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Why Are My Eyes Always Red?

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A tired adult sits at a desk by a window, rubbing their red eye while looking at a laptop. Glasses rest on their head.

Key Takeaways

  • Redness can be caused by many factors, so getting an eye exam is an important step to determining what may be wrong.
  • Environmental irritants can dry out your eyes quickly, and allergies can also cause redness.
  • There are medical conditions that cause redness that can require prompt evaluation by an eye care professional.
  • Overusing redness drops can sometimes contribute to the problem instead of helping.
  • There is targeted therapy to help bring longer-lasting visual comfort.

If your eyes always feel red and irritated, you’re probably wondering what could be causing it. Maybe you’ve even tried a few at-home treatments or redness-relief eye drops, but nothing seems to work. The redness you see can happen when tiny blood vessels on your eye surface expand and fill with blood, and our team at Cherry Creek Eye Physicians and Surgeons can help you figure out what may be going on.

Your eyes can look red for a few reasons, including environmental triggers, allergies, or underlying medical conditions that can irritate the sensitive tissues. If you’ve been dealing with redness for a little while, it’s a good idea to book a comprehensive eye exam to figure out what may be going on and protect your vision.

Common Causes of Bloodshot Eyes

Daily habits and environmental settings play a major role in your visual comfort. You might notice your eyes look a little red after a long day at the office or a windy afternoon outside. Environmental irritants such as wind and smoke, along with prolonged screen use, can disrupt your natural tear film and contribute to redness.

If you find that the redness gets worse or begins after you use screens, try the 20-20-20 rule. Every 20 minutes, look at something 20 feet away for 20 seconds. This can help rest your eyes and may help you feel more comfortable by the end of the day.

Seasonal Allergies

Trees, weeds, and flowers release tiny particles into the air, sometimes year-round, but often during spring and fall. These seasonal changes can trigger allergic reactions that cause red, itchy eyes, tearing, and a runny nose.

If you notice this, don’t rub your eyes. Try allergy eye drops, or close your windows on high-pollen days. Keeping your bedding and pillows clean from pet dander can also help reduce allergic reactions.

Dry Eye

A healthy tear film coats your eye surface evenly to maintain clear, comfortable vision. But if your tear film is disrupted, it can lead to red, scratchy, and gritty eyes, almost like there’s a grain of sand stuck in them.

Dry eye is usually caused by a combination of factors, and treatment depends on the underlying cause. An eye doctor can recommend therapies that help improve comfort and support a healthier tear film. If you’ve been trying to manage dry eye symptoms on your own, our team can evaluate your specific symptoms and recommend a treatment plan tailored to you.

Medical Conditions Behind Eye Redness

Sometimes, red eyes can point to a specific health issue rather than dryness or an allergy. If you’re concerned about your symptoms, it’s a good idea to come see our team so we can assess your eyes and make a proper diagnosis.

Contagious Pink Eye

Conjunctivitis is inflammation of the conjunctiva, the thin, transparent membrane that covers the white of the eye and lines the inside of the eyelids. There are a few types of conjunctivitis, but viral or bacterial conjunctivitis is contagious and requires careful hygiene to prevent transmission between family members.

If you notice these symptoms, schedule an eye exam to determine whether your conjunctivitis is viral, bacterial, or caused by allergies so you can receive the most appropriate care:

  • Gritty, red eyes
  • Thick green discharge forms crusts on your eyelashes (more common with bacterial)
  • You notice clear, watery discharge coming from your eyes (more common with viral)
  • Sensitivity to light

If this sounds familiar, avoid touching your eyes and wash your hands frequently to help reduce the spread of infection.

Broken Blood Vessels

A subconjunctival hemorrhage is the medical term for a burst blood vessel in the eye. This can happen after coughing, sneezing, heavy lifting, rubbing the eye, minor trauma, or sometimes for no obvious reason. This issue may look alarming, but it rarely affects your ability to see clearly.

Generally, the blood vessels will clear on their own within a few weeks, but if it persists or is accompanied by vision changes or severe pain, seek prompt eye care.

Signs You Should Seek Emergency Eye Care

You should never ignore severe symptoms that accompany red eyes. Certain changes may indicate deeper problems that need immediate attention from an eye doctor.

Pain and Vision Changes

There are signs that it may be time to seek prompt eye care. These can include:

  • Persistent or severe pain or discomfort
  • Intense, persistent inflammation
  • Blurry or haloed vision
  • A sudden new flash of floaters or spots
  • Any changes in vision
  • Intense sensitivity to bright light

These symptoms can be associated with serious eye conditions such as corneal ulcers, acute glaucoma, severe inflammation, or retinal problems, so prompt eye care is important for preserving your sight.

A concerned adult in a bathroom looks into a mirror, using a finger to pull down the skin below their left eye, which is visibly red.

Reasons Redness Stays Constant

You might wonder why the redness never seems to fade away despite trying home care, and there are a few potential causes to be aware of.

Rebound Effect from Redness Relief Drops

Some people with redness might reach for over-the-counter “redness relief” eye drops to reduce the look of redness in their eyes. While it may seem like you’re helping, these products can cause rebound redness, where the blood vessels become dilated again after the medication wears off, making the eyes appear even redder over time.

This can happen because redness drops temporarily restrict your surface blood vessels, but they expand larger when the drops wear off. Some people notice the redness seems to have worsened, so they put more drops in, creating an unintended cycle. If you use redness drops, it may be a good idea to talk to your eye doctor about other options.

Unresolved Long-Term Issues

Your home environment and personal health history can impact your overall eye health and comfort. Here are a few potential causes of redness that doesn’t seem to fade:

  • Certain autoimmune conditions can contribute to inflammation on your eye’s surface
  • Persistent dry air in your home can contribute to dry eye
  • Wearing the wrong contact lenses or practicing improper contact lens care can increase your risk of eye irritation

Professional Solutions

Our eye care team can assess your eyes and recommend a clear path moving forward. This could look like offering you a heated eye mask, preservative-free eye drops for dry eye care, or tips on proper eyelid hygiene.

In some cases, our team may recommend more targeted therapies for longer-lasting relief, such as intense pulsed light (IPL) therapy. This in-office treatment uses carefully controlled pulses of light to reduce inflammation around the eyelids and improve the function of the oil-producing meibomian glands, helping support a healthier tear film.

Schedule Your Visit Today

If you’ve been experiencing red, uncomfortable eyes, our team at Cherry Creek Eye Physicians and Surgeons wants you to know that you don’t have to manage this alone. We can assess your symptoms and help you find longer-lasting relief. Book your appointment today.

Written by Stuart Lewis, M.D., F.A.C.S., Rachel Lewis, O.D., & Tammy Gray, O.D.

Stuart Lewis, M.D., F.A.C.S.

Dr. Stuart Lewis moved to Denver in 1979 after receiving his Bachelor of Arts in neurobiology and behavior from Cornell University in 1974, earning his Doctor of Medicine from George Washington University in 1978 and completing an internal medicine internship at Northwestern University in 1979. At the conclusion of his ophthalmology residency at the University of Colorado in 1982, he entered private practice.

Dr. Lewis was board-certified by the American Board of Ophthalmology in 1983 and was elected to be a Fellow and Diplomat of the American Academy of Ophthalmology in 1984. In 2018, he was selected as a Lifetime Member of the American Academy of Ophthalmology.

Dr. Lewis has been an active community member in Denver, having built the Cherry Creek Eye Center in 1985, one of the first inclusive Eye facilities in Denver, and created Cherry Creek Eye Physicians & Surgeons, P.C. He has served on various boards, including the Investigational Research Review Board at Rose Medical Center, and was an original board member at Harvard Park Surgical Center.

Dr. Lewis served at least 2 terms as Chairman of the Department of Ophthalmology at Rose Medical Center. He also holds a position as Assistant Clinical Professor in the Department of Ophthalmology at the University of Colorado eye residency program and was a Visiting Professor of Ophthalmology at the Elias Santana Hospital in the Dominican Republic.

In 2018, Cherry Creek Eye Physicians and Surgeons, P.C. was listed as the 36th highest-rated business in Colorado based on patient reviews by “Top Rated.” Dr. Lewis is an active alpine and cross-country skier, bicyclist, and golfer. He also enjoys travel, birding, bridge, and opera.

Rachel Lewis, O.D.

Dr. Rachel Lewis is a highly skilled optometrist contributing her passion for eye care and a wealth of experience to Cherry Creek Eye Physicians & Surgeons, P.C.

Dr. Lewis earned her Doctor of Optometry degree from New England College of Optometry in Boston, MA. Before pursuing her optometry degree, she completed a Pre-Health Post Baccalaureate Program at New York University and University of Colorado Denver. She holds a Bachelor of Arts in Political Science from Amherst College and spent time studying abroad at Université de Grenoble in France.

Her area of practice is comprehensive primary eye care, with a focus in ocular surface diseases such as dry eye and keratoconus. Her practice also includes contact lens services (specialty, multifocal and soft contact lens fittings), myopia control, glaucoma management, pre-operative evaluations and post-operative care for a wide range of procedures.

Dr. Lewis is deeply committed to public service and has volunteered her expertise at the Colorado Coalition for the Homeless, Stout Street Eye Clinic. She has also traveled to Honduras on a medical mission trip to provide primary care services and eyeglasses to underserved communities.

Outside of her practice, Dr. Lewis enjoys spending time with her husband and children. She takes advantage of the Colorado lifestyle as much as possible with outdoor activities including skiing, camping, tennis and golf. She is also passionate about experiencing other cultures through travel and cuisine.

Whether you are seeking routine eye exams, specialized contact lens fittings, or the management of complex ocular conditions, Dr. Lewis is here to help.

Tammy Gray, O.D.

Dr. Tammy Gray has been a key member of the Cherry Creek Eye Physicians & Surgeons team since 2012 and has practiced in Colorado since 2008. Her blend of professionalism and personal warmth makes her a valued member of our team and community.

After earning her Doctor of Optometry degree from the New England College of Optometry in Boston, MA, in 2006, Dr. Gray honed her skills with a residency in Ocular Disease and Surgical Co-Management at Eye Care Associates of Nevada. Her journey into optometry was built on a solid foundation with a Bachelor of Science degree in Microbiology from Colorado State University in Fort Collins, CO.

Dr. Gray is passionate about providing comprehensive primary eye care, focusing on anterior segment diseases, like keratoconus and dry eye, and fitting scleral contact lenses.

Outside the office, Dr. Gray loves spending quality time with her husband, son, and extended family. She’s a supportive sports mom, cheering on her son at his sporting events, and relishes the joy of movies, live theatre, reading, and exploring new places through travel.

More Articles By Stuart Lewis, M.D., F.A.C.S., Rachel Lewis, O.D., & Tammy Gray, O.D.
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