Eye Discomfort: Mucus Buildup and Blurred Vision Issues - Ophthalmology

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Eye discharge stuck under the eye and blurred vision?


Hello Doctor, every time I wake up, I experience a very strong foreign body sensation in my eyes.
When I look in the mirror, I find a lot of wet eye discharge stuck under my lower eyelids or on my eyelashes (I have previously had issues with ingrown eyelashes).
Sometimes when I go out, I notice what looks like thin, transparent strands that resemble bacteria or microorganisms in my eyes, which move as my eyeball moves.
Lastly, sometimes when my eyes relax, it feels like each eye is seeing different things (a sense of separation), and both eyes appear very blurry.
I have to concentrate hard to regain clear vision.
What could be the issue? Thank you, Doctor.

Mr. He, 20~29 year old female. Ask Date: 2022/08/25

Dr. Gao Pilin reply Ophthalmology


Hello Mr.
He: The excessive eye discharge may be due to conjunctivitis.
Since the eyes tend to be drier during sleep, you may experience a foreign body sensation upon waking.
The string-like structures you see, which are likely caused by bacteria or microorganisms, could be related to floaters.
Relaxation naturally causes blurriness, but if you need to exert effort to focus clearly, there may be issues with your prescription or strabismus.
I recommend that you see an ophthalmologist for an examination.

Reply Date: 2022/08/25

More Info


Hello! Thank you for your detailed description of your eye discomfort. Based on your symptoms, it seems you are experiencing a combination of issues that could be related to several underlying conditions. Let’s break down your concerns and explore potential explanations and recommendations.

1. Mucus Buildup and Eye Discomfort: Waking up with a strong sensation of something in your eye, along with the presence of mucus or "eye crust," is a common issue. This can be caused by several factors, including dry eyes, allergies, or even an infection. The presence of mucus can indicate that your eyes are trying to clear out irritants or allergens that may have accumulated overnight. If you have a history of eyelash issues, such as ingrown lashes (trichiasis), this could also contribute to irritation and mucus production.

2. Transparent Filaments: The sensation of seeing transparent, thread-like structures that move with your eye could be related to a few different phenomena. One possibility is that these are floaters, which are tiny clumps of gel or cells inside the vitreous (the gel-like substance in the eye). Floaters can appear as spots, threads, or cobweb-like structures and are generally harmless, though they can be annoying. However, if you notice a sudden increase in floaters or flashes of light, it is essential to seek immediate medical attention, as these could be signs of retinal detachment.

3. Blurred Vision and Difficulty Focusing: The experience of seeing different images with each eye, or having difficulty focusing, can be indicative of several issues. This could be related to refractive errors (like astigmatism or anisometropia, where the two eyes have different prescriptions), or it could be a sign of eye strain, especially if you have been using screens for extended periods. Eye strain can lead to temporary blurred vision and discomfort, often referred to as computer vision syndrome.
4. Potential Underlying Conditions: Given your symptoms, it’s important to consider other potential underlying conditions. Dry eye syndrome could be a factor, especially if you notice that your symptoms worsen in dry environments or after prolonged screen time. Allergies could also contribute to mucus production and discomfort. In some cases, conditions like blepharitis (inflammation of the eyelids) can lead to crusty eyelids and discomfort upon waking.


Recommendations:
- Consult an Eye Care Professional: Since you have multiple symptoms, it would be wise to schedule an appointment with an eye care professional. They can perform a comprehensive eye exam to assess your vision, check for any signs of infection or inflammation, and evaluate your tear production.


- Maintain Eye Hygiene: Regularly cleaning your eyelids and lashes can help reduce mucus buildup and irritation. You can use warm compresses and eyelid scrubs specifically designed for this purpose.

- Consider Environmental Factors: If you suspect allergies, try to identify potential allergens in your environment. Keeping your living space clean and using air purifiers can help reduce exposure to allergens.

- Take Breaks from Screens: If you spend a lot of time on screens, remember to follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

- Stay Hydrated: Ensure you are drinking enough water throughout the day, as hydration can impact eye moisture.

In summary, while some of your symptoms may be common and manageable, it is crucial to have a thorough examination to rule out any serious conditions. Your eye health is important, and addressing these issues early can help prevent further complications. Thank you for sharing your concerns, and I hope you find relief soon!

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