Blood Vessels in the Eye: Causes and Remedies - Ophthalmology

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There are blood vessels appearing very close to the pupil of the eye?


Hello doctor, since last night, in addition to experiencing eye strain, I have noticed prominent blood vessels in the sclera at the outer corners of both eyes, with one or two seemingly touching the periphery of the iris.
Occasionally, my left eye feels a bit blurry, but after blinking a few times, it returns to normal.
This morning, upon waking, my eyes no longer feel strained or blurry, but the blood vessels have not disappeared.
Here is the current condition: https://images.plurk.com/4bA7nKya9UAF3hvQYQMZcB.jpg.
I am not wearing contact lenses and have not rubbed my eyes; I have been alternating between two pairs of glasses (one for near vision and one for distance).
I have seen an ophthalmologist who prescribed some eye drops, and I also cried for an afternoon yesterday due to some events.
I would like to ask if the blood vessels are simply a result of excessive crying? Would using a disposable steam eye mask for relaxation help improve the situation?

Zhi Yu, 30~39 year old female. Ask Date: 2023/06/15

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the photo you provided, there are some blood vessels visible in the sclera, which is not a concern and may be due to recent crying.
There are no signs of infection, and it should resolve in a day or two.
The conjunctiva naturally contains many blood vessels, and their dilation can make them more prominent.
If you are not experiencing any discomfort, there is no need to worry.
Here are some suggestions:
1.
Eye Rest: Ensure that you give your eyes ample rest.
Take breaks from electronic devices periodically and close your eyes for a few minutes.
You can also try blinking a few times to provide proper lubrication for your eyes.
2.
Use Artificial Tears: Using preservative-free artificial tears can help alleviate discomfort and dryness in your eyes.
3.
Avoid Rubbing Your Eyes: Refrain from rubbing your eyes, as this may further irritate them and the blood vessels.
4.
Warm Compress: You mentioned using a disposable steam eye mask for relaxation, which may help relieve eye fatigue and relax the eye muscles.
Please follow the product instructions for use.

Reply Date: 2023/06/15

More Info


The presence of blood vessels in the eye, particularly when they appear as red streaks or spots in the sclera (the white part of the eye), can be concerning for many individuals. Understanding the causes and potential remedies for these symptoms is crucial for maintaining eye health.


Causes of Blood Vessels in the Eye
1. Subconjunctival Hemorrhage: This is one of the most common reasons for red streaks in the eye. It occurs when small blood vessels break just beneath the conjunctiva, the clear tissue covering the white part of the eye. This can happen due to various reasons, including:
- Trauma: Even minor injuries can cause bleeding.

- Straining: Activities like heavy lifting, coughing, or crying can increase pressure in the blood vessels, leading to rupture.

- High Blood Pressure: Elevated blood pressure can weaken blood vessels, making them more susceptible to breaking.

- Blood Disorders: Conditions that affect blood clotting can also lead to increased bleeding.

2. Eye Fatigue: Prolonged screen time, lack of sleep, or excessive eye strain can lead to redness and discomfort in the eyes. This is often accompanied by symptoms like dryness or a feeling of heaviness.

3. Allergies or Irritation: Allergic reactions can cause the eyes to become red and inflamed. Environmental factors, such as smoke or dust, can also lead to irritation.

4. Infections or Inflammation: Conditions like conjunctivitis (pink eye) can cause redness and swelling in the eyes.

Remedies and Management
1. Rest and Hydration: Ensure that you are getting adequate rest and hydration. Fatigue can exacerbate eye symptoms, so taking regular breaks from screens and ensuring proper sleep can help.

2. Cold Compress: Applying a cold compress can reduce redness and soothe irritation. This can be particularly effective if the redness is due to fatigue or irritation.

3. Artificial Tears: If dryness is contributing to your symptoms, using lubricating eye drops can help alleviate discomfort.

4. Avoid Rubbing Your Eyes: Rubbing can exacerbate irritation and lead to further complications. If you feel the urge to rub your eyes, try to distract yourself or use a cold compress instead.

5. Steam Eye Masks: Using a steam eye mask can provide relaxation and help with dryness. The warmth can improve blood circulation and soothe tired eyes.

6. Consult an Eye Specialist: If the symptoms persist or worsen, it is essential to consult an eye care professional. They can conduct a thorough examination to rule out any underlying conditions that may require treatment.


Conclusion
In your case, the appearance of blood vessels after crying could indeed be a result of subconjunctival hemorrhage, especially if there was significant straining involved. The fact that your eyes are no longer sore or blurry is a positive sign, but the persistence of the red streaks warrants monitoring. If they do not resolve in a few days or if you experience any additional symptoms, such as pain or vision changes, seeking professional medical advice is crucial.
Remember, while many cases of eye redness are benign and self-limiting, it is always better to err on the side of caution when it comes to eye health.

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