[41M] With sudden onset of eye redness and yellowing

Patient Description

A 41-year-old male reports sudden onset of redness and yellowing in the left corner of the eye for the past two days. Symptoms include itching, swelling, and a scratchy sensation. The patient denies any discharge, pain, recent cold or flu-like symptoms, or contact with individuals with eye infections. There is no history of eye conditions or surgeries, and no recent use of new eye drops or medications. The patient may have been exposed to irritants or allergens recently. No pre-existing conditions or chronic illnesses are reported, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Conjunctivitis (Pink Eye): This is an inflammation or infection of the outer membrane of the eyeball and the inner eyelid. It can be caused by bacteria, viruses, allergens, or irritants. Symptoms often include redness, itching, and swelling. The yellowing could be due to discharge or irritation.

    • Treatment: Bacterial conjunctivitis may require antibiotic eye drops, while viral conjunctivitis typically resolves on its own. Allergic conjunctivitis can be managed with antihistamines or anti-inflammatory eye drops. It's important to keep the eye clean and avoid touching or rubbing it.
  • Allergic Conjunctivitis: This occurs when the eyes react to allergens such as pollen, dust, or pet dander. Symptoms include redness, itching, swelling, and a scratchy sensation.

    • Treatment: Avoiding known allergens, using antihistamine eye drops, and applying cold compresses can help alleviate symptoms.
  • Subconjunctival Hemorrhage: This is a condition where a small blood vessel breaks just underneath the clear surface of your eye (conjunctiva). It can cause a bright red patch on the white part of your eye. The yellowing could be part of the healing process.

    • Treatment: This condition usually resolves on its own within one to two weeks. Artificial tears can help alleviate any irritation.
  • Dry Eye Syndrome: This occurs when your eyes don't produce enough tears or the right quality of tears. Symptoms include redness, itching, swelling, and a gritty or scratchy sensation.

    • Treatment: Using artificial tears, taking breaks from screen time, and using a humidifier can help manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Avoid Irritants: Try to identify and avoid any potential irritants or allergens that may be causing your symptoms.
  2. Use Artificial Tears: Over-the-counter artificial tears can help keep your eyes moist and reduce irritation.
  3. Apply Cold Compresses: Applying a cold compress to your eyes can help reduce swelling and itching.
  4. Maintain Good Hygiene: Wash your hands frequently and avoid touching or rubbing your eyes to prevent further irritation or infection.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If you develop severe pain in your eye, it could indicate a more serious condition.
  • Vision Changes: If you notice any changes in your vision, such as blurriness or loss of vision, seek medical help immediately.
  • Persistent Symptoms: If your symptoms persist or worsen despite home care, it's important to consult a healthcare professional.
  • Discharge: If you notice a significant amount of discharge from your eye, it could indicate an infection that requires medical treatment.

Remember, while this information can help guide you, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common causes of redness and yellowing in the eye?

Common causes of redness and yellowing in the eye include conjunctivitis (caused by bacteria, viruses, or allergens), subconjunctival hemorrhage, and dry eye syndrome. Each condition has specific symptoms and may require different treatments.


How can I differentiate between allergic conjunctivitis and other types of conjunctivitis?

Allergic conjunctivitis is often accompanied by itching, redness, and swelling, and is triggered by exposure to allergens like pollen or pet dander. Unlike bacterial or viral conjunctivitis, it typically does not involve discharge. Identifying recent exposure to allergens can help differentiate it.


What home remedies can help alleviate symptoms of eye irritation?

Home remedies for eye irritation include using artificial tears to keep the eyes moist, applying cold compresses to reduce swelling and itching, and avoiding known irritants or allergens. Maintaining good hygiene by washing hands frequently and not touching the eyes can also help.


When should I seek medical attention for eye symptoms?

You should seek medical attention if you experience severe pain, changes in vision, persistent or worsening symptoms despite home care, or significant discharge from the eye, as these could indicate a more serious condition requiring professional treatment.


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