Eye Pressure: Self-Assessment and Inflammation Concerns - Ophthalmology

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I have been experiencing inflammation recently. I haven't measured my intraocular pressure, but I have checked it by touch?


Hello, Doctor.
I recently came across an online article discussing how to measure intraocular pressure by oneself.
I have been quite fearful of glaucoma, so I have been pressing on my eyes.
I learned that pressing is not advisable, but I still have a habitual tendency to do it.
I pressed a bit hard, and it was painful; I also felt that my eyeballs were slightly hard.
I am a long-term computer user, spending at least 8 hours a day in front of the screen.
Whenever I look at the computer, my eyes feel stiff.
I do not have any symptoms of elevated intraocular pressure complications.
After sleeping, my eyeballs still feel a bit hard the next day, but not as hard as before.
I have been using "Xinghui Dilong," an anti-inflammatory eye drop, and I wonder if it could be causing this.
I also cannot apply warm compresses due to the inflammation.
I don't often speak up, so I apologize for not being very detailed in my writing.
Thank you for your understanding.

13-sui de xiao nan hai, 10~19 year old female. Ask Date: 2017/08/13

Dr. Cai Wenyuan reply Ophthalmology


Hello, do not press on your eyes randomly; if there are any issues, seek medical examination.

Reply Date: 2017/08/13

More Info


Understanding eye pressure and its implications is crucial, especially for individuals concerned about conditions like glaucoma. Self-assessment of eye pressure can be misleading and potentially harmful. The act of pressing on the eye can lead to discomfort and may not provide an accurate representation of intraocular pressure (IOP). It is essential to understand that the eye is a delicate organ, and any self-testing should be approached with caution.

Firstly, it's important to clarify that the sensation of pressure or hardness in the eye can be influenced by several factors, including prolonged screen time. As a long-term computer user, you may experience eye strain, which can lead to symptoms such as discomfort, dryness, and a feeling of heaviness or pressure in the eyes. This condition is often referred to as digital eye strain or computer vision syndrome. Symptoms can include blurred vision, dry eyes, and headaches, but these do not necessarily correlate with elevated eye pressure.

Regarding your use of "杏輝滴朗" (likely a topical anti-inflammatory eye drop), it is essential to follow your doctor's advice on its use. While anti-inflammatory drops can help with inflammation, they may also have side effects, including potential impacts on eye pressure. If you are experiencing discomfort or unusual sensations in your eyes, it is advisable to consult your eye care professional for a thorough examination rather than relying on self-assessment.

In terms of eye pressure, normal IOP typically ranges from 10 to 21 mmHg. Pressures above this range can indicate a risk for glaucoma, but it is not the sole determining factor. Other aspects, such as the health of the optic nerve and visual field tests, are critical in diagnosing glaucoma. If your eye pressure readings are consistently in the 20s, it is essential to monitor them regularly and discuss any concerns with your ophthalmologist.

The feeling of your eyes being "hard" or "bulging" can also be attributed to inflammation or other ocular conditions rather than solely elevated IOP. Inflammation can lead to discomfort and changes in the eye's structure, which may mimic the sensation of increased pressure. If you notice persistent symptoms, such as pain, significant changes in vision, or increased sensitivity to light, it is crucial to seek immediate medical attention.

Additionally, if you are experiencing symptoms like tearing or sensitivity to wind, these may be related to dry eye syndrome or other ocular surface issues rather than directly linked to eye pressure. Dry eyes can cause discomfort and may lead to increased tearing as the eyes attempt to compensate for the lack of moisture. This condition can be exacerbated by prolonged screen time, environmental factors, and certain medications.

In summary, while self-assessing eye pressure may seem appealing, it is not a reliable method and can lead to unnecessary anxiety or misinterpretation of symptoms. It is always best to consult with a qualified eye care professional who can provide accurate measurements and a comprehensive evaluation of your eye health. Regular eye exams are essential, especially if you have a family history of glaucoma or other eye conditions. Maintaining good eye health involves not only monitoring IOP but also addressing any symptoms of discomfort or strain, ensuring proper hydration, and taking breaks during prolonged screen use.

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