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Why does my eye have a big red spot?

Published in Subconjunctival Hemorrhage 4 mins read

A big red spot on your eye is commonly known as a subconjunctival hemorrhage, which usually occurs when blood leaks between layers of the eye.

Understanding the Red Spot

When you notice a bright red patch on the white part of your eye (the sclera), it's most often a subconjunctival hemorrhage. This happens because tiny blood vessels in the conjunctiva, the clear membrane covering the white of your eye, can break. When they break, blood gets trapped underneath the conjunctiva.

What It Looks Like

  • Bright red patch: It typically appears as a vivid red area.
  • Located on the white of the eye: The redness is on the sclera, not the iris (the colored part) or the pupil (the black center).
  • Doesn't usually affect vision: Despite looking dramatic, it rarely impacts your eyesight.
  • No pain (usually): It's generally painless, though you might feel a slight scratchiness on the surface of the eye.

Common Causes of a Red Spot

According to the reference, these blood spots are often the result of increased blood pressure. This increased pressure can cause the delicate blood vessels in the conjunctiva to break.

Here are some common scenarios or actions that can temporarily increase blood pressure and potentially lead to a subconjunctival hemorrhage:

  • Straining: Coughing, sneezing, vomiting, or straining during a bowel movement.
  • Heavy lifting: Physical exertion that causes you to strain.
  • Eye rubbing: Vigorously rubbing your eyes.
  • Injury: A direct blow to the eye.
  • Medical conditions: High blood pressure (hypertension) or bleeding disorders can make you more susceptible.
  • Certain medications: Blood thinners can increase the risk.

Essentially, any activity that puts temporary pressure on the head or body can potentially cause these small vessels to rupture.

Is It Serious?

While a subconjunctival hemorrhage can look alarming, it is usually harmless and clears up on its own, much like a bruise elsewhere on the body. The blood is reabsorbed over one to two weeks. However, if you experience pain, vision changes, or if it happens frequently, it's advisable to consult a healthcare professional.

How to Manage a Red Spot

Typically, no treatment is necessary as the eye heals itself.

  • Be Patient: The spot will fade from bright red to orange, yellow, and finally disappear over one to two weeks.
  • Avoid Rubbing: Refrain from rubbing your eye, which could cause further irritation.
  • Consider Artificial Tears: Lubricating eye drops might help if you feel any irritation, but they won't make the spot go away faster.

It's important to identify if there's an underlying cause like uncontrolled high blood pressure that needs medical attention.

Summary Table

Feature Description
What it is Subconjunctival hemorrhage (blood leaking between eye layers)
Appearance Bright red patch on the white part of the eye
Typical Cause Often related to increased blood pressure (straining, coughing, etc.)
Symptoms Usually painless, vision unaffected, slight scratchiness possible
Severity Generally harmless, looks worse than it is
Treatment Usually no treatment needed, heals on its own
Healing Time Typically 1-2 weeks

Understanding that the red spot is most likely a bruise-like phenomenon caused by broken blood vessels, often linked to momentary increases in blood pressure, can help alleviate concern.

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