Can You Wear Contacts With a Popped Blood Vessel?

A visible red spot on the eye, often referred to as a “popped blood vessel,” is medically known as a subconjunctival hemorrhage. This article addresses the condition and the implications of wearing contact lenses when it is present.

What is a “Popped Blood Vessel” in the Eye?

A subconjunctival hemorrhage occurs when tiny blood vessels, located in the conjunctiva—the transparent membrane covering the white part of the eye—rupture. This rupture leads to blood leaking and becoming trapped under the conjunctiva, creating a bright red patch on the sclera, or white of the eye. Despite its alarming appearance, this condition is typically painless and usually does not affect vision. Common causes for this type of hemorrhage include activities that temporarily increase pressure in the head or neck. These can involve violent coughing, sneezing, straining during bowel movements, or vomiting. Minor eye rubbing or even heavy lifting can also contribute to a vessel breaking.

Wearing Contact Lenses with a Subconjunctival Hemorrhage

It is generally not recommended to wear contact lenses when a subconjunctival hemorrhage is present. While some sources suggest it may be safe if the eye feels comfortable, the consensus leans towards temporary discontinuation. The presence of a hemorrhage can cause discomfort or a scratchy sensation, which can be exacerbated by contact lens wear.

Wearing contact lenses can also introduce additional risks to an already compromised eye. There is an increased potential for irritation and further aggravation of the eye’s surface. Furthermore, if the eye is irritated or has minor surface irregularities, contact lenses could potentially introduce infection.

It is advisable to temporarily stop wearing contact lenses until the hemorrhage has completely resolved. This allows the eye to heal without external factors impeding recovery. The hemorrhage typically takes one to three weeks to clear, and the red patch may change color, similar to a bruise, as it fades. Once the eye returns to its normal state and any irritation subsides, contact lens wear can generally be resumed.

When to Seek Professional Medical Advice

While most subconjunctival hemorrhages resolve without intervention, certain signs warrant a visit to an eye care professional. Seek medical advice if you experience any pain in the eye, changes in vision, or discharge. These symptoms are not typical of a simple subconjunctival hemorrhage and could indicate a more serious underlying condition.

Additionally, if the red spot does not clear within two to three weeks, or if you experience recurrent hemorrhages, it is important to consult a doctor. A history of eye trauma, or if the bleeding occurred after an injury, also necessitates professional evaluation to rule out other eye complications. Your healthcare provider can assess the situation and determine if further investigation, such as checking for blood clotting disorders or high blood pressure, is necessary.