Unexplained Tube-Like Sensation in Left Eye: Causes and Solutions

Q: Unexplained Tube-Like Sensation in Left Eye: Causes and Solutions

Hello Ruky： 1. It is important to continuously monitor intraocular pressure in ophthalmology. 2. For fascial issues, you may want to consult a rehabilitation specialist. When bending down, fascial problems may cause sensations in the eyes. Therefore, it is adv

An unidentified tubular structure in the left orbit compressing the eyeball?

Hello, doctor.
Recently, I've been experiencing a persistent foreign body sensation in the left eye socket for the past few weeks.
It feels similar to a tubular structure (when I touch the area around the eye socket, it feels like a blood vessel).
I'm unsure if it's a blood vessel or a tear duct.
When I bend down to read or turn my neck, it feels like my eye is being constricted.
Additionally, I have a tendency for elevated intraocular pressure, and whenever my eye pressure rises, I feel discomfort from that unidentified object pressing against me.
I also have myofascial issues, with the fascia in my body being compressed to the left, and I'm currently undergoing treatment for that.
I'm wondering if there is a connection.
Do you think the cause is related to my assumptions? If so, which specialty should I consult? I believe ophthalmology focuses on the internal structures of the eye.
Additionally, earlier this year, I had some out-of-pocket tests done at a clinic due to experiencing floaters, and the main findings were: 1.
Axial length of both eyes is 25.4 mm.
2.
Left eye optic nerve head is cupped.
3.
High risk for glaucoma due to tendency for elevated intraocular pressure.
Thank you for your reference.

Ruky, 20~29 year old female. Ask Date: 2021/06/28

Dr. Gao Pilin reply Ophthalmology

Hello Ruky: 1.
It is important to continuously monitor intraocular pressure in ophthalmology.
2.
For fascial issues, you may want to consult a rehabilitation specialist.
When bending down, fascial problems may cause sensations in the eyes.
Therefore, it is advisable to avoid positions that require looking down as much as possible.
Online responses should only be considered as references; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to assist you.
Best regards, Gao Pi-Lin.

Reply Date: 2021/06/28

More Info

The sensation of a tube-like feeling in the left eye, especially when accompanied by discomfort during head movements or reading, can be concerning and warrants further investigation. Given your history of elevated intraocular pressure and the presence of floaters, it is essential to consider various potential causes for your symptoms.

Firstly, the sensation you describe could be related to several ocular or periocular conditions. One possibility is that it may be linked to the anatomy of the eye and surrounding structures. The eye is surrounded by various tissues, including muscles, nerves, and blood vessels. If there is any swelling or inflammation in these areas, it could create a sensation of pressure or a feeling of something being "in the way." This could be exacerbated by your existing musculoskeletal issues, particularly if there is tension or tightness in the fascia around the eye and face.

Another potential cause could be related to the tear drainage system. The nasolacrimal duct, which drains tears from the eye into the nasal cavity, runs close to the eye and could potentially cause sensations if there is any obstruction or inflammation. However, this is less likely to cause the specific sensations you describe unless there is a significant issue.

Additionally, your history of high intraocular pressure raises the possibility of glaucoma. While glaucoma typically presents with peripheral vision loss, it can also cause discomfort or unusual sensations in the eye. The fact that you experience discomfort when your eye pressure is elevated suggests that monitoring and managing your intraocular pressure is crucial.

Given your symptoms and medical history, it would be advisable to consult with an ophthalmologist, who specializes in eye health. They can perform a comprehensive eye examination, including checking your intraocular pressure, assessing the optic nerve, and evaluating the overall health of your eyes. If necessary, they may refer you to a specialist in ocular surface disease or a neuro-ophthalmologist if they suspect that your symptoms may be related to neurological issues.

In the meantime, it is essential to manage any underlying conditions that could contribute to your symptoms. This includes maintaining regular follow-ups for your eye pressure and addressing any musculoskeletal issues with your healthcare provider. Physical therapy or other treatments for your fascial tension may also help alleviate some of the discomfort you are experiencing.

In summary, the tube-like sensation in your left eye could be multifactorial, potentially involving anatomical, ocular, or musculoskeletal components. A thorough evaluation by an ophthalmologist is crucial to determine the underlying cause and appropriate management. Regular monitoring of your eye health, especially given your risk factors for glaucoma, is essential to prevent any long-term complications.

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