Blood-Tinged Eye Discharge: When to Seek Medical Attention - Ophthalmology

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Eye discharge with a slight blood tint?


I developed a stye this Tuesday and had a consultation on Wednesday.
Today is Sunday, and when I woke up, there was so much eye discharge that I couldn't open my eyes.
While cleaning the discharge, I noticed a slight blood tinge.
When I flipped my eyelid to check the stye area, the previously white, pus-filled bump is no longer visible.
Should I seek medical attention, or should I continue using the chloramphenicol eye drops prescribed by the doctor?

Bai Hai Tun, 10~19 year old female. Ask Date: 2019/05/05

Dr. Gao Pilin reply Ophthalmology


Hello, White Dolphin: The blood-tinged eye discharge may indicate that the stye has ruptured, and pus and blood have started to drain.
Continue with the eye drops, and you should see improvement.
However, it is still advisable to consult a physician to determine if any adjustments to the medication are necessary.
In Taiwan, the ophthalmology department at Puzi Hospital is available on the following schedule: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Sincerely, Gao Pilin.

Reply Date: 2019/05/05

More Info


When dealing with blood-tinged eye discharge, especially following the development of a stye (or "針眼"), it is crucial to monitor your symptoms closely and understand when to seek medical attention. Styes are typically caused by bacterial infections, leading to localized swelling and discomfort. The presence of blood in the discharge can indicate a few different scenarios, and understanding these can help you make an informed decision about your next steps.

Firstly, if you have been prescribed chloramphenicol eye drops by your doctor, it is generally advisable to continue using the medication as directed. Chloramphenicol is an antibiotic that can help treat bacterial infections, including those associated with styes. However, if you notice any worsening of symptoms or new symptoms developing, it may be necessary to reassess your condition.

Here are some key points to consider regarding your situation:
1. Severity of Symptoms: If the blood-tinged discharge is accompanied by significant pain, swelling, or vision changes, it is essential to seek medical attention promptly. These could be signs of a more serious infection or complications that require immediate intervention.

2. Duration of Symptoms: Since you mentioned that the stye was present for several days and the discharge has changed, if you do not see improvement within a few days of using the prescribed eye drops, it would be wise to return to your healthcare provider. Persistent symptoms may indicate that the infection is not responding to the treatment.

3. Changes in Appearance: The fact that the white, pus-filled bump has disappeared is a positive sign, suggesting that the stye may be resolving. However, if you notice any new lumps, increased redness, or if the area around your eye becomes increasingly swollen, these could be signs of a secondary infection or an abscess.

4. Vision Changes: Any changes in your vision, such as blurriness or seeing spots, should prompt an immediate visit to an eye care professional. These symptoms could indicate that the infection is affecting deeper structures of the eye.

5. Self-Care Measures: In addition to using the prescribed eye drops, you can apply warm compresses to the affected area several times a day. This can help reduce swelling and promote drainage of the stye. Ensure that your hands are clean when touching your eyes or applying any treatments.

6. Underlying Conditions: If you have any underlying health conditions, such as diabetes or a compromised immune system, you should be more vigilant about seeking medical care for any eye issues, as these can complicate infections.

In summary, while it is reasonable to continue using the chloramphenicol eye drops as prescribed, you should remain vigilant about your symptoms. If you experience any worsening of your condition, significant pain, vision changes, or if the blood-tinged discharge persists, it is important to seek medical attention. Eye health is critical, and timely intervention can prevent complications. Always trust your instincts; if something feels off, it’s better to err on the side of caution and consult with a healthcare professional.

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