[39M] Experiencing foreign body sensation in eye with redness and tearing

Patient Description

A 39-year-old male reports a sensation of something behind the eyelid for the past day, which worsens upon blinking or moving the eye. The patient also observes redness and increased tearing but no discharge, and there is no associated severe eye pain or light sensitivity. Vision remains unchanged. There is no history of recent eye injury or exposure to foreign objects, no pre-existing conditions, chronic illnesses, allergies, or current use of medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Foreign Body in the Eye: This is when an object such as dust, an eyelash, or a piece of metal gets into your eye. This can cause a gritty feeling, like something is in your eye, along with redness and tearing.

    • Treatment typically involves flushing the eye with saline solution or removing the foreign body under a microscope by a medical professional if it doesn't come out easily.
  • Corneal Abrasion: This is a scratch on the surface of your eye. It can feel like there's something in your eye and can cause redness and tearing.

    • Treatment usually involves antibiotic eye drops to prevent infection and pain medication if needed. It's important to avoid rubbing your eye as this can worsen the abrasion.
  • Dry Eye Syndrome: This is a condition where your eyes don't produce enough tears or the right quality of tears. This can cause a gritty or scratchy feeling in your eye, along with redness and tearing.

    • Treatment typically involves over-the-counter or prescription eye drops to help lubricate the eye.

What you can do

  1. Try gently rinsing your eye with lukewarm water or a saline solution. This may help to flush out any foreign bodies.
  2. Avoid rubbing your eye, as this can cause further irritation or injury.
  3. Over-the-counter lubricating eye drops (artificial tears) may help to soothe your eye if dryness is causing your symptoms.
  4. If your symptoms persist or worsen, you should seek medical attention. An eye care professional can examine your eye and provide appropriate treatment.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe eye pain
  • Sensitivity to light
  • Blurred or decreased vision
  • Intense redness
  • Discharge from the eye

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of a sensation of something behind the eyelid?

Common causes include a foreign body in the eye, corneal abrasion, or dry eye syndrome. These conditions can cause a gritty feeling, redness, and tearing.


How can I safely remove a foreign body from my eye at home?

You can try gently rinsing your eye with lukewarm water or a saline solution to flush out any foreign bodies. Avoid rubbing your eye, as this can cause further irritation.


What are the symptoms of a corneal abrasion?

Symptoms of a corneal abrasion include a sensation of something in the eye, redness, tearing, and discomfort, especially when blinking or moving the eye.


When should I seek medical attention for eye discomfort?

Seek medical attention if you experience severe eye pain, sensitivity to light, blurred or decreased vision, intense redness, or discharge from the eye.


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