Eye Blood Vessels: Are They a Cause for Concern? - Ophthalmology

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Hello, doctor.
I usually wear contact lenses two to three days a week, for about 8 hours each time.
I have an eye examination every year, and I undergo optical coherence tomography and visual field tests every two years.
My intraocular pressure is normal, but I do have a bit of anxiety regarding my condition.
I read online that the proliferation of blood vessels in the eyes could indicate serious diseases.
Upon observing my eyes, I notice that the sclera is quite white.
If I had to point something out, there are more visible blood vessels towards the outer corners of my eyes, and a little at the inner corners as well.
When I lift my eyelids, I can see some blood vessels extending from deeper layers under the eyelids.
It seems that my family and friends also have similar features.
Is this normal tissue? I’ve seen alarming images online of proliferated blood vessels in the eyes, but I don’t have that appearance.
I also notice that children often have blood vessels at the inner and outer corners of their eyes; is this normal tissue as well? How should I care for my eyes? If these blood vessels are also experiencing hypoxia, how can I improve that? If I don’t have any discomfort, does it mean that maintaining good habits is sufficient? I read in an article that a doctor mentioned that the blood vessels that need more attention can only be clearly seen with professional instruments, and that the blood vessels we can see generally aren’t a concern.

A-Xing, 30~39 year old female. Ask Date: 2019/06/11

Dr. Gao Pilin reply Ophthalmology


Hello, A-Hsing: Based on your description, it seems to be normal vascular tissue on the conjunctiva.
There are many microvessels in the conjunctiva, and when the eyes feel uncomfortable, these vessels can become engorged, making the eyes appear red.
There is no need to worry about these microvessels.
If the cornea is hypoxic, new blood vessels may grow at the edges of the cornea; however, these microvessels may not be visible to the naked eye and can only be clearly seen under a microscope.
It would be advisable to have a doctor examine you.
Wearing contact lenses for two to three days a week should not be excessive and is unlikely to cause corneal hypoxia.
The ophthalmology department at Puzi Hospital in Taiwan is open: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to seek medical attention at a healthcare facility if needed.
I hope to have the opportunity to assist you.
Gao Pi-Lin

Reply Date: 2019/06/11

More Info


Understanding the appearance of blood vessels in the eyes can be a source of concern for many, especially for those who are prone to anxiety or have a history of eye issues. It's important to clarify that the visibility of blood vessels in the eyes, particularly in the sclera (the white part of the eye), is often a normal anatomical variation and not necessarily indicative of a serious health issue.


Normal Appearance of Eye Blood Vessels
The human eye contains a network of blood vessels that supply nutrients and oxygen to the tissues. It is common for individuals to have visible blood vessels in the sclera, especially in the corners of the eyes. This can be more pronounced in certain conditions such as fatigue, dehydration, or prolonged screen time. The fact that you observe these vessels more prominently when you look closely does not inherently mean there is a problem. Many people have similar observations, and it is often a benign condition.


Factors Contributing to Blood Vessel Visibility
Several factors can contribute to the increased visibility of blood vessels in the eyes:
1. Fatigue and Eye Strain: Prolonged use of contact lenses, excessive screen time, or insufficient sleep can lead to eye fatigue, causing blood vessels to dilate and become more noticeable.

2. Environmental Factors: Exposure to dry air, smoke, or allergens can irritate the eyes, leading to redness and increased visibility of blood vessels.

3. Hormonal Changes: Fluctuations in hormones, such as during menstruation, can also affect blood flow and vessel visibility.

4. Underlying Health Conditions: While less common, certain health conditions such as hypertension or autoimmune disorders can affect the eyes. However, if you have regular eye exams and your eye pressure and overall eye health are normal, this is less likely to be a concern.


When to Seek Medical Attention
While the presence of visible blood vessels is often normal, you should seek medical attention if you experience any of the following:
- Sudden changes in vision
- Persistent redness or discomfort
- Symptoms of eye strain that do not improve with rest
- Any new or unusual symptoms, such as flashes of light or floaters

Eye Care and Maintenance
To maintain healthy eyes and potentially reduce the visibility of blood vessels, consider the following tips:
1. Regular Eye Exams: Continue with your routine eye exams to monitor your eye health.

2. Proper Contact Lens Hygiene: Ensure you are following proper hygiene practices with your contact lenses to prevent irritation and infection.

3. Hydration: Drink plenty of water to keep your body and eyes hydrated.

4. Rest Your Eyes: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

5. Environmental Control: Use a humidifier in dry environments and take breaks from screens to reduce irritation.

6. Healthy Diet: Incorporate foods rich in omega-3 fatty acids, vitamins A, C, and E, and antioxidants to support eye health.


Conclusion
In summary, the visibility of blood vessels in your eyes is often a normal anatomical feature and can be influenced by various factors such as fatigue, environmental conditions, and hydration levels. As long as you are not experiencing discomfort or vision changes, there is typically no cause for concern. Regular eye check-ups and good eye care practices will help ensure your eyes remain healthy. If you have any doubts or experience new symptoms, consulting with an eye care professional is always a good idea.

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