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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Redness In Eyes With Apparent Black Dot Above The Cornea, Swollen Eyelids. What Could It Be?

On Friday evening I discovered a very small black dot that is visibly apparent. I didn t notice it until it became a constant aggravation for me. I believed it to be just typical foreign dust from work but tearing and flushing hasn t helped. My eye is red now and my eyelids swollen some. My only relief is to have my eye closed which is hard in itself because it makes my right eye desire to close as well. The dot doesn t appear to be anything that is puncturing the cornea but it does appear to be lying on top of it. I can see no shadow on the iris though. any ideas
Wed, 11 Jul 2012
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Ophthalmologist,  's  Response
Hi Mobster,
I know it's been a week since you have asked this question and I hope you are feeling better now.
I am answering this for you to avoid such situations in future.

Any obvious dark spot visible to eye or in the visual axis, may be
-simply an ocular melanosis ( mole in eye) noticed after an irritation / dust fall.
- or a dust particle causing canstant irritation,as you have mentioned.

The only difference being a dust particle doesn't sit quietly in an eye for a longer period but causes redness ,irritation with discomfort in opening and closing the eye.If left for a longer period a secondary infection is a possibility.
And some times just blinking in a bowl full of water/ handful of water will make them come out,if superficial. But it happens so that most of the times they is a need to get it removed under a slit lamp microscope by a trained person to avoid abrasions and a quicker relief.

So if there is a persistent irritation after a dust fall consult immediately without trying any home remedies.
I hope this helps.
Take care:).

I find this answer helpful
Ophthalmologist,  Dr. Vishwas Varma's  Response
yes it may be a iron particle /foreign body/insects wings../wooden particle..may get engrossed in cornea and a layer of cornea overgrown on it..get it examined by ophthalmologist..
I find this answer helpful
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Redness In Eyes With Apparent Black Dot Above The Cornea, Swollen Eyelids. What Could It Be?

Hi Mobster, I know it s been a week since you have asked this question and I hope you are feeling better now. I am answering this for you to avoid such situations in future. Any obvious dark spot visible to eye or in the visual axis, may be -simply an ocular melanosis ( mole in eye) noticed after an irritation / dust fall. - or a dust particle causing canstant irritation,as you have mentioned. The only difference being a dust particle doesn t sit quietly in an eye for a longer period but causes redness ,irritation with discomfort in opening and closing the eye.If left for a longer period a secondary infection is a possibility. And some times just blinking in a bowl full of water/ handful of water will make them come out,if superficial. But it happens so that most of the times they is a need to get it removed under a slit lamp microscope by a trained person to avoid abrasions and a quicker relief. So if there is a persistent irritation after a dust fall consult immediately without trying any home remedies. I hope this helps. Take care:).