What causes red bloodshot eyes and itching in the morning and evening, and what should be done about it?
Jun 05, 2023
Source: Cainiu Health
Dr. Cui Xin
Introduction
Redness and itchiness in the eyes in the morning and evening may be caused by physiological factors, or pathological conditions such as conjunctivitis or blepharitis. These symptoms can be improved through general treatments or medication. Additionally, they might be related to dry eye syndrome, keratitis, or hordeolum. It is recommended to seek medical attention early, identify the underlying cause, and receive appropriate treatment under a doctor's guidance.
Redness and itching in the eyes, occurring in the morning or evening, may be caused by physiological factors, or could result from pathological conditions such as conjunctivitis or blepharitis. These symptoms can be improved through general treatments or medication. The specific analysis is as follows:
1. Physiological Factors
Frequent late-night waking may lead to insufficient sleep, causing excessive eye fatigue, which in turn results in itchy eyes and visible bloodshot vessels. This is usually a normal phenomenon that can be alleviated by getting adequate rest and ensuring sufficient sleep.
2. Pathological Factors
1) Conjunctivitis
If inflammation occurs in the conjunctiva, inflammatory mediators may continuously irritate the tissue, increase ocular secretions, and dilate conjunctival blood vessels, leading to symptoms such as eye itching and redness. Patients may use ophthalmic solutions such as olopatadine hydrochloride eye drops or levofloxacin eye drops under medical guidance.
2) Blepharitis
Blepharitis typically refers to inflammation and pain affecting the skin around the eyelids, which may cause eye itching, discomfort, and redness. Treatment may include prescription eye drops such as tobramycin-dexamethasone or fluorometholone eye drops, used according to a doctor's instructions.
In addition, these symptoms may also be associated with dry eye syndrome, keratitis, or meibomian gland inflammation. It is recommended to seek medical attention early, identify the underlying cause, and receive appropriate treatment under professional medical supervision.
