How to address high intraocular pressure?
I would like to ask...
I experience elevated intraocular pressure about 2-3 times a year, but during my previous examinations at your clinic and at Linkou Chang Gung Memorial Hospital, my pressure was normal, and even the fundus photography showed no issues.
However, I still don't know what the problem is.
I mentioned to the doctor that whenever my intraocular pressure rises, my left eye starts to become blurry, and I experience sharp pain in the upper part of my right eye, sometimes accompanied by nausea.
The doctor suggested that it might be caused by migraines.
However, when I researched online, the symptoms seem very similar to those of elevated intraocular pressure...
Lily, 20~29 year old female. Ask Date: 2019/07/12
Dr. Cai Wenyuan reply Ophthalmology
Hello, high intraocular pressure accompanied by headaches and nausea is a symptom of acute angle-closure glaucoma, which is different from your condition.
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: 2019/07/12
More Info
High eye pressure, also known as ocular hypertension, can be a concerning issue, especially for individuals with a history of high myopia or other eye conditions. It is important to understand the symptoms, potential causes, and available solutions to manage this condition effectively.
Symptoms of High Eye Pressure
The symptoms associated with high eye pressure can vary from person to person. Common symptoms may include:
1. Blurred Vision: As you mentioned, experiencing blurred vision in one eye can be a sign of increased eye pressure. This can occur due to the stress on the optic nerve or changes in the eye's internal structure.
2. Pain or Discomfort: Pain around the eyes, particularly in the brow area or temples, can be indicative of high eye pressure. This discomfort may also be accompanied by headaches or a feeling of pressure in the eyes.
3. Nausea: In some cases, elevated eye pressure can lead to nausea or a feeling of sickness, particularly if the pressure is significantly high or if it is associated with acute conditions like angle-closure glaucoma.
4. Visual Disturbances: Symptoms such as seeing halos around lights or sudden flashes of light can also occur, particularly if there is an acute increase in pressure.
Potential Causes
While your eye pressure readings have been normal during some visits, fluctuations can occur due to various factors:
- Stress and Anxiety: Emotional stress can lead to temporary increases in eye pressure. If you feel anxious during eye examinations, this could potentially affect the readings.
- Eye Strain: Prolonged use of digital devices can lead to eye strain, which may mimic symptoms of high eye pressure. This is often referred to as digital eye strain or computer vision syndrome.
- Underlying Conditions: Conditions such as migraines or tension headaches can sometimes present with symptoms similar to those of high eye pressure. It is essential to differentiate between these conditions through proper evaluation.
Solutions and Management
1. Regular Eye Exams: It is crucial to have regular eye examinations to monitor your eye pressure and overall eye health. If you experience symptoms, do not hesitate to seek an earlier appointment with your eye care provider.
2. Medication: If your eye pressure is consistently high, your doctor may prescribe eye drops to help lower the pressure. These medications work by either decreasing the production of fluid in the eye or improving drainage.
3. Lifestyle Adjustments: Implementing lifestyle changes can help manage eye pressure. This includes taking regular breaks from screens (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds), ensuring proper lighting while reading or working, and maintaining a healthy diet rich in antioxidants.
4. Stress Management: Techniques such as mindfulness, meditation, or yoga can help reduce stress levels, potentially alleviating some symptoms associated with high eye pressure.
5. Follow-Up Care: If your symptoms persist or worsen, it may be necessary to undergo further testing, such as visual field tests or imaging of the optic nerve, to rule out conditions like glaucoma.
Conclusion
In summary, while high eye pressure can be concerning, understanding the symptoms and potential causes can help you manage the condition effectively. Regular check-ups with your eye care provider are essential, especially if you experience recurrent symptoms. If you have any doubts or if your symptoms escalate, do not hesitate to seek medical advice sooner than your scheduled appointment. Your eye health is paramount, and proactive management can help prevent potential complications.
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