Eye Rubbing: Potential Risks and When to See a Doctor - Ophthalmology

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Eye problems


I accidentally rubbed my eyes too hard just now...
It feels like something is a bit off with my eyes, but I can still see fine.
Could there be any issues with this? Should I see a doctor? Right now, I don't seem to notice any major problems, just a slight dryness.
It feels like there isn't anything serious going on.

Youyu, 10~19 year old female. Ask Date: 2024/05/23

Dr. Gao Pilin reply Ophthalmology


Hello: Rubbing your eyes too hard may cause some temporary discomfort, such as dryness, irritation, or mild redness and swelling.
These symptoms are usually due to friction or pressure on the surface of the eyes.
If you currently only feel a bit of dryness in your eyes and your vision and other functions are normal, this situation generally should not pose a significant problem.
I recommend trying the following methods to alleviate discomfort: 1.
Use artificial tears: This can help relieve the sensation of dryness.
2.
Avoid rubbing your eyes: This can prevent further irritation or injury.
3.
Rest your eyes: Allow your eyes to rest and avoid staring at computer or phone screens for extended periods.
4.
Cold compress: If your eyes feel a bit red and swollen, you can use a cold compress to reduce discomfort.
If these methods do not relieve your symptoms, or if you experience other issues such as persistent pain, blurred vision, redness and swelling, or a foreign body sensation, it is advisable to see an ophthalmologist for an examination to ensure that your eyes have not sustained more serious damage.

Reply Date: 2024/05/23

More Info


Rubbing your eyes can seem like a harmless action, but it can lead to several potential risks and complications, especially if done with excessive force. Here’s a detailed overview of the potential issues associated with eye rubbing, what symptoms to watch for, and when it’s advisable to seek medical attention.


Potential Risks of Eye Rubbing
1. Corneal Abrasions: One of the most immediate risks of rubbing your eyes too hard is causing a corneal abrasion. This is a scratch on the surface of the cornea, which can lead to pain, redness, tearing, and sensitivity to light. If you experience any of these symptoms after rubbing your eyes, it’s important to consult a doctor.

2. Increased Eye Pressure: Rubbing your eyes can temporarily increase intraocular pressure. For individuals with pre-existing conditions such as glaucoma, this can be particularly concerning as it may exacerbate their condition.

3. Allergic Reactions: If your hands are not clean, rubbing your eyes can introduce allergens or irritants, leading to allergic conjunctivitis. Symptoms may include redness, itching, and swelling.

4. Infection: Similar to allergic reactions, if bacteria or viruses are transferred from your hands to your eyes, it can lead to infections like conjunctivitis (pink eye). This can cause redness, discharge, and discomfort.

5. Worsening of Existing Conditions: If you have underlying eye conditions, such as keratoconus or other corneal issues, rubbing your eyes can worsen these conditions. It can also exacerbate symptoms of dry eye syndrome.


Symptoms to Watch For
After rubbing your eyes, you should monitor for the following symptoms:
- Persistent Redness: If your eyes remain red for an extended period, this could indicate irritation or injury.

- Pain or Discomfort: Any ongoing pain, especially sharp or stabbing sensations, should be evaluated by a healthcare professional.

- Changes in Vision: If you notice blurriness, double vision, or any other changes in your vision, seek medical attention immediately.

- Increased Sensitivity to Light: If you find that light bothers you more than usual, this could be a sign of a more serious issue.

- Dryness or Tearing: While a temporary feeling of dryness may not be concerning, persistent dryness or excessive tearing could indicate a problem.


When to See a Doctor
If you experience any of the following, it’s advisable to see an eye doctor:
- Persistent Symptoms: If the feeling of dryness or discomfort continues for more than a few hours.

- Vision Changes: Any alterations in your vision should be taken seriously.

- Severe Pain: If you experience significant pain, especially if it’s accompanied by other symptoms like nausea or vomiting, seek immediate care.

- Signs of Infection: If you notice discharge, increased redness, or swelling, it’s important to get checked for possible infections.


Conclusion
In your case, since you mentioned that your vision is still clear and you only feel a slight dryness, it may not be an immediate cause for concern. However, it’s essential to be cautious. If the dryness persists or if you develop any of the symptoms mentioned above, it would be wise to consult with an eye care professional.
In the future, try to avoid rubbing your eyes, especially with force. Instead, if you feel discomfort or irritation, consider using artificial tears or lubricating eye drops to relieve dryness. Maintaining good hygiene by washing your hands regularly can also help prevent infections. Regular eye check-ups are crucial, especially if you have a history of eye issues or if you frequently experience discomfort.

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