Facial Pain When Closing Eyes: Possible Causes and Solutions - Neurology

More Info

---

Facial pain, particularly when closing the eyes, can be quite distressing and may stem from a variety of underlying causes. Based on your description, the pain localized to the left cheek near the nose, which intensifies with eye closure or rubbing, suggests a few potential issues that could be at play.

1. Sinusitis: One common cause of facial pain, especially around the nose and cheeks, is sinusitis. This condition occurs when the sinus cavities become inflamed, often due to infection or allergies. The pressure from the inflamed sinuses can lead to pain that may worsen when you close your eyes or apply pressure to the area.

2. Eye Strain and Dryness: Given your mention of wearing contact lenses for extended periods, it's possible that you are experiencing eye strain or dryness. Prolonged use of contact lenses can lead to dry eyes, which can cause discomfort and may contribute to facial pain. The muscles around the eyes may become fatigued, leading to referred pain in the facial region.

3. Nerve Irritation: Another possibility is irritation of the trigeminal nerve, which is responsible for sensation in the face. Conditions such as trigeminal neuralgia can cause sharp, shooting pain in the facial area, particularly when engaging in activities that involve the eyes or facial muscles.

4. Muscle Tension: Tension in the facial muscles, particularly from stress or prolonged periods of focusing (like staring at a screen), can lead to discomfort. This tension can manifest as pain when you close your eyes or rub them.

5. Allergic Reactions: Allergies can also lead to facial pain. Allergic rhinitis or conjunctivitis can cause inflammation and discomfort around the eyes and face, especially if you are experiencing symptoms like itching or watering of the eyes.


Suggested Solutions:
1. Consult an Eye Specialist: Given your symptoms, it would be prudent to consult an ophthalmologist. They can assess for any underlying eye conditions, such as dry eye syndrome or contact lens-related issues, and recommend appropriate treatments.

2. Take Breaks from Contact Lenses: If you wear contact lenses for extended periods, consider giving your eyes a break. Switch to glasses for a few days to see if your symptoms improve. Additionally, ensure that your lenses are properly fitted and that you are following the recommended hygiene practices.

3. Use Artificial Tears: If dryness is a contributing factor, using preservative-free artificial tears can help lubricate your eyes and alleviate discomfort. This can be particularly beneficial if you are experiencing dryness from prolonged screen time or contact lens wear.

4. Manage Sinus Health: If sinusitis is suspected, consider using saline nasal sprays or rinses to help clear the sinuses. Staying hydrated and using a humidifier can also be beneficial. If symptoms persist, a healthcare provider may recommend decongestants or other treatments.

5. Stress Management: If muscle tension is a factor, incorporating relaxation techniques such as deep breathing, yoga, or gentle facial massages may help relieve tension in the facial muscles.

6. Seek Medical Attention: If the pain persists or worsens, or if you experience additional symptoms such as swelling, significant redness, or changes in vision, it is important to seek medical attention promptly. A healthcare provider can perform a thorough examination and determine the best course of action.

In conclusion, while there are several potential causes for the facial pain you are experiencing, a comprehensive evaluation by a medical professional is essential for accurate diagnosis and effective treatment. Taking proactive steps to manage your eye health and overall well-being can also contribute to alleviating your symptoms.