Eye problems
I would like to ask about a recent experience where sometimes when I yawn with my eyes open, I feel a sensation, specifically a pressure in the lower half of my lower eyelid (the upper half feels fine).
This sensation lasts until the yawn is finished and then disappears within a second.
However, if I yawn with my eyes closed, I do not experience this sensation.
What could this issue be?
Xiao Xiao, 20~29 year old female. Ask Date: 2019/04/25
Dr. Cai Wenyuan reply Ophthalmology
Hello, it should be fine to observe.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2019/04/25
More Info
Yawning is a natural physiological response that can sometimes lead to various sensations in the eyes, including discomfort or pressure. The sensation you describe, particularly the feeling of pressure in the lower eyelid area when yawning with your eyes open, can be attributed to several factors.
Possible Causes of Eye Discomfort During Yawning
1. Muscle Contraction: Yawning involves the contraction of several facial muscles, including those around the eyes. When you yawn with your eyes open, the muscles around your eyes, particularly the orbicularis oculi, may contract more forcefully, leading to a sensation of pressure or discomfort in the lower eyelid area.
2. Tear Film Distribution: Yawning can also affect the tear film on the surface of your eyes. When you yawn, your eyes may momentarily dry out, especially if you are not blinking. This can lead to a sensation of discomfort or pressure as the tear film is disrupted. Closing your eyes while yawning allows for better tear distribution, which is why you do not experience the same discomfort.
3. Sinus Pressure: The sinuses are located near the eyes, and yawning can sometimes create pressure changes in the sinus cavities. If there is any congestion or inflammation in the sinuses, this can lead to a sensation of pressure in the eyes, particularly in the lower eyelid area.
4. Eye Strain: If you have been using your eyes for extended periods, such as reading or staring at screens, you may experience eye strain. This strain can be exacerbated by yawning, leading to discomfort in the eye area.
5. Nerve Sensitivity: The trigeminal nerve, which is responsible for sensation in the face, including the eyes, may be more sensitive during yawning. This sensitivity can lead to unusual sensations, including pressure or discomfort.
Solutions and Recommendations
1. Blink More Frequently: If you find that your eyes feel dry or uncomfortable when yawning, try to consciously blink more often, especially when you are using screens or reading for long periods. This will help keep your eyes lubricated.
2. Stay Hydrated: Dehydration can contribute to dry eyes. Ensure you are drinking enough water throughout the day to maintain proper hydration levels.
3. Take Breaks: If you are engaging in activities that require prolonged focus, such as reading or using a computer, take regular breaks to rest your eyes. The 20-20-20 rule is a good guideline: every 20 minutes, look at something 20 feet away for at least 20 seconds.
4. Warm Compress: If you experience discomfort, applying a warm compress to your eyes can help relax the muscles and improve blood circulation, which may alleviate the sensation of pressure.
5. Consult an Eye Care Professional: If the sensation persists or worsens, it is advisable to consult an eye care professional. They can perform a thorough examination to rule out any underlying conditions, such as dry eye syndrome or sinus issues.
In conclusion, the sensation of pressure in your lower eyelid when yawning with your eyes open is likely a benign phenomenon related to muscle contraction, tear film distribution, or sinus pressure. By taking preventive measures and ensuring proper eye care, you can minimize discomfort and maintain eye health. If symptoms persist, seeking professional advice is always a prudent course of action.
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