Why Do I Hear Sounds When Moving My Eyes Side to Side? - Ophthalmology

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Hearing sounds when moving the eyes side to side?


Hello Doctor: I have noticed that when I move my eyes to the left and right, I hear a "crackling sound" in my ears.
I tested moving my eyes up and down, and there is no sound.
I have myopia of about 800 degrees and astigmatism, and I usually wear glasses.
This sound has been persistent for a while, and I'm not sure if it's an eye issue or something else.
Thank you.

Ms. Li, 40~49 year old female. Ask Date: 2021/05/04

Dr. Gao Pilin reply Ophthalmology


Hello Ms.
Li: The sound you may be hearing could be due to muscle movement and tissue friction, which is normal.
At the E-Hospital in Puzi, Taiwan, the ophthalmology department is open on Monday, Tuesday, Thursday, and Friday mornings from 8:00 AM to 12:00 PM, and on Wednesday afternoons from 2:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to visit a medical facility for proper evaluation.
I hope to have the opportunity to serve you.
Sincerely, Gao Pilin.

Reply Date: 2021/05/04

More Info


Hearing sounds, such as a "shushing" or "rustling" noise, when moving your eyes side to side can be perplexing and concerning. This phenomenon may be related to several factors, including the anatomy of the ear, the vestibular system, and the interaction between auditory and visual stimuli.

Firstly, it’s important to understand that the ear is not just responsible for hearing; it also plays a crucial role in balance and spatial orientation. The inner ear contains structures known as the vestibular system, which helps the body maintain balance and coordinate movement. When you move your eyes, especially side to side, the vestibular system may be activated, and this can sometimes lead to auditory sensations. The movement of the eyes can create pressure changes or fluid movement within the inner ear, which might be perceived as sound.

Additionally, the sounds you hear could be related to the Eustachian tube, which connects the middle ear to the back of the throat. This tube helps equalize pressure in the ear. When you move your head or eyes, changes in pressure might cause sounds to be transmitted differently, leading to the perception of noise. If there is any dysfunction in the Eustachian tube, such as blockage or inflammation, it could exacerbate this phenomenon.

Another possibility is that the sounds are related to muscle contractions or movements in the area surrounding the ear. The muscles that control eye movement are closely linked to the muscles in the neck and jaw. When you move your eyes, these muscles may contract, creating sounds that are transmitted to the ear. This is particularly plausible if you are experiencing tension or strain in these areas, which can be common in individuals with high levels of stress or those who spend long hours in front of screens.

Given that you have a history of myopia (nearsightedness) and astigmatism, it’s also worth considering whether eye strain could be contributing to your symptoms. Prolonged periods of focusing on close objects can lead to eye fatigue, which may manifest in various ways, including visual disturbances or auditory sensations.

While these explanations may provide some insight into your experience, it is crucial to consult with a healthcare professional, particularly an ear, nose, and throat (ENT) specialist or an audiologist. They can conduct a thorough examination, including hearing tests and possibly imaging studies, to rule out any underlying conditions that may be contributing to your symptoms.
In summary, the sounds you hear when moving your eyes side to side could be related to the vestibular system's response, pressure changes in the ear, muscle contractions, or even eye strain. While these are generally benign phenomena, it is essential to seek professional evaluation to ensure there are no significant underlying issues. If the sounds persist or worsen, or if you experience any additional symptoms such as dizziness, hearing loss, or pain, it is advisable to seek medical attention promptly.

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