Eye problems
Due to being struck in the left eye by a fist, I later went to a large hospital for a fundus examination.
The doctor mentioned that there was a blood clot in the sclera.
How long will it take for this to resolve? Since there were no issues found after the examination yesterday, does that mean I shouldn't have any problems in the next few days? Last night, I woke up with significant pain in my left temple; could this be related to my left eye? I also feel slight pain when I blink forcefully, and there is a mild swelling sensation in my left eye.
Why are these symptoms still present if the examination showed no problems? I apologize for the many questions, and I appreciate your help, Doctor.
Thank you.
Mr. Hong, 30~39 year old female. Ask Date: 2021/09/14
Dr. Gao Pilin reply Ophthalmology
Hello Mr.
Hong: If the blood clot in the white part of the eye is not very large, it will likely be absorbed in about a week.
Injuries take time to heal, and the pain and discomfort will not subside quickly.
When the examination shows no issues, it may refer to the cornea, iris, retina, and optic nerve being intact.
However, pain in the skin, muscles, or surrounding tissues may still persist and could take several days or even more than a week to gradually improve.
Reply Date: 2021/09/14
More Info
When it comes to eye injuries, especially those involving trauma such as being struck by a fist, the recovery process can vary significantly based on the severity of the injury and the specific structures involved. In your case, it sounds like you have experienced a significant impact to your left eye, resulting in a blood clot in the sclera (the white part of the eye), which is medically referred to as a subconjunctival hemorrhage.
Subconjunctival hemorrhages are generally not serious and often resolve on their own. The time it takes for the blood to dissipate can range from a few days to a couple of weeks, depending on the size of the hemorrhage and individual healing factors. During this time, you may notice changes in the appearance of the eye, transitioning from bright red to yellowish as the blood is reabsorbed.
Regarding your concern about whether the symptoms you are experiencing—such as pain in the temple area, slight swelling, and discomfort when blinking—are related to the eye injury, it is indeed possible. The eye and surrounding structures are interconnected, and trauma can lead to inflammation or irritation in adjacent tissues. Pain in the temple area could be due to muscle strain from squinting or protecting the injured eye, or it could be a referred pain from the eye itself.
Even if your eye examination showed no immediate issues, it is not uncommon for symptoms to persist for a few days following an injury. The eye is a sensitive organ, and trauma can lead to temporary discomfort as it heals. If you are experiencing significant pain, swelling, or any changes in vision, it is crucial to follow up with your eye care provider. They may recommend further evaluation or treatment options to ensure that there are no underlying issues that need to be addressed.
In terms of managing your symptoms, applying a cold compress to the affected area can help reduce swelling and provide some relief from discomfort. Over-the-counter pain relievers may also be beneficial, but be sure to consult with your healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.
Lastly, it is essential to monitor your symptoms closely. If you notice any worsening of your condition, such as increased pain, changes in vision, or new symptoms, seek medical attention promptly. Eye injuries can sometimes lead to complications, and early intervention is key to preventing long-term damage.
In summary, while the subconjunctival hemorrhage should resolve on its own, the accompanying symptoms you are experiencing may take some time to improve. Stay vigilant about your symptoms, and do not hesitate to reach out to your healthcare provider for further guidance and reassurance. Your eye health is paramount, and ensuring a thorough recovery is essential for maintaining your vision and overall well-being.
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