Eye Injury from Fingernail: Symptoms and What to Do Next - Ophthalmology

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Eye injuries, even minor ones, can be concerning and require careful attention. Based on your description, it sounds like you may have experienced a superficial injury to the surface of your eye, known as the cornea. Here’s a breakdown of the symptoms you’re experiencing and what you should do next.


Symptoms
1. Redness: The red spots on the white part of your eye (sclera) could indicate irritation or minor bleeding, possibly due to the trauma from your fingernail.

2. Stinging Sensation: The sharp, stinging feeling when you blink is a common symptom of corneal abrasions or irritation. This occurs because the cornea is sensitive and any disruption can lead to discomfort.

3. Tearing: Excessive tearing is the eye's natural response to injury or irritation. It helps wash away foreign particles and provides moisture to the eye.

4. Normal Vision: The fact that your vision remains normal is a positive sign, suggesting that the injury may not be severe.


What to Do Next
1. Do Not Rub Your Eye: This can exacerbate the injury and lead to further damage.

2. Rinse Your Eye: If you haven’t already, gently rinse your eye with clean water or saline solution. This can help remove any debris that may be causing irritation.

3. Avoid Contact Lenses: If you wear contact lenses, remove them immediately and do not reinsert them until your eye has healed completely.

4. Cold Compress: Applying a cold compress can help reduce swelling and discomfort. Make sure the compress is clean and not too cold to avoid further irritation.

5. Over-the-Counter Pain Relief: If you are experiencing significant discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen can help alleviate pain.

6. Avoid Bright Lights: Bright lights can increase discomfort, so consider wearing sunglasses if you need to go outside.

7. Monitor Symptoms: Keep an eye on your symptoms. If the redness worsens, if you experience increased pain, or if your vision changes, seek medical attention promptly.


When to See a Doctor
It’s advisable to see an eye care professional if:
- The redness does not improve within a day or two.

- You experience significant pain or discomfort.

- Your vision becomes blurry or you see halos around lights.

- There is discharge from the eye.

- You have a history of eye problems or previous injuries.


Conclusion
While minor eye injuries can often heal on their own, it’s essential to monitor your symptoms closely. The cornea has a remarkable ability to heal, but it’s crucial to ensure that no further damage occurs. If in doubt, or if symptoms persist, don’t hesitate to consult with an ophthalmologist or an eye care professional for a thorough examination and appropriate treatment. Taking these steps can help ensure a swift recovery and protect your vision.