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    Posted May 2, 2011 by
    Greater Los Angeles, California

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    Broken Blood Vessel In Eye


    This eveningCNN, Gloria Borger has a broken blood vessel in her left eye and over the past couple hours, it's gotten worse, hence this report. Am concerned. I gathered this information from the inter net:

    Broken Blood Vessel in Eye

    by Robert Stroney on Monday, May 2, 2011 at 2:00am

    "Broken Blood Vessel

    in Eye

    Q.    Is there anything you can do for a broken blood vessel in the eye?

    If  the broken blood vessel causes  blood to accumulate in the front of  the eye, between the cornea and  pupil/iris, this condition is called a  hyphema and warrants immediate  medical attention.   If the broken  blood vessel is inside the eye, for  example related to diabetes  (diabetic retinopathy) or to another retinal  condition such as  age-related macular degeneration, treatment may be  available and  immediate medical attention is  needed, so see your eye doctor ASAP.


    Q.    What  causes red eye?

    Red eye is caused when the blood  vessels of the eye swell with more blood than usual.  Red eye may be  associated with:

    1. Infection, including AIDS
    2. Allergic or chemical  reaction
    3. Glaucoma
    4. Fatigue
    5. More serious disease
    6. Need for glasses

    A person with red eye should see  an Eye Doctor if:

    1. There is pain
    2. See floaters
    3. Loss of vision
    4. Caused by injury
    5. There is discharge from the  eye
    6. Swelling or redness of the  eye lid(s)
    7. Cloudy cornea
    8. Unequal pupil size
    9. Presence of bright red blood  in the eye, between the cornea and iris

    Q.    What is CRVO and  what can be done about it?

    CRVO  stands for Central Retinal Vein Occlusion.   CRVO as well as  occlusion  of one or more of the central vein branches causes various  degrees of  vision loss depending on the extent and locus of the  occlusion.     Upstream from the occlusion venous dilation and mild  hemorrhages may be  observed by the eye doctor.  There also may be  swelling and so-called  "cotton-wool" spots in the back of the eye  (retina).  A percentage of  patients will also develop  neovascularization (i.e., growth of abnormal  blood vessels) of the  iris and, as a result,  develop glaucoma.  Most  patients with CRVO  are elderly and their eye problems are associated  with  arteriosclerosis.  Recovery of vision is dependent on the extent  and  location of retinal hemorrhages.  If glaucoma develops, the eye may  have to be enucleated (removed).

    Although there  is no effective cure for CRVO, depending on  conditions the eye doctor  may use steroids to control edema (swelling)  of the central retina  (macula).   Anticoagulants have also been employed  to reduce/prevent  the chance of iris neovascularization and associated  glaucoma.   However, it appears that the use of anticoagulants are no  longer  considered effective for treatment/prevention.  Finally,  photocoagulation (i.e., laser surgery) may be used to treat the abnormal   blood vessel growth in the retina and to prevent retinal edema and   subsequent loss of central vision.  The eye doctor may also run  certain  blood, urine and stool tests tests while the patient is  taking  anticoagulants.   Because of the dangers and seriousness of  CRVO, the  patient must been seen regularly by the eye doctor and must  keep all of  his or her appointments.


    Q.    Blood in eye.

    Blood  in the front part of the eye between the cornea and the  pupil/iris  is called a hyphema and warrants immediate medical  attention.  A  hyphema can lead to the sudden onset of glaucoma and  permanent loss  of vision in the eye.

    Q.    I have red veins  surrounded by yellow  in the whites of my eyes from the iris to the  inner edge.  I have Grave's disease and Fibromyalgia.  These  veins  have been there for two years now.   Some days they get real bad  and  my vision gets fussy for a few hours.  I am amblyopic and my good  eye  is worse than my lazy eye.  What causes this?

    We  assume that you're being regularly seen by your eye doctor,  if not  you should be.  Patients with Grave's disease show varying  degrees of  exophthalmos or protruding eyes.  Because the eyes protrude  outward  there is increased surface area of the eye exposed to air and,  as a  consequence, the eyes tend to dry-out as in dry eye disease.  A  sign  of dry eye disease is red appearing eyes.  The redness is cause by  irritation resulting in the blood vessels being gorged with blood and  then become more noticeable.  If your vision is temporarily being  affected as you indicate, this may be due to the excessive drying of the   cornea but may also be related to the pressure placed on the eyes by  the  Grave's disease.  See your eye doctor about these problems,  particularly  about the periods fuzzy vision.


    Q.    What  causes small red spots on the white part  of the eye?

    Bright red spot(s) on the white part of the eye are probably  subconjunctival hemorrhage(s).  These are caused by a number of things   including injury or may develop spontaneously in older adults.  You  should see an Ophthalmologist for a diagnosis and treatment if  applicable.


    Q.   Hi, I have  this  problem where my eyes are  constantly bloodshot. I don’t have  particularly dry eyes.  They are the worst when I wake up and before I  go to bed. I use over the  counter eye drops which only mildly help  for a few hours. What could be  causing this? I have had this problem  for quite sometime. There is  nothing foreign (i.e. not conjuctivitus)  in my eyes and it is equally  bad in both eyes. Please help!

    Very  few dry eye disorders cause a  daily variation that you describe that  is also associated with bloodshot  eyes, except meibomitis and  meibomian gland dysfunction.  Patients with  meibomitis often complain  of burning, bloodshot eyes in the morning.   This is because there is  decreased tear secretion at night and  inflammatory processes serve  to create eye irritation  on awaking.  As the disease progresses,  there is increased tear  evaporation during the day which causes the  symptoms to again appear in  the evening hours.  Thus the morning and  evening problems with the  eyes.  And, as in your case, lubricating  eye drops only provide  temporary relief.  Because you've had this  problem for some time, there  may be continuing damage to the  meibomian gland.   See an eye doctor,  preferably one that specializes  in dry eye disorders for evaluation and  treatment, if applicable. 

    A Note on Diabetic Eye Disease

    Diabetes  is a serious disease and  patients with diabetes MUST see an eye doctor  on a regular basis (e.g., every 6  months) or based on your eye  doctor's recommendations.  In diabetes, abnormal, small fragile blood  vessels inside the eye  can form and eventually leak and break - causing  an immediate loss of vision in  the affected eye.  Treatment can be  instituted BEFORE the abnormal blood  vessels leak or break, but it is  absolutely important to see an eye doctor  BEFORE the leak or breaking  occurs.  Once the blood  vessels leak and break, it may be too late to  save vision in the affected eye.   If you have diabetes, DO NOT TAKE A  CHANCE - see an eye doctor on a regular basis.   If you fail to follow  this advice, only you have to blame for your eventual  blindness.  The  choice is yours - an eye exam or a pilot dog.


    W. R. Bryan Diabetic Eye Disease Research Fund

    2008 OLERF Annual Report (PDF file)

    2009 OLERF Annual  Report (PDF file)

    2010 OLERF Annual  Report (PDF "

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