What causes redness at the inner corner of the eye?

Feb 23, 2023 Source: Cainiu Health

Dr. Cui Xin

Introduction

Redness at the inner corner of the eye may occur in individuals with thin skin keratin layers, caused by congestion of subcutaneous capillaries due to intense sneezing, coughing, or frequent eye rubbing. It could also result from an allergic reaction when the eye area comes into contact with airborne allergens or irritating skincare products. Additionally, infection of the eyelid by pathogens can lead to inflammation, causing redness at the inner corner of the eye.

Redness at the inner corner of the eye may be caused by physiological factors, or by pathological conditions such as allergies or blepharitis.

1. Physiological Factors

In individuals with thin skin keratin layers, redness can occur due to subcutaneous capillary congestion caused by intense sneezing, coughing, or frequent eye rubbing.

2. Pathological Factors

1. Allergies

An allergic reaction in the skin around the eyes may develop when the eyes come into contact with airborne allergens or when irritating skincare products are used.

2. Blepharitis

When the eyelids become infected by pathogens such as bacteria or fungi, local inflammatory responses can lead to redness under the influence of inflammation.

In addition, redness could also be caused by conditions such as glaucoma. It is recommended to visit a hospital for appropriate examination and treatment.

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A white thing has grown in the inner corner of the eye.

A white growth appearing at the inner corner of the eye may result from accumulated oils due to poor eye hygiene, forming under the skin. It can be treated by applying tretinoin ointment as directed by a physician or through a procedure involving needle extraction to remove the contents. It could also be caused by bacterial infection entering the eyelid glands, in which case erythromycin eye ointment is needed to control inflammation. Additionally, it might stem from blocked eccrine sweat ducts preventing normal sweat drainage, which can be improved with liquid nitrogen cryotherapy.

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Does increased itching in the inner corner of the eye from rubbing indicate excessive internal heat ("shang huo")?

After heatiness (excessive internal heat), the eyes may become dehydrated, leading to dryness and causing itching at the inner corner of the eye. Allergies to pollen or animal fur can also result in discomfort such as itching and a burning sensation at the inner corner of the eye. In patients with dry eye syndrome, insufficient tear production or excessively rapid tear evaporation causes the eyes to become overly dry, resulting in symptoms like itching, stabbing pain, and a foreign body sensation at the corner of the eye.

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The fleshy part inside the corner of the eye has become enlarged and red.

Enlargement and redness of the fleshy tissue at the inner corner of the eye are caused by pterygium, which results from both bodily and environmental factors. If the pterygium invades the cornea significantly or is extensive, professional medical intervention is required, such as simple pterygium excision or pterygium excision with pedicle conjunctival flap grafting. For smaller or thinner lesions, cryotherapy may be an option. Pharmacological treatment can serve as adjunctive therapy; commonly used medications include indomethacin tablets and misoprostol tablets.

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What should I do for inflamed, red, and swollen inner corners of the eyes?

Inflammation and redness with swelling at the inner corner of the eye may be caused by acute conjunctivitis, which can be treated with medications such as gatifloxacin eye drops or levofloxacin hydrochloride eye drops. It could also result from dacryocystitis, for which treatments include local incision and drainage or implantation of an artificial nasolacrimal duct. Additionally, it might be due to blepharitis (or hordeolum), which can be managed with tetracycline eye ointment, erythromycin eye ointment, and, if necessary, surgical abscess drainage.