While you mentioned that there is no redness, the presence of blood vessels (bloodshot eyes) can indicate irritation or minor trauma. Gently palpate the area around the eye to check for tenderness or swelling.

4. Pupil Reaction: Observe the pupils. They should be equal in size and react to light. If one pupil is larger than the other or does not respond to light, this could indicate a more serious injury.

5. Movement and Discomfort: If moving your eye causes discomfort or pain, this may suggest that the injury is more severe. Additionally, if you feel a sensation of pressure or discomfort when you blink, it could indicate a problem with the cornea or other eye structures.

6. Follow-Up Symptoms: Monitor for any delayed symptoms. Sometimes, injuries may not present immediate symptoms but can develop complications later. If you experience worsening pain, vision changes, or any new symptoms, seek medical attention.

7. Consulting a Professional: If you have any doubts about the severity of your injury, it is always best to consult an eye care professional. They can perform a thorough examination, including using specialized equipment to check for corneal abrasions, retinal detachment, or other internal injuries that may not be visible externally.

In your case, since you mentioned that there is no significant pain or redness but some blood vessels are visible, it is possible that you have experienced a minor injury, such as a superficial abrasion or irritation. However, the presence of blood vessels can indicate that there is some level of trauma that should be monitored.

It is crucial to remember that even minor injuries can lead to complications if not properly assessed and treated. Therefore, if you notice any changes in your symptoms or if you have concerns about your eye health, do not hesitate to seek medical advice. An eye care professional can provide a comprehensive evaluation and recommend appropriate treatment, which may include lubricating eye drops, anti-inflammatory medications, or other interventions to promote healing and prevent complications.
In summary, while initial symptoms may seem mild, it is essential to remain vigilant and seek professional evaluation if there are any concerns about your eye health following an injury.

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