Red Eye

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Eyes red?

A red eye may be due to dilation of blood vessels in the eye's surface.
Pharmacist

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This could have been caused by a lot of things from conjunctivitis to sun exposure, dusts to name a few.
It could also have resulted from something very serious that will need urgent or emergency care.

Let's rule out anything that require urgent or emergency care before seeing what a pharmacist recommend you use over-the-counter for red eye relief.



lady with red eye signs

FYI Continue

 

 

 

Red Eye

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This first

Did this redness of the eye start after a sudden severe eye pain?
Pharmacist

No

 

Yes?

 

Yes?
Let's make sure you are not looking at an emergency situation like glaucoma.
Pharmacist

 

Yes?

 

Are you also experiencing headache with this eye pain and redness?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • These are main symptoms of acute angle glaucoma.

Seek urgent care

Would you like to see the nearest hospital or Continue?

Note:
We do not advice continuing for now. You should only continue if you are not experiencing the question asked.

Hospital

 

Are you having a decreased or blurred vision with this red eye and eye pain?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a symptom of acute angle glaucoma

Seek urgent care

Would you like to see the nearest hospital or Continue?

Note:
We do not advice continuing for now. You should only continue if you are not experiencing the question asked.

Hospital

 

What about getting confused with this redness of the eyes and eye pain?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a symptom of acute angle glaucoma

Seek urgent care

Would you like to see the nearest hospital or Continue?

Note:
We do not advice continuing for now. You should only continue if you are not experiencing the question asked.

Hospital

 

Are you also seeing colored rainbows or halos around lights?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a major symptom of glaucoma

Seek urgent care

Would you like to see the nearest hospital or Continue?

Note:
We do not advice continuing for now. You should only continue if you are not experiencing the question asked.

Hospital

 

Are you experiencing nausea and/or vomiting with this red eye and eye pain?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a major symptom of acute angle glaucoma.

Seek urgent care

Would you like to see the nearest hospital or Continue?

Note:
We do not advice continuing for now. You should only continue if you are not experiencing the question asked.

Hospital

 


Those were the main symptoms of acute angle closure glaucoma.
Pharmacist

This require emergency room visit if they applied to you.

Discuss glaucoma (national eye institute)

If this does not apply to you, let's continue and rule out other things that causes redness of the eyes that be dangerous.

Urgent Care Continue

 

 

 

 

Red eye

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Is it keratitis?

With the redness, is the eye so painful you have difficulty opening the eyelid?
Pharmacist

No

 

Yes?
Let's make sure we are not looking at something like keratitis.
Pharmacist

 

Are you seeing increased sensitivity to light?
Pharmacist

 

Yes?
This is a sign and symptom of keratitis.
Pharmacist

 

What about a feeling of something in the eye?
Pharmacist

 

Yes?
Keratitis sometimes cause a feeling that something is in the eye.
Pharmacist

 

Are you seeing floaters with this red eyes?
Pharmacist

 

Yes?
This can be a sign and symptom of keratitis.
Pharmacist

 

Is your vision decreasing with this redness of the eye?

Or getting blurry?
Pharmacist

 

Yes?
This is one of the symptoms of keratitis.
Pharmacist

 

OK.
We just went through the symptoms of keratitis which require urgent care.
Pharmacist

Expand more on keratitis and advice to seek urgent care

If this does not apply to you, let's continue.

Urgent Care Continue

 

 

 

 

Red eye

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Is it blepharitis?

Are you looking at rusting or flaking of the eyelids / eyelashes?
Pharmacist

No

 

Yes?
Let's make sure you are not looking at Blepharitis.
Pharmacist

 

Do you feel a gritty sensation in the eyes?

Like there is something in the eye?
Pharmacist

 

Yes?

 

What about a burning sensation?
Pharmacist

 

Yes?

 

Are the eyes producing a lot of tears?
Pharmacist

 

Yes?

 

Are the eyelids margins red and swollen?

And itchy?
Pharmacist

 

Yes?

 

Do you see crusted eyelashes upon awakening?

Or eyelids that look greasy?
Pharmacist

 

Yes?
This is a sign and symptom of blepharitis.
Pharmacist

 


We just went through the symptoms of blepharitis.
Pharmacist

Discuss blepharitis briefly.

If you suspect you may be looking at blepharitis, call the doctor for a complete evaluation.

If that is not the case, then let's continue and rule something else out.

Urgent Care Continue

 

 

 

 

 

Red eye

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Is it Pink eye?

With this red eye, are you having a gritty feeling of something in the eye?

Always wanting to rub the eye(s)?
Pharmacist

No

 

Yes?
Let's make sure you are not looking at a conjunctivitis or pink eye.
Pharmacist

 

Does the eye(s) look swollen or inflammed?
Pharmacist

 

Yes?
This is a symptom of pink eye.
Pharmacist

Swelling of the conjunctiva (the thin layer that lines the white part of the eye and the inside of the eyelid) is common with pink eye.

 

Any watery or mucus discharge with this red eye(s)?
Pharmacist

 

Yes?
You may be looking at a pink eye.
Pharmacist

Would you like to see the entry for pink eye or Continue?

Pink eye

 

What about crusting of the eyelids or eyelashes?

Especially in the morning?
Pharmacist

 

Yes?
You may be looking at a pink eye inflammation.
Pharmacist

Would you like to see our entry for pink eye for a more detailed discussion or Continue?

Pink eye

 

Is the eye(s) itching and tearing with this redness?

Also burning?
Pharmacist

 

Yes?
You may be looking at a pink eye inflammation.
Pharmacist

Pink eye

 

Is the eye getting more sensitive to light?
Pharmacist

 

Yes?

 


Those were symptoms of a pink eye infection.
Pharmacist

Pink eye is very contagious, so if you suspect you are experiencing one, see our entry on pink eye for a more detailed analysis so you can make the best decision on what to do.

If you don't think so, then let's continue.

Pink eye Continue

 

 

 

 

Red eye

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scratched cornea?

Do you feel eye pain especially when opening or closing the eye?
Pharmacist

No

 

Yes?
Hope we are not looking at a scratched cornea. Let's take a look.
Pharmacist

 

Did you say earlier that it feels as if there is sand or grit in the eye?
Pharmacist

 

Yes?
We may be looking at a scratched cornea. This is a sign and symptom.
Pharmacist

 

Did you also say the eye is getting very sensitive to light?
Pharmacist

 

Yes?
This frequently happens with a scratched cornea.
Pharmacist

 

Alright. Is your vision getting very blurry?

A lot of tearing too.
Pharmacist

 

OK
A cornea abrasion or scratched cornea can cause this.
Pharmacist

Symptoms of a scratched cornea include:

  • Feeling like sand in the eye
  • Eye pain when you open or close the eye
  • Tearing
  • Sensitivity to light
  • Blurred vision

 

We just went through the symptoms of a scratched cornea.
Pharmacist

If you suspect you may be looking at a scratched cornea, go to the nearest urgent care center or hospital. Do not attempt to wait it out. It is very painful and would get worse with time.

You don't know how bad the scratch is and severe complications can develop. Know that the signs and symptoms of a cornea abrasion may not show up until later. So you won't know when you poked the eye or had the incident that scratched the cornea.

If you are experiencing severe eye pain, seek urgent care. Else let's continue.

Urgent Care Continue

 

 

 

 

Red eye

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Do you use contacts and now your eyes are red?
Pharmacist

 

Yes?
Keratitis is a major complication with using contact lenses.
Pharmacist

If you are looking at symptoms listed below, seek urgent care immediately.

It could be bacterial, viral, or fungal. It can lead to corneal scarring that impairs vision, and may lead to the need for a cornea transplant.

Symptoms include:

  • Eye pain (often sudden)
  • Reduced vision
  • Increased light sensitivity
  • Excessive tearing or discharge from the eyes
  • Feelings of scratching each time he or she blinks the eye
Close

Sometimes called CLARE (Contact lens acute red eye), this type of keratitis is often bacterial and you will need antibiotic eye drops urgently. How urgent, see it as bacteria invading your eyes. They spread very fast. The more you delay, the more bacteria is going to colonize the eye and do more damage. So hurry to the nearest urgent care clinic.

FYI Urgent Care

 

With the red eyes, do you also have runny nose, sneezing and watery eyes?

Also itchy eyes?
Pharmacist

 

Probably mainly looking at an allergy related red eyes.
Pharmacist

Would you like to see what we have prepared regarding seasonal allergy or Continue?

Allergy

 

If none of the discussions apply to you so far, you may not need to seek urgent care.
Pharmacist

You may be looking at a minor eye irritation or subconjunctival hemorrhage

Subconjunctival hemorrhage is like a bruise of the eye or a broken blood vessel on the surface of the eye.

It usually appears as a single, concentrated spot of red, or many scattered red splotches, on the white of the eye. The redness is blood under the conjunctiva.

Treatment of a subconjunctival hemorrhage is generally not necessary. Over time, the blood spot will slowly disappear, clearing up on its own. This may take days or weeks.

Let's see what a pharmacist recommend to help get rid of this red eye that is available over-the-counter.

Urgent Care Pharmacist