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Saving Your Sight

By:  Mark A. Sibley, M.D., F.A.C.S.

Eyedrops to Cover Red May Mask Problems

Every day the TV bombards us with ads trying to sell us eyedrops that "get the red out" or that "clear red eyes fast.:

These are typical eye wash claims that help companies sell millions of dollars of their eyedrops each year.

As an eye specialist I feel that the products making those claims are among the least useful of all over-the-counter drugs.

These O.T.C. eye solutions attempt to offer a cosmetic benefit: "Get the red out." These drugs contain a chemical (called a vasoconstrictor) that shrinks the blood vessel. Since the blood vessel's main purpose is to carry oxygen and nourishment to the eye, especially if the eye is tired, irritated, or infected, using these drops can be harmful, dangerous and counterproductive.

The eyedrop users are never told about the rebound effect. When the chemical effect wears off, the blood vessels that have been choked actually dilate more and look more bloodshot. Then the unknowing eyedrop user feels the condition has returned or has gotten worse and falsely believes this requires more drops, and more frequent use, when the opposite is true.

The fact is that normal eyes do not need cleaning, soothing, or refreshing solutions that contain astringents, vasoconstrictors and antiseptic chemicals. All eyes get irritated, and simple irritation disappears usually by the next day. Natural human tears contain protective enzymes and chemicals with antibacterial properties. No synthetic eyedrop solution can match the natural tears. About the best that eyedrops can do is offer a slight, brief, soothing effect. Unfortunately, and sometimes dangerously, using drops promoted to get rid of red eyes can cause the very symptoms and bloodshotness that they claim to be treating. Furthermore, they are commonly used as a mistaken cure or remedy when something is truly wrong with the eyes.

Almost every day I see someone who has let an injury or infection, or bleeding go on for days while they were using over-the-counter drops and hoping the problems would go away.

These eyedrops could be criticized as useless and a waste of money. But what bothers ophthalmologists like me even more is when these drops lead to the neglect of symptoms that indicate more serious eye troubles. These eye troubles include glaucoma, pink eye, infection and injury. A long list of other problems look like "simple bloodshot eyes." Common and innocent problems such as dry eyes or adult granulated eyelash infections are frequently not helped and may be made worse by O.T.C. eyedrops.

Symptoms in the eyes such as feeling red, hot, itchy, scratchy, bloodshot and tired are common eye complaints that cannot be treated effectively with these get-the-red-out eye drops. If any of these eye symptoms persist for more than a day or so, the eyes should be examined by a medical physician "ophthalmologist" or an optometrist (O.D.). If your eye doctor gives you a clean bill of health, he or she also will offer suggestions for relieving these simple irritations, which may be caused by such things as a lack of sleep, cigarette smoke, air pollutants or swimming pool water. Although it's easier said than done, avoiding these causes of bloodshot eyes would be the first recommendation -- the treatment of choice. Avoidance of these causes by wearing sunglasses with UV protection, wearing goggles when you are swimming or avoiding smoke-filled areas are easy remedies. Another way to relieve "tired" eyes safely is applying ice-cold, wet compresses for about 10 to 15 minutes.

Of course, common medical problems such as dry eyes would benefit from pure artificial tears with no chemicals to get the red out. Adult granulated eyelash infection dandruff, another cause of the "red, tired eye syndrome," is best treated with simple warm washcloth friction to the eyelashes every morning and night. This removes the oily eyelash "dandruff" that gets into the eyes, which is a common cause of "red, hot, burning" eyes in adults.

In summary, numerous problems cause the eyes to be red and irritated. Over-the-counter eyedrops probably do not help, and may actually hurt the eyes. If problems persist, then an eye exam is required for a proper diagnosis and proper treatment. Artificial tears, without any get-the-red-out chemicals may prove to be the safest and most helpful.

For more information call Florida Eye Center at 727-895-2020.

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The information contained herein is intended to be educational and is not intended in any way as a substitute for medical advice and care from qualified vision care providers. Consult a vision care professional in matters relating to visual health and particularly with respect to any symptoms that may require diagnosis or medical attention.
   

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