Eye Pressure: Is 21 Too High and Could Sinusitis Cause Dizziness? - Ophthalmology

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Intraocular pressure issues?


Hello, Doctor: Last year I had an eye pressure check at the ophthalmologist, and both of my eyes measured 21.
I asked the doctor if that was too high, and he said it was normal.
He also used a device similar to a flashlight to examine the inside of my eyes for a while and said everything looked fine.
However, I've heard that a pressure of 21 is considered high by many people, and I really feel scared.
Recently, I've been feeling a bit dizzy, but it's not severe.
Additionally, I have some symptoms of sinusitis.
Could my dizziness be related to the sinusitis?

Wang Tongxue, 20~29 year old female. Ask Date: 2017/03/31

Dr. Cai Wenyuan reply Ophthalmology


Hello, dizziness should not be related to intraocular pressure.
Wishing you peace and health.
Sincerely, Dr.
Tsai Wen-Yuan, Chief of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/03/31

More Info


When it comes to understanding eye pressure, particularly in the context of your reported eye pressure of 21 mmHg, it’s important to clarify what constitutes normal versus elevated eye pressure. The normal range for intraocular pressure (IOP) is typically considered to be between 10 and 21 mmHg. Therefore, an IOP of 21 mmHg is on the upper limit of normal. However, it is crucial to note that individual factors such as corneal thickness, age, and overall eye health can influence what is considered "normal" for you.
Your eye doctor has assessed your eye pressure and indicated that it is within a normal range for your situation. The use of a flashlight-like device, likely a slit lamp, allows the doctor to examine the internal structures of your eyes, which is essential in determining the health of your eyes and ruling out conditions such as glaucoma. If your doctor has not expressed concern over your eye pressure or the health of your eyes, it is reasonable to trust their assessment.

Regarding your experience of dizziness, it is unlikely that elevated eye pressure is the direct cause of this symptom. Dizziness can arise from various factors, and in your case, you mentioned having symptoms of sinusitis. Sinusitis, or inflammation of the sinus cavities, can indeed lead to dizziness. This occurs because the sinuses are located near the inner ear, which plays a crucial role in balance. When the sinuses are inflamed or congested, it can affect the inner ear's function, leading to sensations of dizziness or lightheadedness.

In summary, while your eye pressure of 21 mmHg is at the higher end of normal, it is not necessarily a cause for alarm, especially if your eye doctor has not indicated any issues. On the other hand, your dizziness is more likely related to your sinusitis rather than your eye pressure. If your symptoms persist or worsen, it would be advisable to follow up with your healthcare provider for further evaluation and management of your sinusitis and any associated symptoms.

In addition, if you have concerns about your eye health or pressure, regular check-ups with your eye care professional are essential. They can monitor your eye pressure over time and assess any changes that may occur. If you experience new symptoms, such as significant changes in vision, persistent headaches, or increased dizziness, it is crucial to seek medical attention promptly.
Overall, maintaining open communication with your healthcare providers about your symptoms and concerns will help ensure that you receive appropriate care and management for both your eye health and any other health issues you may be experiencing.

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