Red Veins and Pigmentation in the Eyes: Common Concerns - Ophthalmology

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I would like to inquire about the issue of bloodshot eyes?


Hello, doctor.
Is it normal to have blood vessels in the sclera? Can wearing contact lenses frequently cause them to become more prominent? Additionally, are small pigment deposits on the sclera also common? I have seen a doctor regarding both the blood vessels and the pigment deposits, and the doctor said that both conditions are quite common and not a cause for excessive concern.
The doctor mentioned that the pigment deposits only need attention if they change, and the blood vessels will fade with rest, so there’s no need to worry too much, as some are just naturally visible.
Is that correct? So, should we maintain a calm perspective regarding the sclera and not be overly anxious? Thank you, doctor.

Xiao Wen, 30~39 year old female. Ask Date: 2020/03/19

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao-Wen: The conjunctiva covering the white part of the eye naturally contains blood vessels.
When stimulated, or in cases of allergies or infections, these blood vessels can become congested, leading to noticeable red streaks.
It is also normal to have small pigment deposits, similar to moles on the skin.
In summary, there is no need to be overly anxious if you are not experiencing any discomfort.
The ophthalmology department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pi-Lin

Reply Date: 2020/03/19

More Info


When it comes to the appearance of red veins and pigmentation in the eyes, many individuals often have concerns about their eye health and the implications of these changes. The presence of red veins, or conjunctival hyperemia, is a common occurrence and can be attributed to various factors, including environmental irritants, fatigue, and the use of contact lenses.
Firstly, it is essential to understand that the eyes are highly vascularized organs, meaning they contain many blood vessels. The visibility of these blood vessels can increase due to several reasons. For instance, prolonged use of contact lenses, especially if they are not properly maintained or if they are worn for extended periods, can lead to irritation and dryness of the eyes. This irritation can cause the blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) to dilate, resulting in a red appearance. However, if you are using silicone hydrogel lenses, which are designed to allow more oxygen to reach the cornea, the risk of irritation may be reduced compared to traditional lenses.

Regarding pigmentation in the eyes, small deposits of pigment on the sclera (the white part of the eye) are relatively common and can occur due to various benign reasons. These pigmentations can be a result of aging, sun exposure, or even certain medications. In most cases, these deposits are harmless and do not indicate any underlying health issues. However, it is crucial to monitor any changes in size, shape, or color of these pigmented areas, as significant changes could warrant further investigation by an eye care professional.

Your doctor’s reassurance that both red veins and small pigment deposits are common and typically not a cause for concern is accurate. Many people have visible blood vessels in their eyes, and unless accompanied by symptoms such as pain, vision changes, or excessive tearing, they are generally not indicative of a serious problem. The recommendation to rest your eyes when experiencing redness is also sound advice, as fatigue can exacerbate the appearance of red veins.

It is also worth noting that maintaining good eye hygiene and regular eye care practices can significantly contribute to overall eye health. This includes taking breaks from screens, using lubricating eye drops if you wear contact lenses, and ensuring that your lenses are cleaned and stored properly. Additionally, protecting your eyes from UV exposure by wearing sunglasses can help prevent pigmentation changes over time.

In summary, while the presence of red veins and pigmentation in the eyes can be concerning, they are often benign and common occurrences. Regular check-ups with an eye care professional are essential to monitor any changes and ensure that your eyes remain healthy. If you notice any significant changes or experience discomfort, it is always best to seek professional advice. Maintaining a calm and informed perspective about these common eye conditions can help alleviate anxiety and promote better eye health.

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