Bloodshot eyes
Hello Doctor,
I started wearing rigid gas permeable contact lenses since the summer vacation, and it has been about six months.
However, in December 2022, I noticed a thick red line in my right eye, extending from the inner corner to the edge of the cornea.
I was very scared, so I quickly went to see a doctor.
On December 27, I also had a retinal examination.
The doctor mentioned that there were two areas that were thinner, so he performed laser treatment.
As for the red line, he prescribed Rinteron Ophthalmic and Sulomin eye drops.
Since my eyes were itchy before bed, the doctor advised me to use the drops in both eyes.
I used them for three days, but the red line did not improve, so I stopped using them.
Since then, I have not worn contact lenses again, and my eyes have not been itchy.
Later, on January 6, I felt a prickling sensation in my right eye, and the red line had increased.
The original red line had branched out into another thinner line, and there were also some small branch-like red lines near the inner corner of my eye.
I quickly went to see another doctor, who prescribed Rinteron and Codemycin eye drops.
I used them for three days, but after stopping, sometimes the small red lines would reappear, especially right after waking up.
On January 20, due to redness in my eyes, I visited another ophthalmologist.
The doctor diagnosed me with conjunctivitis and prescribed two bottles of eye drops.
I showed him my previous medications and told him that the condition improved when I used the drops, but returned when I stopped.
He said that meant it wasn't fully healed and that I should continue using the drops until there was no redness.
So this time, I have been using the drops regularly, but now it is February 1, and sometimes the red lines in my right eye still increase (like right after waking up).
Using the eye drops reduces them somewhat, but the original thicker red line has not improved at all.
I am unsure what the issue with my eye is.
Should I continue using the eye drops? I wonder if using them too much could be harmful to my eyes.
Could this be related to the laser treatment I received in my right eye, or could it be due to other issues, such as allergies or cold weather?
Thank you very much for your patience in reading this, and I appreciate your response!
Xiao Mei, 20~29 year old female. Ask Date: 2004/02/08
Dr. Hu Yusheng reply Ophthalmology
Dear Miss Hsiao-Mei,
The blood vessels you see from the inner corner of your right eye to the edge of the cornea are likely located beneath the conjunctiva and above the sclera.
These vessels are congenital and may become more prominent due to stimulation.
The causes of this stimulation include: friction from foreign bodies, such as your contact lenses; hypoxia of the ocular surface, for example, from low oxygen permeability contact lenses; inflammation of the ocular surface, such as chronic conjunctivitis; or obstruction of blood flow within the vessels, for instance, due to a tumor beneath them.
After these vessels become engorged and dilated due to the aforementioned reasons, they may not return to their original diameter even after the cause is removed, which is why you can still see these vessels.
Sincerely,
Hu Yu-Sheng
Reply Date: 2004/02/08
More Info
Understanding the causes and treatments for eye blood vessel issues, particularly in the context of your experience with contact lenses and subsequent symptoms, is crucial for managing your eye health effectively.
Causes of Eye Blood Vessel Issues
1. Contact Lens Use: Wearing hard contact lenses can lead to various eye problems, including irritation, dryness, and even inflammation. These lenses can sometimes cause mechanical irritation to the conjunctiva (the membrane covering the white part of the eye), leading to the appearance of blood vessels or redness.
2. Conjunctival Hemorrhage: This condition occurs when small blood vessels in the conjunctiva break, leading to a bright red patch on the white part of the eye. It can be caused by various factors, including eye strain, coughing, sneezing, or even minor trauma. In your case, the irritation from contact lenses could have contributed to this.
3. Allergic Reactions: Allergies can cause eye redness and irritation, leading to increased blood flow to the area, which may manifest as visible blood vessels. Seasonal allergies or reactions to environmental factors (like dust or pollen) could be a potential cause.
4. Infection or Inflammation: Conditions like conjunctivitis (pink eye) can cause redness and swelling of the blood vessels in the eye. Your symptoms of itchiness and redness align with this possibility, especially since you mentioned being diagnosed with conjunctivitis.
5. Laser Treatment Effects: The laser treatment you received for thinning areas of the retina could also contribute to changes in the appearance of blood vessels. Post-treatment, it’s not uncommon for the eye to exhibit some redness or irritation as it heals.
Treatment Options
1. Medication: The eye drops prescribed (Rinteron and Codemycin) are likely aimed at reducing inflammation and treating any potential infection. It’s essential to follow your doctor’s instructions regarding the frequency and duration of use. Overuse of eye drops, particularly those containing preservatives, can lead to further irritation.
2. Avoiding Contact Lenses: Since you’ve experienced increased symptoms while wearing contact lenses, it’s wise to avoid them until your eye condition stabilizes. This will allow your eyes to heal without additional irritation.
3. Regular Follow-ups: Given the persistence of your symptoms, regular follow-ups with your eye care provider are crucial. They can monitor the condition of your eyes and adjust treatment as necessary.
4. Cold Compresses: Applying a cold compress can help reduce redness and soothe irritation. This can be particularly helpful if you experience symptoms upon waking.
5. Environmental Adjustments: If you suspect allergies or environmental factors are contributing to your symptoms, consider using air purifiers, avoiding known allergens, and maintaining a humid environment to reduce dryness.
Concerns and Considerations
- Long-term Use of Eye Drops: While eye drops can be beneficial, over-reliance on them can lead to rebound redness or irritation. It’s essential to discuss with your doctor how long you should continue using them and if there are alternatives.
- Monitoring Symptoms: Keep a close eye on your symptoms. If you notice any sudden changes, such as increased pain, vision changes, or significant swelling, seek immediate medical attention.
- Potential for Recurrence: Conditions like conjunctivitis can recur, especially if underlying allergies or irritants are not addressed. Identifying and managing these triggers is essential for long-term eye health.
In conclusion, while your symptoms can be concerning, they are often manageable with appropriate care and monitoring. It’s crucial to maintain open communication with your eye care provider and adhere to their recommendations for treatment and follow-up. Your proactive approach to understanding your condition will aid in achieving better eye health outcomes.
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