Sudden Eye Pain: Causes and Remedies - Ophthalmology

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Eye stinging?


Hello Doctor: I would like to ask about an issue I've been experiencing.
For the past couple of days, around dusk, I suddenly feel a sharp pain in one eye, which turns red for a few minutes (about three minutes) and then returns to normal, leaving a few faint red streaks.
What could this problem be? It feels like a needle prick, making it difficult to open my eye, and I shed one or two tears.
I also experience this upon waking up.
Do I need to use any eye drops? Sometimes, when an eyelash gets into my eye, could that cause the sudden sharp pain and redness that resolves quickly? I appreciate your help, thank you.

Amy, 20~29 year old female. Ask Date: 2020/01/14

Dr. Gao Pilin reply Ophthalmology


Hello Amy: In general, this situation is mostly just a temporary conjunctival irritation and congestion, and there is no need to use eye drops.
If an eyelash has fallen in, you can wait for tears to wash it out, or gently remove it using a mirror; there is no need for eye drops in this case either.
Unless the pain persists, you should seek medical attention.
The Ophthalmology Department at Puzi Hospital in Taiwan is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and Wednesday afternoons from 2:00 PM to 4:30 PM.
Online responses should only be used as a reference; if necessary, you should visit a medical facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/01/14

More Info


Sudden eye pain can be a concerning symptom, and understanding its potential causes and remedies is crucial for maintaining eye health. Based on the symptoms you've described—sudden sharp pain, redness, and tearing—it is important to consider several factors that could be contributing to your discomfort.


Possible Causes of Sudden Eye Pain
1. Foreign Body Sensation: One common cause of sudden eye pain is the presence of a foreign object, such as an eyelash or debris, in the eye. This can lead to irritation, redness, and tearing as the eye attempts to flush out the irritant. If you suspect that a foreign body might be the cause, it is essential to avoid rubbing your eye, as this can exacerbate the irritation.

2. Dry Eye Syndrome: Prolonged use of digital devices can lead to dry eyes, which may cause discomfort and sudden pain. Symptoms of dry eye include a gritty sensation, redness, and tearing. If your eyes are not producing enough tears or if the tears evaporate too quickly, you may experience sudden pain.

3. Allergic Reactions: Allergies can cause sudden eye pain, redness, and tearing. If you have a history of allergies, exposure to allergens such as pollen, dust, or pet dander could trigger these symptoms.

4. Conjunctivitis (Pink Eye): Inflammation of the conjunctiva can lead to redness, tearing, and discomfort. This condition can be caused by infections (viral or bacterial) or allergies.

5. Corneal Abrasion: A scratch on the surface of the cornea can cause sharp pain, tearing, and sensitivity to light. This can happen due to accidental injury or foreign bodies in the eye.

6. Intraocular Pressure Changes: Sudden changes in intraocular pressure, such as in glaucoma, can cause pain and redness. However, this is usually accompanied by other symptoms, such as blurred vision or halos around lights.


When to Seek Medical Attention
Given the potential causes, it is advisable to seek medical attention if:
- The pain persists or worsens.

- You experience changes in vision, such as blurriness or loss of vision.

- There is significant redness or swelling.

- You suspect a foreign body is lodged in your eye.

- You have a history of eye conditions or recent eye surgery.


Remedies and Management
1. Artificial Tears: If dry eyes are suspected, using preservative-free artificial tears can help lubricate the eyes and alleviate discomfort. However, if these exacerbate your symptoms, discontinue use and consult a healthcare professional.

2. Cold Compress: Applying a cold compress to the affected eye can help reduce redness and soothe irritation.

3. Avoid Rubbing: Rubbing your eyes can worsen irritation and lead to further complications. If you feel an object in your eye, try to flush it out with clean water or saline solution.

4. Allergy Management: If allergies are suspected, over-the-counter antihistamine eye drops may provide relief.
5. Consult an Eye Care Professional: If symptoms persist or worsen, it is crucial to see an eye care professional for a comprehensive examination. They can provide a proper diagnosis and treatment plan tailored to your specific condition.


Conclusion
In summary, sudden eye pain can arise from various causes, including foreign bodies, dry eyes, allergies, conjunctivitis, and corneal abrasions. While some cases may resolve on their own, persistent or severe symptoms warrant a visit to an eye care professional. Taking preventive measures, such as reducing screen time and using lubricating eye drops, can also help maintain eye health. Always prioritize your eye health and seek professional advice when in doubt.

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