Red Eyes: Causes, Symptoms, Diagnosis and Treatment
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21

Jun, 2024

Red Eyes


Red eyes refer to the appearance of redness in the white part of the eye (sclera). This condition can be caused by various factors, ranging from minor irritations to more serious health issues.

Causes of Red Eyes

  • Conjunctivitis (Pink Eye): Inflammation or infection of the conjunctiva, often caused by viruses, bacteria, allergens, or irritants.
  • Allergies: Reaction to pollen, dust, pet dander, or other allergens.
  • Dry Eyes: Insufficient lubrication on the surface of the eyes.
  • Blepharitis: Inflammation of the eyelids.
  • Subconjunctival Hemorrhage: A small blood vessel breaks beneath the conjunctiva, often caused by straining or injury.
  • Irritants: Exposure to smoke, chemicals, or pollution.
  • Contact Lens Wear: Improper use or care of contact lenses.
  • Injury: Trauma or foreign objects in the eye.
  • Uveitis: Inflammation of the uvea, the middle layer of the eye.
  • Glaucoma: Increased pressure within the eye.
  • Corneal Ulcers: Open sores on the cornea due to infection or injury.

Symptoms of Red Eyes

  • Redness: The most noticeable symptom, is where the white part of the eye turns red.
  • Itching: A common symptom, especially with allergies or conjunctivitis.
  • Burning or Stinging: Often caused by dry eyes or irritants.
  • Discharge: Watery, mucus, or pus discharge, depending on the cause.
  • Pain: Can range from mild discomfort to severe pain, indicating a more serious issue.
  • Swelling: Swelling of the eyelids or surrounding tissues.
  • Blurred Vision: Temporary or persistent, depending on the cause.
  • Sensitivity to Light: Photophobia can occur with various eye conditions.

Diagnosis

Diagnosing the cause of red eyes involves:
  • Medical History: Discuss symptoms, medical history, and any potential irritants or allergens.
  • Physical Examination: Using a slit lamp to examine the eye’s surface and structures.
  • Eye Tests: Measuring intraocular pressure, checking for visual acuity, and other specific tests.
  • Swab Tests: Take a sample of any discharge for laboratory analysis if an infection is suspected.

Treatment

Treatment for red eyes depends on the underlying cause:
  • Conjunctivitis:
    • Viral: Often self-limiting, with relief from cool compresses and artificial tears.
    • Bacterial: Treated with antibiotic eye drops or ointments.
    • Allergic: Antihistamine or anti-inflammatory eye drops.
  • Dry Eyes: Artificial tears, lubricating eye drops, or lifestyle changes.
  • Blepharitis: Warm compresses, eyelid scrubs, and sometimes antibiotics.
  • Subconjunctival Hemorrhage: Usually resolves on its own within 1-2 weeks.
  • Irritants: Remove the irritant and use artificial tears.
  • Injury: Depending on the injury, treatments may include antibiotics, anti-inflammatory medications, or surgery.
  • Uveitis and Glaucoma: Require prompt medical treatment by an ophthalmologist to prevent complications.

Conclusion

Red eyes can result from a wide range of causes, from minor irritations to serious eye conditions. Proper diagnosis and treatment are crucial to address the underlying issue and prevent potential complications. If you experience persistent redness, pain, or vision changes, seek medical attention promptly.

FAQs

Q1: Are red eyes contagious? 

It depends on the cause. Viral and bacterial conjunctivitis are highly contagious, while red eyes from allergies, dry eyes, or other non-infectious causes are not.

Q2: Can stress cause red eyes?

Yes, stress can contribute to eye strain and increase conditions like dry eyes, leading to redness.

Q3: How can I prevent red eyes?

Avoiding known irritants, practicing good hygiene with contact lenses, using protective eyewear, and managing allergies can help prevent red eyes.

Q4: When should I see a doctor for red eyes?

Seek medical attention if you experience severe pain, vision changes, sensitivity to light, persistent redness, or discharge, or if over-the-counter treatments do not provide relief.

Q5: How long do red eyes typically last?

The duration of red eyes depends on the cause. Minor irritations may resolve within a day or two, while infections or more serious conditions may take longer and require treatment.

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