Eye Redness and Irritation: Causes and Solutions for High Myopia - Ophthalmology

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Hello! Thank you for reaching out with your concerns regarding your eye health, especially in the context of high myopia. It sounds like you are experiencing a combination of symptoms that could be related to several underlying issues, including dryness, irritation, and possibly allergic reactions.

First, let's address the presence of blood vessels in the sclera (the white part of your eye). The appearance of these blood vessels, often referred to as "bloodshot eyes," can be caused by a variety of factors. In individuals with high myopia, the eyes are often elongated, which can lead to increased pressure on the blood vessels in the sclera, causing them to become more prominent. Additionally, environmental factors such as dry air, prolonged screen time, or lack of sleep can exacerbate this condition. If the redness persists or worsens, it would be advisable to consult an eye care professional to rule out any serious conditions.

Regarding the itching and irritation you are experiencing at the corners of your eyes, this could indeed be indicative of an allergic reaction or dry eye syndrome. Allergies can cause inflammation of the conjunctiva (the membrane covering the white part of the eye and the inside of the eyelids), leading to symptoms such as itching, redness, and tearing. The fact that you mentioned a small bump on your eyelid that resolved with heat suggests that you may have experienced a stye or a chalazion, which can occur due to blocked oil glands in the eyelids.
The sensation of dryness and the feeling of having "wounds" on your eyelids could also be related to blepharitis, an inflammation of the eyelid margins, which can cause discomfort, redness, and flaking. This condition is often associated with poor eyelid hygiene or skin conditions like seborrheic dermatitis. Regular cleaning of the eyelid margins with warm compresses and eyelid scrubs can help alleviate these symptoms.

In terms of managing your symptoms, here are some recommendations:
1. Artificial Tears: Using preservative-free artificial tears can help alleviate dryness and irritation. These can be used frequently throughout the day to keep your eyes lubricated.

2. Warm Compresses: Applying warm compresses to your eyelids can help with any blocked glands and provide relief from discomfort.

3. Allergy Management: If you suspect that allergies are contributing to your symptoms, consider using over-the-counter antihistamine eye drops. However, consult with a healthcare provider before starting any new medication.

4. Regular Eye Exams: Given your high myopia and the symptoms you are experiencing, regular check-ups with an eye care professional are essential. They can monitor your eye health and make recommendations tailored to your specific needs.

5. Screen Time Management: If you spend long hours in front of screens, practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This can help reduce eye strain.

6. Healthy Lifestyle: Maintaining a healthy diet rich in omega-3 fatty acids, staying hydrated, and getting adequate sleep can also support overall eye health.

If your symptoms persist or worsen, or if you experience any changes in your vision, it is crucial to seek medical attention promptly. Eye health is vital, especially for individuals with high myopia, as they are at a higher risk for complications such as retinal detachment. I hope this information helps you understand your symptoms better and provides you with actionable steps to improve your eye health. Take care!