Managing Yellow Discharge and Blood Vessels in Newborn's Eye - Ophthalmology

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The newborn has yellow discharge from the eyes and a significant amount of blood streaks?


The child is 13 days old and had yellow discharge from the right eye at birth.
Initially, there wasn't much discharge, but it gradually increased after a week.
The doctor prescribed eye drops, and after using them for the past two days, the discharge has decreased.
However, there are now many blood vessels visible in the white part of the eye.
Should I be concerned that the condition has worsened? How should I proceed?

Xinshou Baba, 30~39 year old female. Ask Date: 2006/11/13

Dr. Wang Zhangji reply Ophthalmology


Hello: If the discharge has decreased, it is a sign of improvement, so there is no need to be overly concerned.
Typically, it takes longer for any blood-tinged discharge to disappear.
Remember to follow your physician's advice and return for follow-up appointments until you are fully healed.
Sincerely, Dr.
Wang Zhang-ji, Ophthalmology.

Reply Date: 2006/11/13

More Info


Managing yellow discharge and blood vessels in a newborn's eye can be concerning for parents, especially when it comes to the health and well-being of their child. In your case, it sounds like your 13-day-old baby has developed yellow discharge from the right eye, which initially was minimal but has increased over the week. The fact that a doctor prescribed eye drops and you have noticed a reduction in discharge is a positive sign, indicating that the treatment may be effective. However, the presence of many blood vessels in the sclera (the white part of the eye) can raise questions about the underlying condition.

Firstly, it is essential to understand that yellow discharge in a newborn's eye can be caused by several factors, including conjunctivitis (inflammation of the conjunctiva), blocked tear ducts, or even an infection. In newborns, blocked tear ducts are quite common and can lead to excessive tearing and discharge. If the eye drops prescribed by the doctor are helping to reduce the discharge, it suggests that the condition may be responding to treatment.

The appearance of blood vessels in the sclera can be alarming, but it is not uncommon for newborns to have some degree of conjunctival injection (redness) due to various reasons, including irritation, infection, or even the pressure exerted during delivery. This redness is often temporary and may resolve as the eye heals. However, if the redness persists or worsens, it is crucial to consult with a pediatric ophthalmologist or your child's healthcare provider for a thorough evaluation.

Here are some steps you can take to manage the situation:
1. Continue Medication: Follow the doctor's instructions regarding the eye drops. Consistency is key in treating eye conditions, and it may take some time for the symptoms to fully resolve.

2. Maintain Hygiene: Keep the eye area clean. You can gently wipe away any discharge with a clean, damp cloth. Be sure to use a separate part of the cloth for each eye if both are affected.

3. Monitor Symptoms: Keep an eye on any changes in your baby's symptoms. If the discharge increases, if the eye appears more red, or if your baby shows signs of discomfort (such as excessive crying or rubbing the eye), seek medical attention promptly.

4. Follow-Up Appointments: Ensure that you attend any follow-up appointments with your pediatrician or ophthalmologist. They can monitor the condition and make adjustments to the treatment plan if necessary.

5. Avoid Irritants: Keep your baby away from smoke, strong odors, or other potential irritants that could exacerbate eye symptoms.

6. Seek Immediate Care if Necessary: If you notice any sudden changes, such as swelling, increased redness, or if your baby seems to be in pain, do not hesitate to seek immediate medical attention.

In summary, while the yellow discharge may be improving with treatment, the presence of blood vessels in the eye warrants careful observation. It is essential to maintain communication with your healthcare provider and follow their recommendations closely. Newborns often have transient eye conditions that resolve with appropriate care, but vigilance is necessary to ensure your baby's eye health.

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