Potential Risks of Eye Pressure During Dental Procedures - Ophthalmology

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Questions about applying pressure to the eyeball?


Hello doctor, today during my dental appointment, the dentist placed their palm over my left eye for support for a few minutes.
I didn't say anything because I was afraid there might be mistakes during the cavity filling process.
After the treatment, my vision seems to be unchanged, but I can't shake the feeling that my left eye socket feels a bit heavy, which I wonder might be psychological.
Doctor, if there were any issues caused by the hand pressing on my eyeball, what symptoms might I experience? Thank you, doctor.

JAM, 20~29 year old female. Ask Date: 2022/09/30

Dr. Gao Pilin reply Ophthalmology


Hello JAM: There shouldn't be any issues; it might just be a sensation caused by pressure.
Taking a break should help alleviate it.

Reply Date: 2022/09/30

More Info


During dental procedures, especially those that require the patient to remain still for extended periods, there can be various physical pressures applied to the face and eyes. In your case, the dentist's hand resting on your eye for a few minutes could potentially lead to several symptoms, although it is reassuring that you have not noticed any significant changes in your vision.

When pressure is applied to the eye, it can lead to a temporary increase in intraocular pressure (IOP). This is the fluid pressure inside the eye, which is crucial for maintaining its shape and ensuring proper function. If the pressure is excessive or prolonged, it could potentially lead to symptoms such as:
1. Eye Discomfort or Pain: You might experience a feeling of heaviness or discomfort in the eye that was pressed upon. This can be due to the pressure affecting the surrounding tissues or the eye itself.

2. Blurred Vision: Although you mentioned that your vision seems unchanged, some individuals may experience temporary blurriness or distortion in their vision following pressure on the eye.

3. Redness: Increased pressure can cause the blood vessels in the eye to become engorged, leading to a red or bloodshot appearance.

4. Headaches: The strain from holding your eye in a certain position or the discomfort from the pressure can sometimes lead to headaches.

5. Tearing or Dryness: Depending on how the eye responds to the pressure, you might experience increased tearing or a sensation of dryness.

6. Visual Disturbances: In some cases, individuals may report seeing spots or flashes of light, especially if the pressure has affected the retina or the optic nerve.

In your situation, it is important to monitor how you feel in the hours and days following the dental procedure. If you notice any worsening symptoms, such as persistent pain, significant changes in vision, or any new symptoms, it would be wise to consult an eye care professional. They can perform a thorough examination, including measuring your intraocular pressure and assessing the health of your optic nerve and retina.

It is also worth noting that while temporary pressure on the eye is generally not harmful, individuals with pre-existing conditions such as glaucoma or those who are at risk for eye diseases should be particularly cautious. Elevated intraocular pressure can lead to optic nerve damage over time, which is why regular eye exams are crucial for early detection and management of such conditions.

In conclusion, while the pressure applied during your dental procedure may have caused some temporary sensations or discomfort, it is unlikely to have caused any lasting damage, especially if you are not experiencing significant changes in your vision. However, staying vigilant and seeking professional advice if symptoms persist is always a prudent approach. Regular eye check-ups are essential for maintaining eye health, particularly as you age or if you have risk factors for eye diseases.

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