Redness in the Eyes: Causes and Treatments - Ophthalmology

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Bloodshot eyes


Today, I attempted to remove my contact lens but was unable to do so.
I kept moving the lower part of my eye, and after finally taking it out, I noticed that the lower part of my eye was filled with blood vessels.
After applying eye drops, it has improved significantly, but there are still a few areas that are noticeably filled with blood vessels.

Chen, 10~19 year old female. Ask Date: 2022/02/11

Dr. Cai Wenyuan reply Ophthalmology


Observe and see if there are any discomforts; if so, seek medical examination.

Reply Date: 2022/02/11

More Info


Redness in the eyes can be a common concern for many individuals, and understanding its causes and potential treatments is essential for maintaining eye health. The redness you are experiencing, particularly after the removal of contact lenses, can be attributed to several factors, including irritation, dryness, and even minor injuries to the eye's surface.


Causes of Eye Redness
1. Irritation from Contact Lenses: Wearing contact lenses, especially if they are not fitted properly or if they are worn for extended periods, can lead to irritation. This irritation can cause the blood vessels in the eye to dilate, resulting in a red appearance. In your case, the act of manipulating your eye to remove the lens may have further aggravated this irritation.

2. Dry Eyes: Prolonged use of screens or reading can reduce the frequency of blinking, leading to dry eyes. When the eyes are dry, they can become red and irritated. This is often exacerbated by environmental factors such as air conditioning or heating, which can dry out the air.

3. Allergic Reactions: Allergies to pollen, dust, or pet dander can cause redness in the eyes. If you have a history of allergies, this could be a contributing factor, especially if you notice redness in conjunction with other allergy symptoms.

4. Infections or Inflammation: Conditions such as conjunctivitis (pink eye) or uveitis can cause significant redness. These conditions often come with additional symptoms like discharge, pain, or changes in vision.

5. Subconjunctival Hemorrhage: This occurs when a small blood vessel breaks just beneath the surface of the eye, leading to a bright red patch on the white part of the eye. This can happen due to minor trauma, heavy lifting, or even straining during activities.


Treatments for Eye Redness
1. Artificial Tears: If dryness is a contributing factor, using lubricating eye drops can help alleviate symptoms. These drops can provide moisture and reduce irritation.

2. Cold Compresses: Applying a cold compress to the eyes can help reduce redness and soothe irritation. This is particularly effective if the redness is due to allergies or irritation.

3. Avoiding Contact Lenses: If you notice persistent redness after wearing contact lenses, consider taking a break from them. Consult with an eye care professional to ensure your lenses fit properly and are suitable for your eyes.

4. Antihistamines: If allergies are suspected, over-the-counter antihistamines may help reduce redness and other allergy symptoms.

5. Consulting an Eye Care Professional: If redness persists or is accompanied by pain, vision changes, or discharge, it is crucial to seek professional evaluation. An eye care provider can determine the underlying cause and recommend appropriate treatment.


Lifestyle Considerations
In addition to these treatments, consider adopting some lifestyle changes to help reduce eye redness:
- Take Breaks: Follow the 20-20-20 rule when using screens: every 20 minutes, look at something 20 feet away for at least 20 seconds.

- Stay Hydrated: Drink plenty of water to help maintain overall hydration, which can benefit eye moisture.

- Maintain a Clean Environment: Reducing allergens in your living space can help if allergies are a concern.

In conclusion, while occasional redness in the eyes is often benign and can be managed with simple home remedies, persistent or severe symptoms warrant a visit to an eye care professional. They can provide a thorough examination and tailored treatment plan to address your specific needs.

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