OCT + 시야검사 결과로 보는 녹내장 초기 신호와 눈 건강 관리법

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눈의 건강은 한 번 손상되면 회복이 어렵습니다. 그래서 정기적인 OCT 검사 와 시야검사 는 매우 중요합니다. 이번 글에서는 실제 환자분의 검사 예시를 통해 시신경 손상의 초기 변화와 관리법 을 알기 쉽게 설명드리겠습니다. 🔍 OCT(빛간섭단층촬영) 검사란? OCT 검사는 망막과 시신경의 구조를 단층(층별) 으로 촬영하는 검사입니다. 눈 속 신경층의 두께, 황반 중심부의 형태, 망막 부종 여부 등을 세밀하게 확인할 수 있어 녹내장, 황반변성, 당뇨망막병증 같은 질환의 조기 발견에 매우 유용합니다. 검사 시간: 약 5분 통증: 없음 결과 확인: 바로 가능 disc OCT(오른쪽) disc OCT(왼쪽)   OCT(빛간섭단층촬영) 검사 결과 설명 🔹 1. 검사 개요 OCT 검사는 망막(눈 안쪽의 신경막)과 황반(시력의 중심부)을 단층 촬영 해서, 눈 속 구조의 미세한 변화를 관찰하는 검사입니다. 즉, 망막이 얼마나 두꺼운지 , 부종이나 손상이 있는지 , 황반 중심이 정상인지 를 보는 검사예요. 🩺 오른쪽 눈 (R) 망막 두께(Macular Thickness): 약간 얇아진 부위 가 있습니다. 황반 중심(Fovea): 형태는 전반적으로 유지되어 있지만, 중심부의 미세한 손상 흔적 이 보입니다. 망막층 구조: 일부 내층(Inner layer) 이 얇아져 있으며, 이는 혈류 감소나 시신경 손상 초기 에서 보일 수 있는 소견입니다. 시세포층(Photoreceptor layer): 대체로 보존되어 있지만, 경계가 약간 흐릿한 부분 이 있어, 시야 흐림이나 중심 시력 저하 를 유발할 가능성이 있습니다. ➡️ 정리: 현재 심한 황반변성이나 망막박리 같은 질환은 보이지 않지만, 시신경 또는 황반 중심부의 기능 저하 초기 로 보입니다. 따라서 정기적인 경과 관찰 과 혈류 개선제 또는 안구 순환 개선 약물 복용이 도움이 됩니다. 🩺 왼쪽 눈 (L) 망막 두께: 오른쪽보다 약...

Why Are My Eyes Always Red? Causes, Treatments, and Prevention


Introduction

Red eyes are a common concern affecting millions of people worldwide. Whether it’s a minor irritation or a symptom of an underlying health condition, persistent eye redness can be both frustrating and worrisome. In this blog post, we will explore the various causes of red eyes, potential treatments, and effective prevention methods.


Common Causes of Red Eyes

1. Dry Eyes

One of the most frequent causes of eye redness is dry eye syndrome. When the eyes do not produce enough tears or when the tear film evaporates too quickly, it can lead to irritation, inflammation, and redness.

  • Common triggers: Prolonged screen time, aging, contact lens use, and environmental factors such as wind or dry air.

  • Symptoms: Burning sensation, itching, light sensitivity, and a gritty feeling in the eyes.

2. Allergies

Allergic reactions can cause the eyes to become red, itchy, and watery due to exposure to allergens like pollen, pet dander, dust mites, or mold.

  • Common triggers: Seasonal allergies, household allergens, and certain medications.

  • Symptoms: Sneezing, nasal congestion, swollen eyelids, and excessive tearing.

3. Eye Strain and Fatigue

Spending long hours staring at screens, reading, or driving without breaks can strain the eye muscles, leading to redness and discomfort.

  • Common triggers: Excessive screen time, reading in poor lighting, and prolonged focus without rest.

  • Symptoms: Blurry vision, headaches, and dry eyes.

4. Conjunctivitis (Pink Eye)

Conjunctivitis is the inflammation of the conjunctiva, the thin membrane covering the white part of the eye. It can be caused by viruses, bacteria, allergies, or irritants.

  • Common triggers: Viral infections (like the common cold), bacterial infections, and chemical irritants such as smoke or chlorine.

  • Symptoms: Redness, discharge, itching, swelling, and crusty eyelids in the morning.

5. Contact Lens Irritation

Improper use or prolonged wear of contact lenses can lead to eye redness and discomfort.

  • Common triggers: Sleeping with contact lenses, poor hygiene, and wearing lenses for extended periods.

  • Symptoms: Eye dryness, pain, blurred vision, and redness.

6. Subconjunctival Hemorrhage

A subconjunctival hemorrhage occurs when a small blood vessel in the eye bursts, causing a bright red patch on the sclera (white part of the eye). Though it looks alarming, it is usually harmless and resolves on its own.

  • Common triggers: Sneezing, coughing, heavy lifting, or eye trauma.

  • Symptoms: Bright red patch on the eye, no pain, and no vision problems.

7. Uveitis

Uveitis is inflammation of the uvea (middle layer of the eye) and can be caused by infections, autoimmune diseases, or trauma.

  • Common triggers: Autoimmune disorders, infections, and eye injuries.

  • Symptoms: Red eyes, eye pain, light sensitivity, and blurred vision.

8. Glaucoma

Glaucoma, particularly acute angle-closure glaucoma, can cause sudden eye redness accompanied by pain and vision disturbances. It is a medical emergency that requires immediate attention.

  • Common triggers: Increased intraocular pressure, genetic predisposition, and eye trauma.

  • Symptoms: Severe eye pain, nausea, blurred vision, and halos around lights.


How to Treat Red Eyes

1. Over-the-Counter Eye Drops

Lubricating eye drops (artificial tears) can help relieve dryness and irritation. Antihistamine drops may be useful for allergy-related redness.

2. Cold or Warm Compress

  • Cold compress: Helps reduce swelling and irritation from allergies or infections.

  • Warm compress: Useful for relieving symptoms of dry eye syndrome and blepharitis.

3. Reduce Screen Time

Follow the 20-20-20 rule: Every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

4. Improve Air Quality

Use a humidifier to maintain moisture levels in the air and avoid smoke or strong chemical fumes that may irritate the eyes.

5. Allergy Management

If allergies are the cause, try:

  • Using antihistamines

  • Keeping windows closed during high pollen seasons

  • Cleaning bedding frequently

6. Proper Contact Lens Care

  • Clean and disinfect lenses properly

  • Avoid sleeping in contact lenses

  • Replace lenses as recommended

7. Medical Treatment for Infections and Chronic Conditions

If redness is due to an infection like bacterial conjunctivitis, prescription antibiotic eye drops may be necessary. For chronic conditions like glaucoma or uveitis, a doctor may prescribe specialized medication or treatment.


Prevention Tips for Red Eyes

  1. Take Regular Breaks – Reduce eye strain by resting your eyes periodically during screen time or reading sessions.

  2. Stay Hydrated – Drink plenty of water to maintain tear production and prevent dry eyes.

  3. Use Protective Eyewear – Wear sunglasses to shield your eyes from UV rays and prevent irritation.

  4. Avoid Rubbing Your Eyes – This can introduce bacteria and worsen irritation.

  5. Follow Good Hygiene Practices – Wash hands regularly to prevent eye infections.

  6. Maintain a Healthy Diet – Omega-3 fatty acids, vitamin A, and antioxidants can support eye health.

  7. Get Regular Eye Checkups – Visit an eye doctor for routine examinations to detect any underlying issues early.


Conclusion

Persistent red eyes can be a nuisance and may indicate an underlying issue that needs attention. By understanding the common causes and implementing effective treatments and prevention strategies, you can keep your eyes healthy and comfortable. If redness persists or is accompanied by pain and vision changes, consult an eye care professional promptly.