Morning Eye Redness: Causes and Solutions for Bloodshot Eyes - Ophthalmology

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Blood vessels at the outer corner of the eye?


Hello, Doctor Gao: I would like to ask about a condition I experience in the morning.
After waking up, I notice a web-like pattern of blood vessels appearing at the outer corner of my left eye, close to the eyeball.
Blinking frequently helps alleviate the redness, and after washing my face, it usually resolves, leaving only faint traces of the blood vessels.
I have consulted with doctors who have diagnosed it as allergies, chronic conjunctivitis, or dry eye syndrome, but there is no pain or itching.
Could this be related to a previous episode of acute conjunctivitis that caused redness again? I would like to know what this issue might be.
It only occurs in the morning after a long sleep.
Currently, I am taking medication for blood circulation prescribed by the clinic.
Thank you.

AMY, 20~29 year old female. Ask Date: 2020/01/07

Dr. Gao Pilin reply Ophthalmology


Hello Amy: Based on your description, these symptoms are likely not related to any serious condition.
It is common for individuals to experience such symptoms upon waking, which typically resolve shortly after getting up.
There is no need for concern or treatment.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM, and on Wednesday from 2:00 PM to 4:30 PM.
Please note that online responses should only be used as a reference; it is advisable to seek medical attention at a healthcare facility if necessary.
I hope to have the opportunity to assist you.
Best regards, Gao Pilin.

Reply Date: 2020/01/07

More Info


Morning eye redness, particularly the appearance of bloodshot eyes upon waking, can be attributed to several factors. Understanding these causes is essential for effective management and treatment.
One of the most common reasons for experiencing bloodshot eyes in the morning is dryness. During sleep, especially if you sleep with your eyes partially open or in a dry environment, your eyes may not receive adequate moisture. This can lead to irritation and the dilation of blood vessels, resulting in a red appearance. Additionally, if you have a history of dry eye syndrome or conditions like chronic conjunctivitis, these can exacerbate the problem.
Another potential cause is allergic reactions. Allergens such as dust mites, pet dander, or pollen can accumulate in your bedding and irritate your eyes while you sleep. This irritation can manifest as redness upon waking. If you have been diagnosed with allergic conjunctivitis in the past, it is plausible that your symptoms are related to this condition.
Chronic conditions such as chronic conjunctivitis or blepharitis can also contribute to morning redness. These conditions often lead to inflammation of the conjunctiva or eyelids, which can result in bloodshot eyes, especially after prolonged periods of sleep.
Moreover, if you have previously experienced acute conjunctivitis, it is possible that your eyes are still sensitive or have residual effects from that episode. While the acute phase may have resolved, lingering inflammation or sensitivity could cause your eyes to appear red in the morning.

In terms of management, there are several strategies you can employ. First, consider using lubricating eye drops before bed to help keep your eyes moist throughout the night. This can be particularly beneficial if you are prone to dry eyes. Additionally, ensuring that your sleeping environment is humidified can help reduce dryness.
If allergies are suspected, it may be helpful to wash your bedding regularly and consider using hypoallergenic pillowcases and mattress covers. Over-the-counter antihistamine eye drops may also provide relief if allergies are a contributing factor.

If you find that your symptoms persist or worsen, it is advisable to consult with an eye care professional. They can conduct a thorough examination to rule out any underlying conditions and may prescribe medicated eye drops if necessary.
In summary, morning eye redness can stem from dryness, allergies, or chronic conditions. By implementing preventive measures and seeking professional advice when needed, you can effectively manage this issue and ensure that your eyes look their best, especially with your upcoming wedding photos.

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