Excessive Eye Discharge: Causes and When to Seek Medical Advice

Excessive eye discharge?

Hello doctor, about two years ago, I started experiencing a lot of discharge from both eyes.
Sometimes it is white and sometimes it is light yellow, mostly concentrated on the lower eyelids.
I have to pull down my lower eyelids to wipe it away, and I need to do this three to ten times a day.
If I don't clean it, the discharge can obstruct my vision when my eyes are tired.
Is this a sign of a disease? Thank you for your answer, doctor.

Miss Chen, 20~29 year old female. Ask Date: 2011/10/22

Dr. Chen Anping reply Ophthalmology

1.
It may be chronic conjunctivitis.
2.
Are you wearing contact lenses?

Reply Date: 2011/10/22

More Info

Excessive eye discharge can be a concerning symptom, and it's important to understand its potential causes and when to seek medical advice. Based on your description, it sounds like you are experiencing a significant amount of discharge from both eyes, which can vary in color from white to light yellow. This discharge is accumulating primarily in the lower eyelids and requires frequent wiping throughout the day.
There are several potential causes for excessive eye discharge, including:
1. Conjunctivitis (Pink Eye): This is one of the most common causes of increased eye discharge. It can be caused by bacterial or viral infections, allergies, or irritants. Bacterial conjunctivitis typically produces a thicker, yellow-green discharge, while viral conjunctivitis may cause a watery discharge. Allergic conjunctivitis often results in watery discharge accompanied by itching and redness.

2. Blepharitis: This is an inflammation of the eyelid margins, often due to seborrheic dermatitis or bacterial infection. It can lead to crusty eyelids, excessive tearing, and discharge. People with blepharitis may notice that their eyes feel gritty or irritated.

3. Dry Eye Syndrome: Paradoxically, dry eyes can also lead to excessive discharge. When the eyes are dry, they may produce more mucus as a compensatory mechanism, leading to a feeling of grittiness and the need to wipe away discharge.

4. Blocked Tear Ducts: If the tear ducts are blocked, tears may not drain properly, leading to excessive tearing and discharge. This can be particularly common in infants but can occur in adults as well.

5. Other Infections or Conditions: Conditions such as keratitis (inflammation of the cornea), uveitis (inflammation of the uvea), or even systemic conditions can lead to increased eye discharge.

Given that you have been experiencing this issue for about two years, it is advisable to seek medical attention. Here are some guidelines on when to see a doctor:
- Persistent Symptoms: If the discharge has been ongoing for an extended period, especially if it is worsening or not responding to home care.

- Changes in Vision: If you notice any changes in your vision, such as blurriness or obstruction due to the discharge.

- Pain or Discomfort: If you experience significant pain, redness, or swelling around the eyes.

- Sensitivity to Light: If you develop increased sensitivity to light (photophobia) along with the discharge.

- Systemic Symptoms: If you have accompanying symptoms such as fever, headache, or other systemic issues.

When you visit an eye care professional, be prepared to provide a detailed history of your symptoms. This includes when the discharge started, any associated symptoms (like redness, itching, or pain), and any treatments you have tried. It may also be helpful to note any potential allergens or irritants you have been exposed to, as well as your general health history.

In conclusion, while excessive eye discharge can be caused by a variety of conditions, it is essential to consult with an eye care professional for a proper diagnosis and treatment plan. Early intervention can help prevent complications and improve your quality of life.

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