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.
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.
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.
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.
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.
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.
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.
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.]
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.
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.