Eye Issues: Managing Acute Conjunctivitis and Redness - Ophthalmology

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Eye problems


Hello Doctor,
At the beginning of September, I mistakenly used the wrong hydrogen peroxide solution for my contact lenses and immediately put the lenses in my eyes.
I took them out right away, but my eyes became red, so I went to see a doctor.
I was prescribed three bottles of eye drops, including one with steroids, to be used four times a day.
After two weeks with no improvement, I consulted another doctor who diagnosed me with acute conjunctivitis.
At that time, my eyes were very swollen and red, and I was given steroid eye drops to use four times a day.
The redness subsided in three days, but it didn't completely go away, and there were still some blood vessels visible.

Later, I wore my contact lenses again for two days, and my eyes became red again.
I then went to a larger hospital, where they told me my eyes were too dry and recommended using artificial tears, along with some non-steroidal eye drops to reduce the redness and for fatigue.

Will the redness of the blood vessels gradually improve? Currently, the redness is not severe; sometimes there are a few bright red spots, but it's not too exaggerated (for example, after showering or in the morning when I haven't applied artificial tears before sleeping).
I'm wondering if the redness needs to completely resolve to be considered normal.
I've been using a lot of eye drops over the past two months, and I'm quite worried.

AMY, 20~29 year old female. Ask Date: 2019/11/15

Dr. Gao Pilin reply Ophthalmology


Hello Amy: There are many microvessels in the eyes, and when they become congested, you may see blood vessels appearing as red lines.
These vessels are already present; they just become more prominent during inflammation.
It’s not necessary to worry too much about the presence of these red lines; what’s important is to monitor for any signs of inflammation in the eyes.
If there are no symptoms and only a few red lines, there is no need to use eye drops.
Wearing contact lenses can naturally irritate the eyes, so having some redness is expected.
As long as there are no symptoms, taking a break should help.
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 visit a medical facility if needed.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2019/11/15

More Info


Managing eye issues, particularly acute conjunctivitis and associated redness, can be quite challenging, especially when compounded by the use of contact lenses and the potential for complications. Based on your description, it seems you've experienced a series of eye health challenges, including an initial mishap with hydrogen peroxide and subsequent diagnoses of acute conjunctivitis. Here’s a comprehensive overview of your situation and some guidance on managing your symptoms.


Understanding Acute Conjunctivitis
Acute conjunctivitis, commonly referred to as "pink eye," can be caused by various factors, including viral infections, bacterial infections, or allergic reactions. The symptoms typically include redness, swelling, discharge, and discomfort. In your case, it appears that the initial treatment with steroid eye drops helped reduce the redness, but some blood vessels remain prominent, indicating that the inflammation may not be fully resolved.


The Role of Artificial Tears
Given that your eye doctor mentioned dryness as a contributing factor to your symptoms, using artificial tears is crucial. Dry eyes can exacerbate redness and discomfort, particularly after wearing contact lenses. Artificial tears help to lubricate the eye, reduce irritation, and promote healing. It's essential to use preservative-free artificial tears, especially if you are using them frequently throughout the day.


Blood Vessels and Redness
Regarding the blood vessels in your eyes, it's not uncommon for them to take some time to return to normal after an episode of conjunctivitis. The presence of blood vessels can be a sign of ongoing irritation or inflammation. While some redness may persist, it should gradually improve with consistent use of artificial tears and proper care. If you notice that the redness worsens or if you experience additional symptoms such as pain, vision changes, or increased discharge, it would be prudent to seek further evaluation from an eye care professional.


Contact Lens Use
It's important to be cautious with contact lens use during this recovery period. If your eyes are still showing signs of redness or irritation, it may be best to refrain from wearing contact lenses until your symptoms have fully resolved. Wearing lenses can exacerbate dryness and irritation, leading to further complications. Once your eyes have healed, you can gradually reintroduce contact lenses, ensuring that you maintain proper hygiene and follow your eye care provider's recommendations.


Medication Concerns
You mentioned concerns about the number of eye drops you've been using. While it's essential to follow your doctor's instructions regarding medication, overuse of certain drops, particularly those containing steroids, can lead to complications such as increased intraocular pressure or cataract formation. If you feel that you are using too many medications or if you have concerns about their effects, it’s advisable to discuss this with your eye doctor. They can provide guidance on tapering off medications safely and suggest alternative treatments if necessary.


Conclusion
In summary, managing acute conjunctivitis and associated redness requires a multifaceted approach. Continue using artificial tears to alleviate dryness, monitor the redness, and avoid contact lenses until your eyes have fully healed. If the redness persists or worsens, or if you have any new symptoms, do not hesitate to seek further medical advice. Your eye health is paramount, and ensuring that you have the right treatment plan in place will help you achieve the best possible outcome. Remember, patience is key, as healing can take time, but with proper care, your symptoms should gradually improve.

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