Red Eyes and Yellowing Sclera: Your Eye Issues

Q: Red Eyes and Yellowing Sclera: Your Eye Issues

Hello, Ms. <br>Tsai： When the eyes are inflamed due to allergies, there will be more blood vessels visible, and as the condition improves, they will decrease. <br>The light yellow areas may be due to pigmentation or tissue proliferation. <br>It is best to have an eye doctor exami

Bloodshot eyes with yellowing sclera?

Hello, doctor.
Here's the situation: A few weeks ago, I applied eyelash extensions at home, and since then, both of my eyes have become very red.
They don't itch much, but they are somewhat painful.
I'm studying abroad and have been using allergy eye drops that I brought from Taiwan, exceeding the recommended usage because the redness was alarming.
This has now become a habit; I use the drops whenever my eyes feel slightly uncomfortable.

I later noticed that the blood vessels in the corner of my right eye have not cleared up; sometimes there are more, sometimes less.
Additionally, I observed a pale yellow spot on the white part of my right eye.
I would like to understand the cause of this.
Since I'm studying abroad, how should I address this issue? Will the redness and yellowing resolve on their own? I am currently hesitant to continue using the eye drops.

Ms. Tsai, 20~29 year old female. Ask Date: 2021/11/04

Dr. Gao Pilin reply Ophthalmology

Hello, Ms.
Tsai: When the eyes are inflamed due to allergies, there will be more blood vessels visible, and as the condition improves, they will decrease.
The light yellow areas may be due to pigmentation or tissue proliferation.
It is best to have an eye doctor examine the issue.
Using the appropriate eye drops is essential for recovery.

Reply Date: 2021/11/04

More Info

Red eyes and yellowing sclera can be concerning symptoms that may indicate underlying issues with your eye health. Based on your description, it seems that you have been experiencing persistent redness in both eyes, particularly in the right eye, where you also notice a yellowish discoloration in the sclera (the white part of the eye). This situation can arise from various causes, including allergic reactions, irritation, or more serious conditions.

Possible Causes
1. Allergic Conjunctivitis: Since you mentioned using allergy eye drops frequently, it’s possible that you are experiencing allergic conjunctivitis. This condition can cause redness and discomfort in the eyes. Overuse of eye drops, especially those containing preservatives, can lead to further irritation and redness.

2. Subconjunctival Hemorrhage: The presence of blood vessels in the sclera can indicate a subconjunctival hemorrhage, which occurs when a small blood vessel breaks and bleeds under the conjunctiva. This can happen due to various reasons, including straining, coughing, or even minor trauma. It usually resolves on its own without treatment.

3. Dry Eye Syndrome: Prolonged use of contact lenses or exposure to environmental factors (like air conditioning or pollution) can lead to dry eyes, causing redness and discomfort. This condition can also contribute to the appearance of blood vessels in the eye.

4. Jaundice: The yellowing of the sclera can indicate jaundice, which is often related to liver issues. However, this is less likely if you do not have other symptoms such as dark urine, pale stools, or systemic symptoms like fatigue.

5. Infection or Inflammation: Conditions such as conjunctivitis (inflammation of the conjunctiva) or uveitis (inflammation of the uveal tract) can cause redness and discomfort. These conditions may require medical treatment.

Recommendations
1. Avoid Overusing Eye Drops: It’s crucial to refrain from using eye drops excessively, especially without medical guidance. Overuse can lead to dependency and worsen your symptoms.

2. Consult an Eye Specialist: Since you are studying abroad, it would be wise to seek an eye specialist's opinion. They can perform a thorough examination, including checking for any signs of infection, inflammation, or other underlying conditions.

3. Maintain Eye Hygiene: Ensure that your hands are clean when touching your eyes or applying any products. Avoid rubbing your eyes, as this can exacerbate irritation.

4. Use Artificial Tears: If dry eyes are a concern, consider using preservative-free artificial tears to help lubricate your eyes. These can provide relief without the risks associated with medicated eye drops.

5. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice increasing redness, pain, or changes in vision, seek immediate medical attention.

6. Lifestyle Adjustments: Ensure you are getting adequate rest, staying hydrated, and taking breaks from screens to reduce eye strain.

Conclusion
In summary, while red eyes and yellowing sclera can be alarming, they are often manageable with proper care and attention. It is essential to avoid self-medicating with eye drops and to consult with a healthcare professional for a proper diagnosis and treatment plan. Your eye health is crucial, and addressing these symptoms early can help prevent more serious complications in the future.

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