Vascular Proliferation in Eye Health: Concerns and Care - Ophthalmology

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Vascular proliferation


Hello Doctor, I previously had some blood vessels and went to see a doctor who said there was vascular proliferation, but it wasn't a concern.
I noticed that after using eye drops, the vascular proliferation appeared less prominent.
However, after wearing contact lenses, the blood vessels seemed to reappear.
Could you please advise on the potential effects of this? Should I just remove my contact lenses and apply the eye drops afterward? I'm mainly concerned whether the appearance of the blood vessels after wearing contact lenses will remain at this level, or if it could worsen the vascular proliferation.
Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2021/03/18

Dr. Gao Pilin reply Ophthalmology


Hello: Whether there will be hyperplasia needs to be continuously monitored, and it is still possible to wear contact lenses with regular follow-ups.
If the condition remains stable, there is no issue.
However, if it increases, the wearing time should be reduced.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; it is necessary to visit a medical institution for treatment.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2021/03/18

More Info


Understanding vascular proliferation in eye health is crucial, especially for individuals who frequently wear contact lenses or experience eye discomfort. Vascular proliferation, or the growth of new blood vessels, can occur in response to various stimuli, including prolonged contact lens wear, dry eyes, or irritation. In your case, the presence of red blood vessels in the sclera (the white part of the eye) can be concerning, but it is essential to understand the underlying mechanisms and how to manage them effectively.

When you wear contact lenses for extended periods, especially if they are not designed for long-term wear, your cornea may not receive adequate oxygen. This lack of oxygen can lead to hypoxia, prompting the body to respond by forming new blood vessels to supply the necessary oxygen and nutrients. This process is known as neovascularization. While the formation of new blood vessels can temporarily alleviate some symptoms by improving oxygen delivery, it can also lead to complications if it becomes excessive. For instance, if the new vessels grow into the cornea, they can interfere with vision and lead to further complications, such as corneal scarring or infections.

Regarding your concern about the visibility of these blood vessels after using eye drops, it is common for certain eye drops, particularly those containing vasoconstrictors, to temporarily reduce redness by constricting the blood vessels. However, this effect is not a permanent solution. If you notice that the blood vessels become more prominent after wearing contact lenses, it may indicate that the lenses are contributing to the irritation or hypoxia of your cornea.

To manage this situation effectively, consider the following recommendations:
1. Limit Contact Lens Wear: Try to reduce the amount of time you wear your contact lenses each day. If possible, switch to glasses for part of the day to give your eyes a break.

2. Use Proper Lens Care: Ensure that you are using the correct cleaning solutions for your lenses and that you are following the recommended hygiene practices. This includes washing your hands before handling your lenses and replacing them as directed.

3. Consider Lens Type: If you frequently experience redness or discomfort, consult with your eye care professional about switching to lenses that allow for better oxygen permeability. Some lenses are designed specifically for extended wear and may be more suitable for your needs.

4. Hydration and Eye Drops: Use lubricating eye drops (artificial tears) regularly to keep your eyes moist, especially if you are in a dry environment or using screens for extended periods. Avoid overusing vasoconstrictor drops, as they can lead to rebound redness and further irritation.

5. Regular Eye Exams: Schedule regular check-ups with your eye care provider to monitor the health of your eyes and the status of any vascular proliferation. They can provide personalized advice and treatment options based on your specific condition.

6. Monitor Symptoms: Pay attention to any changes in your vision or discomfort levels. If you notice significant changes, such as increased redness, pain, or vision changes, seek medical attention promptly.

In conclusion, while the presence of vascular proliferation may not immediately threaten your vision, it is essential to manage the underlying causes effectively. By taking proactive steps to care for your eyes, you can help prevent further complications and maintain optimal eye health. If you have ongoing concerns, do not hesitate to reach out to your eye care professional for guidance tailored to your specific situation.

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