Eye Infection Risks After Salmon Handling: What You Need to Know - Ophthalmology

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Eye infection issues


Hello, I accidentally splashed some raw salmon juice into my eye while cutting it.
I had laser treatment for a retinal tear in my right eye about two weeks ago, and my left eye is healthy but got splashed more.
I have high blood pressure and I'm 26 years old.
What is the likelihood of an eye infection? I'm mainly worried about Vibrio parahaemolyticus.
Am I at risk of losing my sight? Will I die? What should I be aware of?

six four, 20~29 year old female. Ask Date: 2022/11/11

Dr. He Jianxian reply Ophthalmology


Hello, both the surface of the eyeball and the conjunctiva are composed of epithelial tissue, which is not easily infected if there is no injury.
If it is merely splashed with liquid, the likelihood of epithelial injury should be very low, thus the risk of infection is extremely low.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2022/11/11

More Info


When handling raw fish, such as salmon, there is a potential risk of eye infection, particularly if the fish or its juices come into contact with your eyes. The concern about infections, especially from marine bacteria like Vibrio species, is valid, but it is essential to understand the actual risks and what steps you can take to protect your eye health.

First, let’s address the specific concern about Vibrio species, which are commonly associated with seafood. Vibrio vulnificus, for example, is a bacterium that can cause severe infections, particularly in individuals with compromised immune systems or underlying health conditions. However, the risk of contracting a serious eye infection from a splash of raw fish juice is relatively low for healthy individuals. The eye has natural defenses, including tears and the conjunctival membrane, which help to flush out foreign substances and pathogens.

Given your recent history of retinal laser surgery, it is understandable to be concerned about your eye health. While your right eye may be more vulnerable due to the recent procedure, the likelihood of developing a severe infection from a minor splash of salmon juice is still low. However, it is crucial to monitor your symptoms closely. If you experience any of the following, you should seek medical attention promptly:
1. Redness or swelling: If your eye becomes red or swollen, it may indicate an inflammatory response or infection.

2. Pain or discomfort: Persistent pain, especially if it worsens, should not be ignored.

3. Vision changes: Any sudden changes in vision, such as blurriness or loss of vision, require immediate evaluation.

4. Discharge: Any unusual discharge from the eye can be a sign of infection.

To minimize the risk of infection, here are some steps you can take:
- Rinse your eye: If you haven’t done so already, flush your eye gently with clean water or saline solution. This can help remove any potential irritants or pathogens.

- Avoid rubbing your eyes: Rubbing can introduce bacteria from your hands or other surfaces into your eye.

- Practice good hygiene: Wash your hands thoroughly before touching your face or eyes, especially after handling raw fish or other food items.

- Monitor your health: Keep an eye on any symptoms that develop over the next few days. If you notice anything concerning, don’t hesitate to contact your eye care professional.

Regarding your concerns about severe outcomes, such as blindness or death, it is important to put these fears into perspective. While infections can lead to serious complications if left untreated, the vast majority of minor exposures do not result in severe outcomes. Prompt treatment of any developing infection can significantly reduce the risk of complications.

In summary, while there is a potential risk of eye infection from handling raw fish, the likelihood of developing a serious condition is low, especially if you take appropriate precautions and monitor your symptoms. If you have any concerns or if symptoms arise, seeking medical advice from an eye care professional is the best course of action. Your health and peace of mind are paramount, so do not hesitate to reach out for help if needed.

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