Eye Pain: Causes and Concerns for Your Symptoms - Ophthalmology

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Eye stabbing pain?


Hello doctor, for the past few days, I've been experiencing unexplained pain in my eyeball.
Upon inspection, I noticed many blood vessels and a dark spot on top of them.
I also have a condition of ingrown eyelashes.
Could you please tell me what this might be? Is it serious?

A Chun, 10~19 year old female. Ask Date: 2016/07/10

Dr. Gao Pilin reply Ophthalmology


A-Chun: It could be conjunctivitis, which may be due to an infection or inflammation caused by ingrown eyelashes irritating the conjunctiva.
I recommend that you see an ophthalmologist for an examination.
In Taiwan, the ophthalmology department at Puzi Hospital is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is necessary to seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Gao Pi-Lin.

Reply Date: 2016/07/10

More Info


Eye pain can be a distressing experience, and understanding its potential causes is crucial for effective management. Based on your description, it seems you are experiencing pain in your eyeball accompanied by visible blood vessels and a dark spot, along with a history of ingrown eyelashes (trichiasis). Let's break down the possible causes and concerns regarding your symptoms.


Potential Causes of Eye Pain
1. Conjunctival Hemorrhage: The presence of blood vessels and a dark spot could indicate a subconjunctival hemorrhage, which occurs when small blood vessels break under the conjunctiva (the clear membrane covering the white part of the eye). This condition is usually harmless and resolves on its own, but it can be alarming to see.

2. Irritation from Ingrown Eyelashes: Ingrown eyelashes can cause irritation and pain as they may rub against the eyeball, leading to inflammation and discomfort. This can also result in redness and swelling in the affected area.

3. Corneal Abrasion: If there is any scratching or damage to the cornea (the clear front surface of the eye), it can lead to significant pain, redness, and sensitivity to light. This could be exacerbated by the presence of ingrown eyelashes.

4. Infection or Inflammation: Conditions such as conjunctivitis (pink eye) or uveitis (inflammation of the middle layer of the eye) can also cause pain and redness. These conditions may require medical treatment.

5. Dry Eye Syndrome: If your eyes are not adequately lubricated, they can become dry and irritated, leading to pain and discomfort. This is especially common in individuals who spend long hours in front of screens.


Recommended Actions
Given your symptoms, it is essential to seek a comprehensive eye examination from an ophthalmologist. They can provide a thorough assessment to determine the exact cause of your eye pain and recommend appropriate treatment. Here are some steps you can take in the meantime:
1. Avoid Eye Strain: Reduce screen time and take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds.

2. Warm Compresses: Applying a warm compress to your eyes can help soothe irritation and may alleviate discomfort caused by ingrown eyelashes.

3. Artificial Tears: If you suspect dryness, using preservative-free artificial tears can provide relief. However, if these worsen your symptoms, discontinue use and consult your doctor.

4. Hygiene Practices: Ensure that you maintain good hygiene, especially if you wear contact lenses. Clean your lenses properly and avoid wearing them for extended periods.

5. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased pain, vision changes, or discharge, and report these to your healthcare provider.


Conclusion
Eye pain can stem from various causes, and while some may be benign, others could require medical intervention. Given your symptoms of pain, visible blood vessels, and a history of ingrown eyelashes, it is advisable to consult an eye care professional for a thorough evaluation. Early diagnosis and treatment can help prevent complications and ensure the health of your eyes. Remember, your vision is precious, and taking proactive steps to care for your eyes is essential for maintaining good ocular health.

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