Eye Discomfort: Heat vs. Cold Treatment and Symptoms Explained

My eyes have been feeling different lately?

Hello, doctor.
I have been working on a computer screen for a long time.
Should I use heat therapy or cold therapy? After applying heat, I notice that the redness in my eyes increases, while cold therapy seems to improve the dryness in my eyes.
Recently, I have noticed a prominent straight muscle appearing near the inner corner of my right eye.
Is this normal? (This is only in my right eye.) Additionally, the serrated lines in the iris of my right eye are very close to the pupil, which is also only in my right eye.
I am unsure why this is happening.
Lastly, sometimes when I close my eyes, I feel a sensation of swaying either side to side or up and down in my head.
What could be the reason for this? Thank you, doctor.

Awei, 30~39 year old female. Ask Date: 2018/12/05

Dr. Cai Wenyuan reply Ophthalmology

Hello, when you close your eyes, you may feel a sensation of swaying either side to side or up and down, which could indicate a balance issue.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2018/12/05

More Info

When it comes to managing eye discomfort, particularly for individuals who spend long hours in front of a computer screen, the choice between heat and cold treatment can significantly impact symptoms. Both methods have their benefits, and understanding when to use each can help alleviate discomfort effectively.

Heat Treatment:
Heat therapy, such as warm compresses or heat masks, is often recommended for conditions like dry eyes, blepharitis, or meibomian gland dysfunction. The warmth helps to increase blood circulation, relax the eye muscles, and promote the secretion of oils from the meibomian glands, which can improve tear quality and reduce dryness. However, as you mentioned, heat can sometimes cause blood vessels in the eyes to dilate, leading to more pronounced redness or "bloodshot" eyes. If you notice that heat exacerbates your symptoms, it may be best to limit its use or try a milder form of warmth, ensuring that the compress is not too hot.

Cold Treatment:
Cold therapy, on the other hand, is beneficial for reducing inflammation and soothing irritation. Ice packs or cold compresses can help alleviate symptoms of eye strain, fatigue, and puffiness. If you find that cold compresses improve your dryness and provide relief, it may be a better option for you, especially if heat exacerbates your symptoms. Cold therapy can constrict blood vessels, which may reduce redness and swelling, making it a suitable choice for acute discomfort.

Regarding the Visible Muscle and Iris Changes:
The noticeable muscle you mentioned near the inner corner of your right eye could be a result of several factors, including muscle tension or changes in the surrounding tissue. If this muscle prominence is new and accompanied by discomfort, it would be wise to consult with an eye care professional for a thorough examination.
As for the serrated lines in the iris, these could be normal anatomical variations or changes related to age or other factors. However, since you noted that this is only present in your right eye, it warrants further investigation by an ophthalmologist to rule out any underlying conditions.

The Sensation of Movement When Eyes Are Closed:
Experiencing a sensation of swaying or movement when your eyes are closed can be disconcerting. This phenomenon may be related to several factors, including vestibular issues, eye strain, or even anxiety. The vestibular system, which helps control balance, can sometimes misinterpret signals from the eyes, leading to sensations of movement. If this sensation persists or is accompanied by other symptoms such as dizziness or headaches, it is advisable to seek a comprehensive evaluation from a healthcare provider.

Conclusion:
In summary, both heat and cold treatments have their place in managing eye discomfort, and your personal experience should guide your choice. If you find that cold compresses alleviate your symptoms more effectively, it may be best to continue using them. Additionally, any new or concerning changes in your eyes, such as the visible muscle or changes in the iris, should be evaluated by an eye care professional. Lastly, if you continue to experience unusual sensations or discomfort, a thorough examination can help identify any underlying issues and guide appropriate treatment. Always prioritize your eye health and seek professional advice when in doubt.

Similar Q&A

Understanding Eye Discomfort: Causes and Solutions for Computer Users

Hello, doctor. I spend a lot of time in front of the computer and in air-conditioned rooms. In the morning, my eyes are usually fine, but by the afternoon, they start to feel uncomfortable. I experience a burning sensation, and sometimes my eyes suddenly become red. It often feel...

Dr. Feng Jiefan reply Ophthalmology
Hello: Based on your work habits, it seems you may be experiencing what is known as "computer vision syndrome." Prolonged exposure to an air-conditioned environment can reduce moisture in the eyes, and extended periods of computer use can lead to eye fatigue, resulting ...

Understanding Myopia, Glaucoma, and Eye Health Concerns

Hello, doctor. I am currently a junior in college, and my myopia is -9.50 in the left eye and -11.00 in the right eye, with astigmatism of -2.00 in both eyes. Recently, I suddenly experienced headaches and dizziness, along with eye pain. I visited an ophthalmologist who conducted...

Dr. Gao Pilin reply Ophthalmology
Hello: 1. A cold can potentially cause headaches and eye pain. During a cold, all bodily functions may be affected, including the eye's ability to focus, which could lead to conditions like conjunctivitis and blurred vision. 2. Laser treatment is possible, but many facto...

Managing Eye Pain and Discomfort: Effective Eye Drops and Tips

Hello Doctor, I am highly myopic (approximately -10.00 diopters) with mild amblyopia in one eye and some photophobia. Currently, I spend about 6 hours a day on the computer and around 3 hours on my smartphone (often until bedtime, and sometimes even in the dark). A few days ago, ...

Dr. Wang Zhishun reply Ophthalmology
Hello, Patidar is a medication for mild dry eye syndrome and does not cause pupil dilation. Additionally, you are using digital devices for too long, and it is best to avoid using them before bedtime. I recommend adjusting your eye usage habits first, and if you still experience ...

Understanding Eye Pain: Redness, Heat, and Visual Disturbances Explained

Hello Doctor: Recently, my eyes have been painful, hot, and red, especially around the corners. They often feel sore and gritty, and sometimes my vision becomes blurry and foggy. I frequently see light spots, and at times, I notice small black dots. I have visited the doctor twic...

Dr. Cai Wenyuan reply Ophthalmology
Hello, could this situation possibly be caused by hypoxia? However, I am not wearing contact lenses... so it should not be the case. I will observe for a few more days, and if there is no improvement, I will seek medical examination. Wishing you peace and health. Sincerely, Dr. T...