Ear Pain from Eyeglasses: Causes and Solutions - Family Medicine

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Hello! Thank you for your inquiry regarding the discomfort you're experiencing with your new eyeglasses. It sounds like you're dealing with a few interconnected issues that could be causing the pain and redness around your ears. Let's break down your questions and provide some insights.

1) What could be causing the pain and redness?
The pain and redness you're experiencing where your eyeglasses contact your ears could be attributed to several factors. First, the fit of the eyeglasses is crucial. If the frames are too tight or improperly adjusted, they can exert excessive pressure on the skin and underlying tissues, leading to discomfort and inflammation. This is particularly common with new glasses, as they may not have been fitted to your face shape correctly. Additionally, if the material of the eyeglass frames is irritating your skin (for example, if you have a sensitivity to certain metals), this could also lead to localized redness and pain.

Another possibility is that the weight of the glasses is causing strain on the area around your ears, especially if the frames are heavier than your previous pair. This can lead to muscle tension and discomfort. Lastly, if you have any underlying conditions, such as allergies or skin sensitivities, these could exacerbate the symptoms.

2) What methods can improve the situation?
To alleviate the discomfort, consider the following steps:
- Adjust the Fit: Visit the optician where you purchased the glasses and ask for an adjustment. They can modify the temple arms and nose pads to ensure a more comfortable fit. A proper fit should distribute the weight of the glasses evenly across your nose and ears.

- Padding: If the frames are still uncomfortable after adjustments, consider using silicone ear pads or other soft padding materials that can be attached to the areas where the glasses make contact with your skin. This can help reduce pressure and friction.

- Material Consideration: If you suspect that the material of the frames is causing irritation, you might want to explore hypoallergenic options. Frames made from titanium or certain plastics are often less likely to cause skin reactions.

- Take Breaks: If you wear your glasses for extended periods, try to take breaks to relieve pressure on your ears. This can help reduce discomfort throughout the day.

3) Which specialist should you see?
If the pain and redness persist despite adjustments and home remedies, it would be wise to consult a healthcare professional. You can start with an Otolaryngologist (ENT specialist), as they can evaluate any underlying ear issues that may be contributing to your symptoms. If they determine that the problem is primarily related to the eyeglasses, they may refer you back to an optometrist or ophthalmologist for further evaluation of the fit and prescription of your glasses.

In summary, the discomfort you're experiencing is likely related to the fit and material of your new eyeglasses. Adjustments and padding can significantly improve your comfort, and if symptoms persist, seeking advice from an ENT specialist or your optometrist is recommended. Remember, it's essential to address these issues promptly to prevent further irritation or complications. Thank you for reaching out, and I hope you find relief soon!