Burst vessel in the eye: what to do, what drops to drop?

What to do when a blood vessel in the eye bursts? Our actions directly depend on the cause of the event. If the occurrence of hemorrhage does not cause other symptoms except for a visual defect, and its connection with some event provoking the rupture the day before is traced, there is no need to panic.

First aid: apply cold to the injured eye for about ten minutes - a napkin soaked in cold water and well wrung out, ice from the freezer wrapped in a handkerchief, even a package of frozen fruits (berries, vegetables) will do. However, such measures will only help immediately after a ruptured vessel or after an injury. If the vessel could have burst earlier, for example, the night before, then cooling does not make much sense, however, it certainly will not make things worse. [ 1 ]

If you have an injury, you should see a doctor. If your eye hurts, burns, itches, etc., you should see a doctor too.

If you believe that the cause was increased stress, visual fatigue, "dead" sleep face down after drinking alcohol, you need to give your body a rest, get back to normal. You need to drink a lot of water, give up alcohol, follow a work and rest regime, reduce physical activity, eat well, including more fresh fruits and vegetables in your diet.

It is better not to use medications on your own, even over-the-counter eye drops. They will not be able to effectively speed up the process of hematoma resorption, but they can cause an allergic reaction or worsen the condition with medications.

However, people are interested in how to quickly remove redness, a bruise under the eye. Unfortunately, there is no magic remedy. [ 2 ]

To the question: What to drip? Potassium iodide is recommended, one or two drops two to four times a day. These drops have the antiseptic properties of iodine and the ability to resolve hematomas by thinning the blood and dilating blood vessels. Therefore, it is advisable to use them also after consulting a doctor. After all, if problems with blood clotting led to the rupture of blood vessels, then treatment with these drops is unlikely to help you. In addition, the presence of iodine is contraindicated for people taking lithium salts or drugs that suppress the activity of the thyroid gland. Patients with kidney disease and allergy sufferers should also be careful. According to the instructions, Potassium iodide is not recommended for use for more than two weeks, and during this time the hemorrhage should resolve without drugs. [ 3 ]

It is recommended to take Etamzilat tablets three times a day during the first two or three days. If the hemorrhage occurred due to dystrophic changes in the endothelial layer of the vascular wall, this drug should help strengthen them. In addition, it helps normalize platelet function, since it inhibits the synthesis of prostaglandins. In fact, it should strengthen the vessels and prevent subsequent hemorrhages, but will not speed up the resorption of existing ones. It is prescribed to people prone to bleeding. Therefore, the drug is contraindicated for patients with an increased risk of thrombosis. It should also not be used by pregnant and lactating women, patients with uterine fibroids, children with leukemia and bone sarcoma, and acute porphyria. [ 4 ], [ 5 ]

Eye drops Albucid were used by our grandmothers. The active substance of the drops belongs to sulfonamides, which block the growth and development of a number of bacteria, including pyogenic ones. It is effective against bacterial conjunctivitis caused by microorganisms sensitive to sodium sulfacyl (gonococci, chlamydia, staphylococci, streptococci, E. coli, yersinia, clostridia, corynebacteria and some others). It is absolutely useless against viral and fungal eye infections. If the eye is reddened as a result of lack of sleep or after physical exertion, it is inappropriate to use Albucid. The drops can cause an allergic reaction in the form of swelling and even more redness of the eyes. When instilled, they cause a burning sensation. They are instilled up to six times a day, as needed. When the inflammation decreases, the frequency of instillation is also reduced.

Tobrex drops are also recommended for bacterial conjunctivitis. They are effective even in cases where bacteria are resistant to other antibacterial drugs. Their active ingredient is tobramycin, a broad-spectrum antibiotic that belongs to the aminoglycoside class. It is used from birth, but like all antibiotics, it can cause allergies. In addition, due to the development of superinfection, its long-term use is not recommended.

Emoxipin eye drops are indicated for subconjunctival hemorrhage, hyphema and diabetic retinopathy. They are prescribed for glaucoma and many other eye pathologies, as well as after ophthalmic surgery. The active substance of the drops (methylethylpyridinol) exhibits angioprotective properties - accelerates the resorption of hemorrhages inside the eyeball, strengthens blood vessels, improves their patency, reducing blood viscosity. Drops are instilled under the conjunctiva daily or every other day. Not intended for pregnant women and patients sensitized to the active substance. May cause hyperemia of the sclera, that is, increase redness. Again, reducing blood viscosity is not recommended in all cases when a blood vessel in the eye bursts.

Taufon drops have no direct indications for use in case of hemorrhages in the eye, however, taurine, their active ingredient, is a stimulator of eye tissue restoration and is recommended for postoperative patients, patients with cataracts and glaucoma, and other dystrophic processes in the eyeball. The drops stabilize the electrolyte balance of the cell cytoplasm, activate cellular metabolism, facilitating the outflow of intraocular fluid, thereby normalizing intraocular pressure. Having an ophthalmoprotective effect, they do not affect the rheological properties of the blood, therefore, if they do not help, they will not harm either. Contraindicated for children and in case of individual intolerance.

Visine drops, a widely advertised product for red eyes, comes in many different versions with different ingredients.

Vizin classic (tetryzoline hydrochloride) – decongestant drops with a pronounced vasoconstriction effect (not recommended for ruptured vessels). It is used from the age of two to relieve allergies and the effects of various external irritants (smoke, light, low-quality cosmetics, choline water, contact lenses, etc.). Contraindicated in vascular endothelial dystrophy. Caution should be exercised in patients with glaucoma, diabetics, and hypertensive patients.

Visine pure tear (TS-polysaccharide (0.5%), sodium monohydrate and dodecahydrate, mannitol, purified water, preservative) – used to moisturize the eye, relieves symptoms of irritation, including redness.

Redness in conjunctivitis of allergic genesis can be treated with drops of Vizin Allergy (L-cabastine hydrochloride). The manufacturer promises the effect five minutes after instillation, and the effect of the drops lasts up to 12 hours. It is used from the age of 12.

These are the most well-known variants of Visine. There are others. By the way, there is information that the effectiveness of the drops is greatly exaggerated. [ 6 ]

The conclusion can be made as follows: eye drops should be used after consulting a doctor, since there is no single drug for all cases when a blood vessel in the eye has burst. In addition, any drops can cause an allergic reaction, and the redness will increase. Experts recommend that in the mildest cases, when a blood vessel has burst for harmless reasons, just wait - it will go away on its own. And infections, injuries, systemic diseases must be treated using appropriate methods.

Vitamins that strengthen the walls of the eye vessels are ascorbic acid and rutin. You should eat more fresh green vegetables, tomatoes, sweet peppers, citrus fruits, berries (raspberries, cherries, currants), fruits and dried fruits (apricots, grapes, dried apricots, dried apricots, raisins), eat buckwheat porridge and dark chocolate with a cocoa content of more than 70%. There is a drug called Ascorutin. It contains both necessary components and is designed to strengthen blood vessels.

Physiotherapy is widely used in ophthalmology, however, fresh hemorrhages are a contraindication for most procedures. Magnetotherapy can be prescribed to resolve intraocular hematomas, improve trophism and epithelialization of damaged vessel walls – exposure to low-frequency alternating or direct current magnetic fields. However, only a doctor can prescribe the procedures, as they may not be indicated for all patients. Physiotherapy is prohibited in cases of blood clotting disorders, tumors, decompensated hypertension and some other conditions.

Folk remedies

A popular home remedy - applying tampons soaked in tea to the eyes - will not speed up the resorption of hyphema or hyposphagma, and there is even information that it can worsen the condition - symptoms of irritation may appear.

The sore eye should be provided with rest, more time should be spent with closed eyes. Do not watch TV, do not read, try not to work on the computer and bend your head down less often. If you cannot refuse any work, then it is necessary to rest more often, do palming. It is recommended to enrich your diet with products rich in vitamin C and rutin.

You shouldn't rely too much on the effectiveness of folk methods, however, they can somewhat relieve the symptoms of irritation, if any, and prevent the rupture of another vessel.

Contrast compresses - applying cotton pads soaked in warm and cold water to the sore eye for ten minutes will help strengthen the vascular membranes.

Compresses made from grated fresh cucumber wrapped in a piece of gauze or fresh potato pulp should also not harm vision and can even slightly remove redness from the whites of the eyes and the inner surface of the eyelids.

External herbal treatment will not do any harm either: a cotton pad can be soaked in infusions of eyebright, chamomile or linden flowers, stinging nettle or aloe juice and apply such a compress to the eyes for 15-20 minutes several times a day.

Eyebright has long been used for eye diseases. You can brew and drink tea with this herb twice - in the morning and in the evening. For compresses, it is brewed in a bath in proportions of 25 g of dry crushed herb per 200 ml of boiling water. Simmer for a third of an hour in a bath, filter and make compresses during the day. Then brew a new portion.

You can put liquid honey into your eye, one drop in the morning and evening.

It is recommended to take an infusion of mountain arnica flowers internally, one tablespoon three times a day. It is prepared as follows: take three tablespoons of flowers per 200 ml of boiling water and leave for no more than an hour, but no less than 40 minutes.

Under no circumstances should you rub your eye. It is not recommended to use vasoconstrictor drops.

In case of large hematomas, eye pain, or deterioration of vision, you should immediately consult a doctor.

Homeopathy

Classical treatment with one drug requires mandatory consultation with a specialist. It can be very effective if the homeopathic remedy is prescribed individually and correctly. The arsenal of remedies used for ruptured blood vessels in the eye is varied.

Acute hemorrhage is symptomatically treated with monodrugs: Arnica (mountain arnica) is the main drug for any bleeding, stops bleeding and promotes rapid resorption of hematomas; the following may also be prescribed: Ledum (marsh rosemary), Nux vomica (Chilibukha), Phosphorus (Phosphorus).

The causes that caused this event can also be eliminated by homeopathic treatment. With a tendency to bleeding, more than 30 drugs are used, but they must be prescribed by a doctor. Correctly selected homeopathic treatment can stop the development of glaucoma, significantly improve the quality of life in patients with diabetes, cope with angiopathies and the consequences of injuries. But in any case, an individual approach is necessary.

In pharmacies you can buy eye drops Oculoheel - a complex of four plant substances in homeopathic dilutions:

• Cochlearia officinalis (Arctic spoonwort) – helps eliminate dry eyes;
• Echinacea (Echinacea) – immunostimulant;
• Euphrasia (Eyebright) is one of the main drugs used for any inflammation and degenerative-dystrophic processes of the structural elements of the eye, including those of traumatic genesis;
• Pilocarpus (Pilocarpus jaborandi) is a plant alkaloid that reduces intraocular pressure.

The drops have an anti-inflammatory effect, eliminate irritation, the effects of visual strain, regulate moisture, improve vascular trophism. And although the instructions do not directly indicate that with their help the hematoma will resolve faster, they do not have a direct vasoconstrictor effect and have a beneficial effect on metabolic processes in the eyes. And small doses of active ingredients guarantee the minimization of side effects.

They can be used from birth, there are no contraindications for their use during pregnancy and lactation.

Newborns are given eye drops once a day, one or two drops in each eye. From one to two full years, two drops can be given in each eye once or twice a day, from three to five years, two drops are given twice a day. From the age of six, two drops can be given twice or three times a day, and from the age of twelve, two drops are given in each eye three times a day.

Surgical treatment

Sometimes, depending on the location of the hemorrhage, its size, impact on the quality of vision and intraocular pressure, surgical intervention is indicated.

Hyphema (hemorrhage into the iris), which is accompanied by partial or complete loss of vision, requires, at a minimum, rinsing the anterior chamber of the eye. For this, two parallel micro-incisions are made, through one of which a colloidal solution is poured for rinsing, through the other - it is drained from the eye along with blood clots.

In cases of hemorrhage into the retina or vitreous body, laser cauterization of the bleeding vessel (photocoagulation) and restoration of retinal damage are usually used.

In cases where the vitreous body is completely filled with blood, it must be removed (vitrectomy). After which the bleeding is stopped and its place is filled with liquid silicone to hold the retina in place.

Common subconctival hematomas do not require surgical intervention.