A vessel burst in the eye: what to do, what drops to drip?
Last reviewed: 22.10.2021
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What to do when a 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 any event provoking a rupture is traced the day before, you do not need to panic.
First aid: apply cold for ten minutes to the injured eye - a napkin soaked in cold water and well wrung out, ice from the freezer wrapped in a handkerchief, even a package with 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 burst earlier, for example, the night before, then cooling no longer makes much sense, nevertheless, it will definitely not get any worse. [1]
With an injury, you need to see a doctor. If the eye hurts, burns, itches, and so on - too.
If you think that the cause was increased tension, visual fatigue, "dead" sleep downside down after drinking alcohol, you need to give the body a rest, get back to normal. You need to drink a lot of water, give up alcohol, observe the regime of work and rest, 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 resorption of the hematoma, but it is quite possible to cause an allergic reaction or aggravate the condition with drugs.
Nevertheless, people are interested in how to quickly remove redness, black eye. Unfortunately, there is no magic cure. [2]
To the question: What to drip? Potassium iodide is recommended, one to two drops, two to four times a day. These drops have the antiseptic properties of iodine and the ability to dissolve hematomas by thinning the blood and dilating blood vessels. Therefore, it is advisable to use them also after a medical consultation. After all, if problems with blood coagulability led to rupture of blood vessels, then treatment with these drops will hardly help you. In addition, the presence of iodine is contraindicated in people taking lithium salts or drugs that inhibit the activity of the thyroid gland. Patients with kidney problems and allergy sufferers should also exercise caution. According to the instructions, potassium iodide is not recommended to be used for more than two weeks, and during this time the hemorrhage should resolve without drugs. [3]
Etamsilat tablets are recommended to be taken in the first two to three days, one three times a day. If the hemorrhage has occurred due to dystrophic changes in the endothelial layer of the vessel wall, this remedy should help strengthen them. In addition, it helps to normalize platelet function, since it inhibits the synthesis of prostaglandins. In fact, it should strengthen the blood vessels and prevent subsequent hemorrhages, but in no way accelerate the resorption of the existing one. It is prescribed for people prone to bleeding. Therefore, the drug is contraindicated in patients with an increased risk of thrombosis. Also, it cannot be used by pregnant and lactating women, patients with uterine fibroids, children with leukemia and bone sarcoma, with acute porphyria. [4], [5]
Albucid eye drops 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 for bacterial conjunctivitis caused by microorganisms sensitive to sodium sulfacyl (gonococci, chlamydia, staphylococcus, streptococcus, E. Coli, yersinia, clostridium corynebacteria and some others). Absolutely useless for viral and fungal eye infections. If the eye turns red 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 reddening of the eyes. When instilled, they cause a burning sensation. They are dripped up to six times a day, as needed. When 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 tobramycin is a broad-spectrum antibiotic that belongs to the aminoglycoside class. It is used from birth, however, 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 - it accelerates the resorption of hemorrhages inside the eyeball, strengthens blood vessels, improves their patency, reducing blood density. Drops are dripped under the conjunctiva daily or every other day. Not intended for pregnant women and patients sensitized to the active substance. They can cause hyperemia of the sclera, that is, increase redness. Again, a decrease in blood viscosity is not recommended in all cases when a 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 stimulant for the restoration of eye tissue and is recommended for postoperative patients, patients with cataracts and glaucoma, and other dystrophic processes in the eyeball. Drops stabilize the electrolyte balance of the cytoplasm of cells, activate cell metabolism, facilitating the outflow of intraocular fluid, thereby normalizing intraocular pressure. Providing an ophthalmic protective effect, they do not affect the rheological properties of blood, therefore, if they do not help, then they will not harm. Contraindicated in children and with individual intolerance.
Visin drops, a highly advertised product for reddened eyes. Has a variety of release options with different ingredients.
Vizin classic (tetrizoline hydrochloride) - decongestant drops with a pronounced effect of vasoconstriction (undesirable in case of rupture of blood vessels). It has been used since the age of two to relieve allergies and the action of various external stimuli (smoke, light, low-quality cosmetics, choriated water, contact lenses, etc.). Contraindicated in dystrophy of the vascular endothelium. Caution should be exercised in patients with glaucoma, diabetics, hypertensive patients.
Vizine pure tear (TS-polysaccharide (0.5%), sodium monohydrate and dodecahydrate, mannitol, purified water, preservative) - is used to moisturize the eye, relieve irritation symptoms, including redness.
Redness with conjunctivitis of an allergic genesis can be treated with Visin Allergi drops (L-cabastine hydrochloride). The manufacturer promises the effect in five minutes after instillation, and the effect of the drops lasts up to 12 hours. Applied from 12 years of age.
These are the most famous variants of Vizin. There are others as well. By the way, there is information that the effectiveness of the drops is greatly exaggerated. [6]
The conclusion can be made as follows, it is necessary to apply drops for the eyes after consulting a doctor, since there is no one drug for all cases when a vessel in the eye has burst. In addition, any drops can cause an allergic reaction and the redness will worsen. Experts recommend that in the mildest cases, when the vessel has burst from harmless reasons, just wait - it will pass by itself. And infections, injuries, systemic diseases must be treated using appropriate techniques.
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, apricots, raisins), eat buckwheat porridge and dark chocolate with a cocoa content of more 70%. There is such a drug Ascorutin. It contains both essential components and is designed to strengthen blood vessels.
Physiotherapy is widely used in ophthalmology, however, fresh hemorrhages are a contraindication for most procedures. For resorption of intraocular hematomas, improvement of trophism and epithelialization of damaged vessel walls, magnetotherapy can be prescribed - exposure to magnetic fields of alternating or direct current of low frequency. However, the procedures are prescribed only by the doctor, since they can not be shown to all patients. In case of blood clotting disorders, tumors, decompensated hypertension and some other conditions, physical procedures are prohibited.
Alternative treatment
A popular home remedy - applying tampons soaked in tea to the eyes will not accelerate the dissolution of the hyphema or hyposhagmus, and there is even information that can aggravate the condition - irritation symptoms may appear.
The diseased eye should be provided with peace, more time should be spent with closed eyes. Do not watch TV, read, try not to work on the computer, and bend your head less often. If it is impossible to refuse any work, then be sure to rest more often, do palming. It is recommended to enrich your diet with foods rich in vitamin C and routine.
You should not especially rely on the effectiveness of alternative methods, however, they will be able to somewhat alleviate the symptoms of irritation, if any, and prevent the rupture of another vessel.
Contrasting lotions - applying alternately cotton pads dipped in warm and cold water to the sore eye for ten minutes will help strengthen the vascular membranes.
Compresses from grated fresh cucumber wrapped in a piece of gauze or fresh potato gruel should also not harm your eyesight and can even slightly remove redness from the whites of the eyes and the inner surface of the eyelids.
External herbal treatment will not harm either: a cotton pad can be moistened in infusions of eyebright, chamomile or linden flowers, stinging nettle or in aloe juice and apply such a compress to the eyes for 15-20 minutes several times a day.
Eyebright medicinal 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 the proportions of 25 g of dry chopped herbs per 200 ml of boiling water. They languish in the bath for a third of an hour, filter and make compresses throughout the day. Then a new portion is brewed.
One drop of liquid honey can be instilled into the eye in the morning and in the evening.
Inside a tablespoon three times a day, it is recommended to use an infusion of mountain arnica flowers. It is prepared as follows: for 200 ml of boiling water, take three tablespoons of flowers and insist for no more than an hour, but not less than 40 minutes.
Under no circumstances should you rub your eyes. It is not recommended to use vasoconstrictor drops.
In case of large bruises, pain in the eyes, deterioration of vision, you should immediately consult a doctor.
Homeopathy
Classic 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 rupture of a vessel in the eye is diverse.
Acute hemorrhage is symptomatically treated with monopreparations: Arnica (Mountain Arnica) - the main drug for any bleeding, stops the blood and promotes the rapid resorption of hematomas; can also be prescribed: Ledum (marsh wild rosemary), Nux vomica (Chilibukha), Phosphorus (Phosphorus).
The causes of 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 mellitus, cope with angiopathies and the consequences of trauma. But in any case, an individual approach is required.
In pharmacies, you can buy Oculoheel eye drops - a complex of four herbal substances in homeopathic dilutions:
- Cochlearia officinalis (Arctic spoon) - helps to 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 origin;
- Pilocarpus (Yaborandi Pilocarpus) is a plant alkaloid that reduces intraocular pressure.
Drops have an anti-inflammatory effect, eliminate irritation, the effects of visual overexertion, regulate hydration, and improve vascular trophism. And although the instructions do not directly indicate that with their help the hematoma will dissolve 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 are a guarantee of minimizing side effects.
They can be used from birth, there are no contraindications for their use during pregnancy and lactation.
Newborns are instilled with eyes once a day, in each - one or two drops. From a year to two full years, you can drop two drops in each eye once or twice a day, from three to five years, two drops are dripped twice a day. From the age of six, two drops can be dripped both twice and three times a day, and from the age of twelve, two drops are instilled into each eye three times a day.
Surgery
Sometimes, depending on the location of the hemorrhage, its size, the effect on the quality of vision and intraocular pressure, surgical intervention is indicated.
Hyphema (hemorrhage in the iris), which is accompanied by partial or complete loss of vision, requires at least flushing of the anterior chamber of the eye. For this, two parallel micro-incisions are made, through one a colloidal solution is poured for washing, through the other, its outflow from the eye along with blood clots is carried out.
For retinal or vitreous hemorrhages, laser cauterization of the bleeding vessel (photocoagulation) and restoration of damage to the retina are usually used.
In cases where the vitreous body is completely filled with blood, it must be removed (vitrectomy). Then the bleeding is stopped and its place is filled with liquid silicone to hold the retina in place.
Common subconctival hematomas do not require surgery.