CIGNA - Eye Problems, Noninjury

Eye Problems, Noninjury

	Topic Overview
	Health Tools
	Emergencies
	Check Your Symptoms
	Home Treatment
	Prevention
	Preparing For Your Appointment
	Related Information
	References
	Credits
	Audio articles:
	English
	Español

Topic Overview

Many people have minor eye problems, such as eyestrain, irritated eyes, or itchy, scaly eyelids (blepharitis ). These problems may be ongoing (chronic) but usually are not serious. Home treatment can relieve the symptoms of many minor eye problems.

See a picture of the eye .

Common eye problems

Common types of eye problems include:

Drainage from the eyes.
Eyestrain or vision changes.
Misaligned eyes or strabismus.
Blood in the white of the eye (subconjunctival hemorrhage).
Eyelid problems.
Contact lens problems.
Color blindness.
Night blindness.
Glaucoma.
Cataracts.
Retinal problems, such as diabetic retinopathy.
Red eyes that may be caused by infection, inflammation, or tumors.
Uveitis.
Macular degeneration.

It is common for the eyes to be irritated or have a scratchy feeling. Pain is not a common eye problem unless there has been an injury. It is not unusual for the eyes to be slightly sensitive to light. However, sudden, painful sensitivity to light is a serious problem that may indicate glaucoma or inflammation of the muscles that control the pupil (iritis) and should be evaluated by your doctor.

Sudden problems such as new vision changes, pain in the eye, or increased drainage are often more serious and need to be evaluated by a doctor. Eye symptoms that are new or that occur suddenly may be evaluated by an emergency medicine specialist. Ongoing (chronic) eye problems that may be worsening are usually evaluated by an eye doctor (ophthalmologist).

Some children may have special risks for eye problems. Vision screening is recommended for infants who were either born at or before 30 weeks, whose birth weight was below 1500 g (3.3 lb), or who have serious medical conditions. Most vision problems are noticed first by the parents. See tips for spotting eye problems in your child. The first screening is recommended between 4 and 7 weeks after birth.¹

Review the Emergencies and Check Your Symptoms sections to determine if and when you need to see a doctor.

Health Tools

Health Tools help you make wise health decisions or take action to improve your health.


	Actionsets are designed to help people take an active role in managing a health condition.
	Eye problems: Using eyedrops and eye ointment

Emergencies

Yes	Do you have any of the following symptoms that require emergency treatment? Call 911 or other emergency services immediately.

Sudden partial or complete loss of vision occurs in one or both eyes.
Note: Treatment is needed within 90 minutes to save vision.
Other symptoms may or may not be present, such as:
Sudden flashes of light.
New floaters.
Vision changes occur with sudden, severe eye pain, blurred vision, headache, or severe nausea and vomiting. These vision changes may be a sign of acute angle glaucoma.
A curtain or veil that covers the field of vision, blurred vision, black spots, or flashes or sparkles of light that occur in one eye may be signs of retinal detachment.
Vision changes occur with signs of a stroke.
A change in the size or shape of a pupil occurs along with eye pain or vision changes.

Check Your Symptoms

If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.

Review health risks that may increase the seriousness of your symptoms.

If you have any of the following symptoms, evaluate those symptoms first.

An injury to the eye: Go to the topic Eye Injuries.
A chemical, heat, or ultraviolet light burn: Go to the topic Burns to the Eye.
An object in the eye: Go to the topic Objects in the Eye.
A head injury: Go to the topic Head Injury, Age 4 and Older or Head Injury, Age 3 and Younger.
Swelling of the eyelids not caused by an injury: Go to the topic Facial Problems, Noninjury.

	Yes	Have you developed vision changes in one or both eyes?
	Yes	Do you have pain in one or both eyes?
	Yes	Do you have a new and painful sensitivity to light (photophobia)?
	Yes	Do you have blood or yellow color in one or both eyes?
	Yes	Are one or both of your eyes not moving normally (ocular misalignment)?
	Yes	Do you have swelling or drainage from one or both eyes?
	Yes	Do you have a sore, ulcer, or grayish white spot on one or both eyes?
	Yes	Do you have a change in the size or shape of your pupil?
	Yes	Do you have an eyelid problem?
	Yes	Do you have new excessive tearing in one or both eyes?
	Yes	Are you having problems with your contact lenses?
	Yes	Do you think that a medicine is causing your vision changes?
	Yes	Have you had gradual changes in your eye problems or your vision?

Other Symptoms to Watch For

Do you have any of the following symptoms?

Possible eye infection: Go to the topic Pinkeye.

If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.

Home Treatment

Home treatment measures may give you some relief from your eye symptoms.

Rest your eye.
Don't rub your eye.
If you wear contacts, take the contacts out to rest the eyes.
Use cold or warm compresses, whichever feels best.
Gently flush your eye with cool water.
Avoid bright lights or use dark glasses to protect the eye.
Nonprescription eyedrops, such as artificial tear solutions (Tears Plus or Akwa Tears), may be used to moisten the eyes.

To learn how to use eyedrops and eye ointment, see:

Eye problems: Using eyedrops and eye ointment.

**Medicine you can buy without a prescription**
Try a nonprescription medicine to help treat your fever or pain:
Acetaminophen, such as Tylenol or Panadol Nonsteroidal anti-inflammatory drugs (NSAIDs): Ibuprofen, such as Advil or Motrin Naproxen, such as Aleve or Naprosyn Aspirin (also a nonsteroidal anti-inflammatory drug), such as Bayer or Bufferin Talk to your child’s doctor before switching back and forth between doses of acetaminophen and ibuprofen. When you switch between two medicines, there is a chance your child will get too much medicine.

**Safety tips**
Be sure to follow these safety tips when you use a nonprescription medicine:
Carefully read and follow all directions on the medicine bottle and box. Do not take more than the recommended dose. Do not take a medicine if you have had an allergic reaction to it in the past. If you have been told to avoid a medicine, call your doctor before you take it. If you are or could be pregnant, do not take any medicine other than acetaminophen unless your doctor has told you to. Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.

For home treatment for these common eye problems, see the Home Treatment section of these related topics:

Pinkeye

Objects in the Eye

Styes and Chalazia

Symptoms to Watch For During Home Treatment

Use the Check Your Symptoms section to evaluate your symptoms if any of the following occur during home treatment:

Vision changes occur, such as blurred vision, loss of vision, or double vision.
Pain or drainage from your eye lasts for more than 24 hours despite home treatment. Be sure to remove your contacts when your eye problem starts.
Increased sensitivity to light (photophobia) develops.
You have blood in the eye.
Swelling or redness develops around the eye area (periorbital cellulitis).
Signs of infection are present.
Symptoms become more severe or frequent.

Prevention

Take good care of your eyes to prevent eye problems.

Injuries from ultraviolet (UV) light can be prevented by wearing sunglasses that block UV rays and by wearing broad-brimmed hats. Be aware that the eye can be injured from sun glare while boating, sunbathing, or skiing. Use eye protection while you are under tanning lamps or using tanning booths. There is no proof that laser pointers cause eye injury.
Wear goggles or protective glasses when you are handling chemicals, operating power tools, hammering nails, or playing sports that involve a risk of a blow to the eye, such as racquetball or hockey.
Wear goggles or protective glasses at all times if you have only one functional eye.
Be a good example to your children by wearing goggles or protective glasses when needed at work or play.
Get periodic vision checkups:
- Every 2 years if you wear glasses.
- Every 5 years if you don't wear glasses.
- If you have a family history of eye disorders, diabetes, or a diagnosed vision disorder, such as glaucoma, cataracts, or macular degeneration. Have your vision checked according to the schedule your eye care professional recommends.
If you wear contact lenses, take good care of them. See caring for contact lenses.
Keep your blood pressure under control. High blood pressure can damage the blood vessels that supply blood to the eye.

People who have diabetes are at risk for a vision problem called diabetic retinopathy, which is a complication of having high blood sugar over a long time. People who have diabetes need regular eye exams so that the early stages of diabetic retinopathy can be detected and in some cases treated. They also need to keep their blood sugar levels as close to normal as possible to prevent blood vessel damage from long-term high blood sugar.

It is important to protect your children's vision. Regular eye exams identify problems early and corrective measures can be taken. Watching a lot of television, playing video games, or frequent computer use can decrease your child's natural blink reflex, which can cause dry, red, and irritated eyes. Most vision problems are noticed first by the parents. See tips for spotting eye problems in your child.

For tips on how to prevent eye infections, see the topic Pinkeye.

For tips on how to prevent eye injuries, see the topic Eye Injuries.

Preparing For Your Appointment

To prepare for your appointment, see the topic Making the Most of Your Appointment.

You can help your doctor diagnose and treat your condition by being prepared to answer the following questions:

What are your main symptoms? How long have you had your symptoms?
Do your symptoms affect one or both eyes?
Have you had this problem in the past? If so, do you know what caused the problem at that time? How was it treated?
Do you wear contact lenses or eyeglasses? Do you think the problem is because of your contacts?
Have you had any vision changes, pain in the eye, double vision, excessive tearing, or increased sensitivity to light?
Have you had any exposure to toxic fumes, chemicals, or smoke?
Does anyone in your family or at your workplace have an eye infection, such as drainage from the eye or red and swollen eyelids?
Do you have allergies or are your eye symptoms occurring at certain times of the year?
What home treatment measures have you tried? Did they help?
What prescription or nonprescription medicines have you used? Did they help?
Have you recently traveled outside the country?
Do you smoke?
Do you have any health risks?

Related Information

References

Citations
American Academy of Pediatrics Section on Ophthalmology, et al. (2006). Screening examination of premature infants for retinopathy of prematurity. Pediatrics, 117(2): 572–576. Also available online: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;117/2/572.pdf. [Erratum in Pediatrics, 118(3): 1324. Also available online: http://aappolicy.aappublications.org/cgi/reprint/pediatrics;118/3/1324-a.pdf.]

Credits

Author	Jan Nissl, RN, BS
Editor	Susan Van Houten, RN, BSN, MBA
Associate Editor	Tracy Landauer
Primary Medical Reviewer	William M. Green, MD - Emergency Medicine
Specialist Medical Reviewer	Christopher J. Rudnisky, MD, FRCSC - Ophthalmology
Last Updated	December 6, 2007

When to See a Doctor

See significance of vision changes if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional immediately if you answer "Yes" to any of the following questions.
Yes	Do you have blurred vision and moderate eye pain?
Yes	Do you have eye pain and halos of light around objects?
Yes	Do you have a sudden shower of floaters?

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Have you had painless vision changes that went away on their own within 30 minutes and were followed by a headache?
Yes	Do you have new blurred vision?
Yes	Do you have new flashes of light but no vision loss?
Yes	Do you have new halos of light around objects without other symptoms?
Yes	Have you noticed that one eyeball is bigger or sticks out more than the other eye, and you have a change in vision or redness in the eye?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Are floaters becoming bothersome or increasing in number or frequency?
Yes	Have flashes of light or vision changes that are typical of your diagnosed migraine headaches changed or become more bothersome?
Yes	Have you had a gradual vision loss over several weeks to months that is now affecting your ability to function?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of pain in the eye if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If the pain is due to a known injury, see the topic Eye Injuries.

	Call your health professional immediately if you answer "Yes" to the following question.
Yes	Do you have severe pain in your eye?

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Do you have moderate pain in your eye?
Yes	Do you still have eye pain 2 to 3 hours after removing your contact lenses?

	You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Do you have mild pain in the eye that is not getting better after 24 hours of home treatment?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of sensitivity to light if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional immediately if you answer "Yes" to any of the following questions.
Yes	Do you have sensitivity to light with a fever, stiff neck, or vomiting?
Yes	Have you had a sudden onset of new and painful sensitivity to light (photophobia)?

	Call your health professional today if you answer "Yes" to the following question.
Yes	Do you have new mild or moderate sensitivity to light?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to the following question.
Yes	Is your chronic sensitivity to light getting worse?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of blood in the eye if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional immediately if you answer "Yes" to any of the following questions.

Yes

Do you have blood over the colored part (iris) of your eye?

Yes

Do you have blood in the white part of your eye with any other symptoms? Other symptoms may include:

Eye pain.
Sensitivity to light (photophobia).
Decreased vision in all or part of the vision field.
Blurred vision.
Double vision.
Floaters, flashes of light, or “curtains” in the vision field.

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Do you have blood in more than one-fourth of the white of the eye without other symptoms?
Yes	Is your eye swollen because of bleeding?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Do you have blood in less than one-fourth of the white of the eye that has not cleared after 5 days or recurs often?
Yes	Has the white part of both eyes turned yellow (jaundice)?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of eyes that do not move normally if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If your eye movement is not normal after an injury, see the topic Eye Injuries.

Call your health professional immediately if you answer "Yes" to any of the following questions.

Yes

Do you suddenly have double vision (diplopia)?

Yes

Do you have double vision that came on gradually with any one of the following symptoms?

Pain
Fever
Headache
Vomiting
Dizziness that keeps you from standing or walking
Change in your mental state

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Have you had a slow, steady increase in double vision (diplopia), but you do not have other symptoms?
Yes	Do you have double vision that comes and goes but seems to be getting worse?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Does your baby age 3 months or younger have eyes that do not move together or that appear to "cross" several times a day?
Yes	Does your child older than 3 months have eyes that do not move together or that appear to "cross," but does not have other symptoms?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of drainage from the eyes if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional immediately if you answer "Yes" to any of the following questions.
Yes	Do you have swollen, red eyelids and a fever?
Yes	Does your baby age 3 months or younger have new drainage from his or her eyes?

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Is the white part of your eye swollen?
Yes	Do you have a large amount of thick yellow drainage that continues to form after cleaning your eye?
Yes	Do you have swollen, red eyelids that stay swollen after cleaning away eye drainage?

	You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Do you have white, yellow, or tan drainage from the eye that looks like pus and has gotten worse or not improved after 24 hours of home treatment?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Are watery eyes from allergies interfering with work, school, or other activities?
Yes	Have you had a small amount of eye drainage off and on for longer than 2 weeks?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of a sore on the eye if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional immediately if you answer "Yes" to the following question.
Yes	Do you have a sore, ulcer, or grayish white spot on your eyeball?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of a change in size or shape of pupil if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional today if you answer "Yes" to the following question.
Yes	Do you have a change in the size or shape of your pupil?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of an eyelid problem if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Note:

If you have drainage from your eyes, see the topic Pinkeye.

Also see the topic Eyelid Problems (Blepharitis).

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Do you have redness, swelling, itching, and a lump on an eyelid?
Yes	Do you have any change in eyelid size or position?
Yes	Have you had constant eyelid twitching for 24 hours?

	You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes" to the following question.
Yes	Have you had redness, itching, and scaly skin (blepharitis) at the edges of your eyelids for 48 hours or longer?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to the following question.
Yes	Do you have eyelid twitching that comes and goes and has lasted longer than a week?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of excessive tearing if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	Call your health professional today if you answer "Yes" to any of the following questions.
Yes	Do you feel like you have something in your eyes?
Yes	Do you have eye pain?
Yes	Do you have swelling or redness below the inner edge of the eye?

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Does your baby have excess tearing?
Yes	Does tearing from allergies interfere with work, school, or other activities?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of a problem with contact lenses if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to any of the following questions.

Yes

Do you have an eye problem that does not get better when you remove your contact lenses?

Yes

Do your eye symptoms continue or become worse after you remove your contacts? Symptoms may include:

Eye pain.
Tearing.
A feeling that something is in your eye.
Drainage.
Redness.
Sensitivity to light (photophobia).

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of vision changes caused by a medicine if you need information to help you answer the question below.

Review health risks that may increase the seriousness of your symptoms.

Call your health professional today if you answer "Yes" to the following question.

Yes

Do you think that a medicine is causing your vision changes?

Note:

If your answer is yes:

Call the doctor who prescribed the medicine before taking your next dose to determine whether you should stop taking the medicine or take a different one. An appointment may not be necessary.
If you are taking a nonprescription medicine (not prescribed by a doctor), stop taking the medicine. If you feel that you need to continue taking the medicine, call your doctor to discuss it.

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

When to See a Doctor

See significance of chronic changes if you need information to help you answer the questions below.

Review health risks that may increase the seriousness of your symptoms.

	You need an appointment within the next 1 to 2 weeks if you answer "Yes" to any of the following questions.
Yes	Do you have any long-term (chronic) changes in your vision?
Yes	Are your eye problems getting worse?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.


Author:	Jan Nissl, RN, BS	Last Updated: December 6, 2007
Medical Review:	William M. Green, MD - Emergency Medicine Christopher J. Rudnisky, MD, FRCSC - Ophthalmology

© 1995-2009, Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.