Red eye (Bloodshot Eye)

Red, bloodshot eyes can indicate several conditions. They look alarming, but they’re usually caused by a minor eye irritation or condition.

Bloodshot eye risk factors

Contact your optometrist, GP or local eye emergency department immediately for appropriate advice if:

  • You have a painful red eye.

  • You’re experiencing other symptoms, in particular; a bloodshot eye and headaches, reduced vision, sensitivity to light, or feeling sick.

  • You recently injured your eye – especially if something has pierced your eye.

  • If your symptoms are becoming increasingly worse

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What is red eye?

A red, bloodshot eye normally occurs when the blood vessels on the surface of the eye, the conjunctiva expand. If the redness occurs in small, localised areas, or spots, this may be to an injury. If the redness is dispersed across a larger area of the eye, this might be caused by infection, allergy, or simply tiredness.

Close-up of a human eye showing detailed features of a blue iris, eyelashes, and redness in the white area.

Why is my eye red? Causes of bloodshot eyes

When it comes to what causes a bloodshot eye, fortunately, if your red eye is painless, it is most likely caused by a minor eye condition, such as conjunctivitis or a burst blood vessel (subconjunctival haemorrhage). These conditions don’t tend to affect your vision, and many often get better within a week or two with minimal intervention. However, there are other bloodshot eye causes, some of which can be more serious.

  • Blepharitis:

    A common condition which causes redness, swelling and irritation of the eyelids.

  • Anterior uveitis:

    Also known as iritis Inflammation of the iris (the coloured part of the eye) which may be accompanied by eye pain, light sensitivity, floaters and/or blurred vision.

  • Corneal ulcers:

    Corneal ulcers can cause redness, light sensitivity, and the feeling that something is in the eye. Severe cases can result in permanent vision loss if left untreated. Poor hygiene associated with contact lens wear may cause corneal ulcers.

  • Acute Angle Closure Glaucoma:

    This type of glaucoma leads to a sudden increase in eye pressure resulting in redness, pain, nausea, haloes around lights, and blurred vision. Untreated, it can lead to permanent sight loss.

  • Scratched eye:

    Redness and pain can be caused by foreign particles like grit getting into the eye. Optometrists can use a microscope to examine the front surface of the eye and potentially remove and debris.

  • Dry eyes:

    Insufficient or poor‑quality tears cause discomfort, soreness, and redness. They’re usually easily treatable with eye drops and home remedies, such as hot compresses.

  • Stye:

    Small, painful lumps that form either on or inside the eyelid, which can cause the eye itself to become watery and red.

  • Scleritis:

    Scleritis is a form of eye inflammation associated with autoimmune disorders including rheumatoid arthritis and lupus. Scleritis is associated with a bloodshot, red, painful eye.

Hear from the expert

Dr Nigel Best, one of our senior optometrists states, “It’s important if you have red eyes that you have them examined by an optometrist, in particular if your eye is painful, if you’re sensitive to light or if there’s any discharge as this could indicate an underlying problem which may need to be checked out.”

Symptoms of bloodshot red eyes

While redness is the most obvious sign that your eye is bloodshot, it may not be the only symptom that you have. Depending on the cause of your condition, you may also experience other symptoms in combination. Let’s look at some of the most common ones:

  • Redness:

    Usually the first thing you’ll notice if you’ve woken up with a bloodshot eye. The white of your eye turns red or pink, either in a certain spot or all over. You may have a bloodshot eye on one side or in both eyes simultaneously.

  • Pain:

    A painful bloodshot eye can range from minor soreness to a severe burning sensation.

  • Itching:

    Feeling like you need to scratch your eye or eyelid to ease discomfort.

  • Swelling:

    Your eyelid may feel puffy or tight, making it hard to open your eye and impacting your vision.

  • Grittiness:

    Feeling like there’s something in your eye, even if you can’t visibly see anything in it.

  • Watery eyes:

    When your eyes produce excess tears, commonly caused by dryness, irritation or blocked tear ducts.

  • Headaches:

    Bloodshot eyes and headaches can be a sign of other underlying conditions, including eye strain.

A frustrated man in pyjamas sitting on the edge of his bed, holding his head in distress.

How to treat a bloodshot eye

In many cases bloodshot eyes will simply clear up on their own in a matter of days without requiring any treatment. However, depending on what’s caused the condition, there are a variety of bloodshot eye treatments that can help you to manage symptoms and reduce discomfort. If you notice any discomfort, book an appointment with your optometrist for assessment and advice. In severe cases of chronic or sore bloodshot eyes, further tests and ongoing treatment may be required.

Home remedies and self‑care

  • Eye drops:

    Over‑the‑counter eye drops can be used to lubricate dry eyes and soothe irritation. There are a variety of brands and options available, discuss with your optometrist which one may be best for you.

  • Cold compresses:

    Gently pressing a cold compress over your eyelids may help to reduce inflammation and redness, particularly if you’re suffering as a result of allergies like hay fever, where the eyes can become itchy.

  • Allergy medication:

    If an allergic reaction is causing your red eyes, taking antihistamine medication can help to address the underlying allergic response and alleviate physical symptoms. Discuss this option with your eyecare professional.

  • Prescription medication:

    If over‑the‑counter options don’t seem to be helping, or the problem is recurring, you may be prescribed prescription eye drops. This may take the form of anti‑microbial eye drops, steroid eye drops, or ointments. Your optometrist will discuss these options with you, based on their assessment of your eyes.

How to prevent red eyes

It’s unlikely that you’ll be able to prevent bloodshot eyes entirely as there’s such a variety of factors that can cause them. However, there are a few good habits you can adopt that may help to address some of the common causes:

  • Get enough sleep:

    Finding that you regularly wake up with bloodshot eyes? Tiredness commonly leads to dry, red eyes, so the redness could be an indicator that you’re not getting enough sleep. Try to aim for between 7 and 9 hours each night.

  • Take regular breaks from screens:

    If you find staring at computer, tv or phone screens for too long irritates your eyes, take time away from them to give your eyes a rest.

  • Drink enough water:

    Getting enough water is as important to our eye health as it is almost every other part of our bodies. Dehydration can lead to decreased tear production and irritation, so be sure to keep well hydrated throughout the day.

  • Regular eye tests:

    Having regular eye examinations will help to identify any eye strain issues and other eye conditions that might be irritating your eyes.

Conclusion

Red eyes are a very common eye symptom that most of us will encounter. In the majority of cases, they aren’t problematic and won’t need treatment, but for some they could be a sign of other conditions like conjunctivitis or anterior uveitis.

Generally, maintaining good eye and overall health is enough to reduce a person’s risk of red eyes. Having your eyes tested regularly at your local Specsavers store will ensure you’re able to flag any concerns, get advice and manage any conditions that may be detected.

Bloodshot eye FAQ's

About the Author

https://images.ctfassets.net/uuaxywrybmpn/7LwgjpG2ba9V71qeeBKs1t/8fd838c5503335d2a09d20d64f38b0aa/Specsavers-Stories-Michael-Angerame-1-copy-768x576.jpg

Michael Angerame

Bachelor of Vision Science/Master of Optometry

Michael Angerame graduate from Deakin University in 2017, having completed the Bachelor of Vision Science/Master of Optometry. Michael completed many years with Specsavers as an optometrist in the eastern suburbs of Melbourne as well as Melbourne CBD. In 2021 Michael began a new role, Optometry Development Consultant – Professional Services, where he supports optometrists across ANZ and enhances the patient journey.

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