What to Do for Bloodshot Eyes and When to See a Doctor

Bloodshot eyes appear as visible redness on the white part of the eye (sclera) when tiny blood vessels on the eye’s surface enlarge or become inflamed. While often temporary and harmless, this common condition can sometimes signal an underlying issue.

Understanding Why Eyes Get Bloodshot

Bloodshot eyes stem from various factors that irritate the eye’s surface. Eye strain, often from prolonged digital screen use, is a frequent cause. Focusing intently on screens reduces blinking, leading to dryness and irritation that dilates blood vessels.

Allergies are another contributor. Exposure to allergens like pollen or dust triggers histamine release, causing blood vessels in the conjunctiva to swell. This results in redness, itching, and watery eyes. Dry eyes, due to environmental conditions, contact lens wear, or insufficient tear production, also lead to redness. Minor irritants such as smoke, dust, or a stray eyelash can cause immediate blood vessel dilation as the eye tries to flush them out.

Insufficient sleep contributes to bloodshot eyes because inadequate rest prevents eyes from recovering and replenishing their tear film, leading to dryness and irritation. Lack of sleep disrupts the eye’s repair process, causing blood vessels to dilate. Alcohol consumption can also lead to eye redness by dilating blood vessels throughout the body, including those in the eyes.

Self-Care Steps for Bloodshot Eyes

Several self-care measures can provide immediate relief for bloodshot eyes. Applying a cool compress to closed eyelids reduces redness and swelling by constricting dilated blood vessels. This method helps with irritation, allergies, or minor puffiness.

Using over-the-counter lubricating eye drops, or artificial tears, can moisten the eye’s surface and wash away irritants. These drops alleviate dryness and discomfort. Avoid prolonged use of decongestant eye drops; they shrink blood vessels but can cause increased redness once their effect wears off.

Resting your eyes by closing them or looking away from screens reduces strain. Frequent blinking distributes tears evenly, preventing dryness. Maintaining adequate hydration supports tear production, keeping eyes moist and flushing out irritants.

When to Consult a Doctor

While many cases of bloodshot eyes are benign, certain symptoms warrant medical attention. Persistent eye pain, especially if severe or accompanied by a headache, light sensitivity, or nausea, is a concerning sign. Blurred vision, sudden changes in vision, or seeing halos around lights also indicate a need for professional evaluation.

Discharge from the eye, particularly if thick, colored, or accompanied by crusting, can suggest an infection like conjunctivitis. A sudden onset of redness, especially in one eye, or redness after an eye injury, should prompt a visit to a healthcare provider. If self-care remedies do not improve the condition within a couple of days, or if symptoms worsen, consult a doctor for proper diagnosis and treatment.

Tips for Avoiding Bloodshot Eyes

Proactive measures can reduce the likelihood of developing bloodshot eyes. Practice good eye hygiene, such as thoroughly cleaning and replacing contact lenses as recommended, to prevent irritation and infections. Avoiding rubbing your eyes also prevents germ transfer and further irritation.

Take regular breaks from digital screens using the “20-20-20 rule”: every 20 minutes, look at something 20 feet away for 20 seconds. This relaxes eye muscles and encourages blinking. Using a humidifier in dry environments adds moisture to the air, benefiting eye comfort and preventing dryness.

Protect eyes from environmental irritants; wearing sunglasses outdoors shields them from wind, dust, and allergens. Ensure adequate sleep, typically 7-9 hours per night, to allow eyes to rest and support natural tear production. Managing allergies through medication or minimizing exposure to known allergens can also prevent allergic eye reactions.