Eye Injuries: Common Concerns and Misconceptions - Ophthalmology

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Eye injury issues


1.
If you hold a mirror to your face during sunset and the sunlight reflects from the mirror into your eyes for a few seconds (with the sun behind you), will this cause damage to your eyes (such as macular degeneration, retinal tears or detachment, cataracts, etc.), especially if you are wearing regular prescription glasses and not sunglasses?
2.
The pinkish flesh-colored area at the junction of the outer eyeball and the skin is part of the sclera (the white part of the eye) or part of the eyelid?
3.
If a cotton swab lightly touches the area mentioned in question 2 to collect eyelash debris, could this cause damage to the eye?
4.
Will exposure to the flashing red light from a barcode scanner in a convenience store for a few seconds cause damage to the cornea, lens, retina, macula, or optic nerve?
5.
Is the red light from the barcode scanner considered a laser, or is it just a red LED light?
6.
If the cornea or conjunctiva is scratched, will it usually or never form a scar? Is it only more severe scratches that would lead to scarring?
7.
After an injury to the cornea or conjunctiva, will scarring always occur, or is it possible for only one of them to scar? Or is it unlikely for either to scar after injury?
8.
If there is indeed a scar formed on the surface of the eyeball, would a person be able to see or feel it?

Xiao Xin, 20~29 year old female. Ask Date: 2021/04/05

Dr. Gao Pilin reply Ophthalmology


Hello, please be cautious: 1.
No.
2.
Without a picture, it's unclear what is being referred to; it could possibly be the conjunctiva.
3.
No.
4.
No.
5.
Convenience stores may use LED lights, while large supermarkets may use lasers.
6.
Superficial issues typically won't cause problems, but deeper ones may.
7.
It may or may not occur.
8.
If it's severe and centrally located, it can be noticeable.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin.

Reply Date: 2021/04/05

More Info


Understanding eye injuries and their implications is crucial for maintaining eye health. Let's address your questions one by one, providing clarity on common concerns and misconceptions regarding eye injuries.

1. Reflection of Sunlight in Mirrors: When sunlight reflects off a mirror and into your eyes, even for a few seconds, it can potentially cause damage. The intensity of sunlight can lead to photokeratitis, which is akin to a sunburn of the cornea. Prolonged exposure to bright light can also contribute to conditions like macular degeneration and cataracts over time. While a brief exposure may not cause immediate harm, it is advisable to avoid direct sunlight exposure to the eyes whenever possible, especially without protective eyewear.

2. Pinkish Area at the Eye's Outer Edge: The pinkish or flesh-colored area you see at the junction of the eyeball and the skin is typically the conjunctiva, which is a thin membrane covering the white part of the eye (sclera) and the inner eyelids. This area is part of the eye's anatomy and plays a role in protecting the eye and keeping it moist.

3. Using Cotton Swabs Near the Eye: When using a cotton swab to touch the area near the eyelashes, caution is essential. If you lightly touch the conjunctiva or the eyelid margin, it may not cause harm. However, if you apply too much pressure or introduce bacteria from the swab, it could lead to irritation or infection. Always ensure that any tools used near the eyes are clean and handled gently.

4. Exposure to Barcode Scanner Lights: The light emitted from barcode scanners is typically a red LED light, which is not harmful to the eyes. Unlike lasers, which can cause damage due to their focused energy, LED lights are diffused and generally safe for brief exposure. However, staring directly at any bright light source for extended periods can lead to discomfort or temporary vision disturbances.

5. Nature of Barcode Scanner Light: The light from a barcode scanner is not classified as a laser; it is usually a red LED light. Lasers emit coherent light that can be focused to a point, while LEDs emit light that is less concentrated and spread out.

6. Scarring from Corneal or Conjunctival Abrasions: Whether or not scarring occurs after a corneal or conjunctival abrasion depends on the severity of the injury. Superficial abrasions often heal without scarring, while deeper injuries may lead to scar formation. The cornea is particularly sensitive, and its ability to heal without scarring is generally good if the injury is not severe.

7. Scarring After Injury: Not all injuries to the cornea or conjunctiva will result in scarring. Superficial abrasions on the cornea typically heal well without leaving scars. However, deeper injuries, especially those that penetrate the epithelial layer, may lead to scarring. The conjunctiva also has a good healing capacity, and scarring is less common unless the injury is significant.

8. Visibility of Scars on the Eye Surface: If a scar forms on the surface of the eye, it may be visible, especially if it affects the cornea. Patients may notice changes in vision, such as blurriness or distortion, depending on the scar's location and depth. In some cases, scars can be asymptomatic, but they may still affect visual clarity.

In summary, while many eye injuries can heal without significant long-term effects, it is essential to take precautions to protect your eyes from potential harm. If you experience any persistent symptoms or concerns about your eye health, it is advisable to consult an eye care professional for a thorough examination and personalized advice. Regular eye check-ups can help monitor any changes and ensure your vision remains clear and healthy.

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