Eye Strain: Sneezing and Red Eye Symptoms Explained - Ophthalmology

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Strabismus sneezing


I sneezed too hard and now there are two red streaks in the lower right part of the white of my eye, and it hurts.
Did I rupture something? Should I return for a follow-up, or is it enough to just continue using the prescribed eye drops? Thank you.

Shìchá, 30~39 year old female. Ask Date: 2021/01/30

Dr. Gao Pilin reply Ophthalmology


Hello, regarding your inquiry: It is likely just vascular congestion caused by sneezing, and the wound pain is not due to a rupture, so please don't worry.
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.
Please note that online responses are for reference only; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2021/01/30

More Info


When it comes to experiencing red eyes and discomfort after sneezing forcefully, it is essential to understand the underlying causes and what steps to take next. Sneezing can lead to a sudden increase in pressure in the eyes, which may cause small blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) to burst, resulting in what is known as subconjunctival hemorrhage. This condition typically presents as bright red patches on the white part of the eye and can be alarming, but it is usually harmless and resolves on its own within a week or two.

In your case, the appearance of red streaks in the lower right part of your eye after a forceful sneeze suggests that you may have experienced a mild subconjunctival hemorrhage. The pain you are feeling could be due to irritation from the blood pooling in the conjunctiva or from the pressure exerted during the sneeze. However, if the pain is severe or if you notice any changes in your vision, it is crucial to seek medical attention promptly.

As for whether you need to return for a follow-up appointment or if you can manage the situation with your prescribed eye drops, it largely depends on the severity of your symptoms. If the redness is accompanied by significant discomfort, persistent pain, or changes in vision, it is advisable to consult your eye care professional. They can assess the situation more thoroughly and determine if any additional treatment is necessary.

If you are currently using prescribed eye drops for conditions like dry eyes or allergic conjunctivitis, you may continue to use them as directed. These drops can help alleviate discomfort and keep your eyes lubricated. However, be cautious with the use of any medications, especially corticosteroid eye drops, as long-term use can lead to increased intraocular pressure and other complications.

In summary, while the red streaks in your eye may be a result of a benign subconjunctival hemorrhage caused by sneezing, it is essential to monitor your symptoms closely. If the discomfort persists or worsens, or if you have any concerns about your eye health, do not hesitate to reach out to your eye care provider for further evaluation. Taking care of your eye health is vital, and being proactive about any changes you notice can help prevent potential complications.

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