Conjunctivitis: When to See a Doctor for Eye Redness - Ophthalmology

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Conjunctivitis


Doctor, I experienced redness in the lower left corner of the sclera of my left eye back in May.
It took a few days to recover, but in the past month or two, the same area frequently becomes slightly red.
It is not painful or itchy, and it usually resolves after a few hours of rest.
I'm not sure if it's caused by rubbing my eyes.
Do I need to see a doctor for this? Since it improves with rest, I'm unsure how to explain the situation to the doctor.

Niming, 20~29 year old female. Ask Date: 2021/09/04

Dr. Gao Pilin reply Ophthalmology


Hello: Temporary eye redness without other symptoms that resolves on its own does not require an immediate visit to the doctor.
However, if there is itching, pain, or increased discharge, it is necessary to seek medical evaluation.

Reply Date: 2021/09/04

More Info


When it comes to eye health, particularly with symptoms like redness in the conjunctiva (the white part of the eye), it is essential to understand the underlying causes and when to seek medical attention. Your experience of having redness in the left eye that resolves with rest is not uncommon, but it does raise some important considerations.

Conjunctivitis, commonly known as "pink eye," can be caused by various factors, including viral infections, bacterial infections, allergies, and irritants. The fact that your eye redness is not accompanied by pain or itching and resolves after a few hours of rest suggests that it may not be a severe condition. However, it is still important to monitor the situation closely.

Here are some key points to consider regarding your symptoms:
1. Possible Causes: The redness you are experiencing could be due to several reasons:
- Allergic Conjunctivitis: This occurs when the eyes react to allergens such as pollen, dust, or pet dander. It often presents with redness, tearing, and itching.

- Irritant Conjunctivitis: Exposure to smoke, chlorine in swimming pools, or even prolonged screen time can irritate the eyes, leading to redness.

- Fatigue or Eye Strain: If you are spending long hours in front of screens or not getting enough sleep, this can lead to eye strain, resulting in temporary redness.

- Subconjunctival Hemorrhage: This is when a small blood vessel breaks just underneath the conjunctiva, causing a bright red patch. It is usually harmless and resolves on its own.

2. When to See a Doctor: While your symptoms seem mild and resolve with rest, there are specific situations where you should seek medical attention:
- If the redness persists for more than a few days without improvement.

- If you experience additional symptoms such as pain, significant swelling, discharge, or changes in vision.

- If you notice that the redness is recurring frequently, even if it resolves quickly.

3. Self-Care Measures: In the meantime, you can take some self-care measures to alleviate any discomfort:
- Avoid Rubbing Your Eyes: This can exacerbate irritation and lead to further redness.

- Use Artificial Tears: Over-the-counter lubricating eye drops can help soothe dryness and irritation.

- Take Breaks from Screens: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

- Cold Compress: Applying a clean, cold compress to your eyes can help reduce redness and soothe irritation.

4. Documentation for Your Doctor: If you decide to see a doctor, it may be helpful to keep a record of your symptoms:
- Note when the redness occurs, how long it lasts, and any activities that may trigger it.

- Mention any other symptoms you may have experienced, even if they seem unrelated.

In conclusion, while your current symptoms may not seem alarming, it is always better to err on the side of caution when it comes to eye health. If the redness continues or worsens, or if you develop new symptoms, it would be wise to consult an eye care professional. They can provide a thorough examination and determine if any treatment is necessary. Remember, early intervention can prevent potential complications and ensure your eyes remain healthy.

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