Persistent Eye Pain After Trauma: When to Seek Further Medical Attention

Q: Persistent Eye Pain After Trauma: When to Seek Further Medical Attention

Hello： If you are experiencing persistent eye pain and seeing transparent floaters, and you have already undergone a fundus examination under the guidance of a physician with no issues found, but the symptoms continue, I recommend that you seek further evaluation. <br>Since your

The eye still hurts after being subjected to heavy pressure?

Hello, Doctor.
Last week, I experienced significant pressure on my left eye.
Two days ago, I felt some blurriness in my vision and went to the clinic.
The doctor measured my vision and said it had decreased by about two diopters.
They performed a fundus examination (with dilation) and mentioned that there were no issues in the areas affected by the pressure.
However, I continue to feel pain inside my eyeball, and the doctor did not provide a reason for it, advising me to monitor for any further blurriness or floaters.
I would like to know if I should make another appointment since the pain persists, and I keep seeing transparent objects moving in my vision, but I do not notice any increased blurriness or black spots.
Thank you.

Miss Chen, 20~29 year old female. Ask Date: 2023/04/17

Dr. Gao Pilin reply Ophthalmology

Hello: If you are experiencing persistent eye pain and seeing transparent floaters, and you have already undergone a fundus examination under the guidance of a physician with no issues found, but the symptoms continue, I recommend that you seek further evaluation.
Since your eye has been subjected to pressure, there may be inflammation or other problems that require more detailed examination and treatment.
Therefore, I suggest you visit your doctor again for a further assessment of your symptoms and to take necessary measures to ensure your eye health and protect your vision.

Reply Date: 2023/04/17

More Info

After experiencing trauma to the eye, it is crucial to monitor for any persistent symptoms that may indicate a need for further medical evaluation. In your case, you mentioned that you sustained pressure to your left eye and are now experiencing ongoing pain within the eyeball, along with some visual disturbances, such as seeing transparent objects moving in your field of vision. While your initial examination showed no significant issues, the persistence of pain and visual symptoms warrants further attention.

When to Seek Further Medical Attention
1. Persistent Eye Pain: If you continue to experience pain in the eye that does not subside or worsens over time, it is essential to seek further evaluation. Pain can be indicative of several underlying issues, including inflammation, corneal abrasions, or even more serious conditions such as uveitis or retinal detachment.

2. Changes in Vision: Although you mentioned that your vision has not significantly worsened, any changes in visual acuity, such as increased blurriness or the appearance of new floaters or flashes of light, should prompt an immediate visit to an eye care professional. These symptoms could indicate retinal issues that require urgent attention.

3. Ocular Discomfort or Sensitivity: If you experience increased sensitivity to light (photophobia) or discomfort when moving your eye, these could be signs of inflammation or other complications that need to be addressed.

4. Swelling or Redness: Any noticeable swelling, redness, or discharge from the eye should also be evaluated. These symptoms could indicate an infection or other inflammatory conditions.

Potential Causes of Your Symptoms
- Corneal Abrasion: Trauma can lead to scratches on the cornea, which may cause pain and visual disturbances. Although your doctor did not find any immediate issues, corneal abrasions can sometimes develop or worsen after the initial examination.

- Uveitis: This is an inflammation of the uvea, the middle layer of the eye, which can cause pain, light sensitivity, and blurred vision. It often requires prompt treatment to prevent complications.

- Retinal Issues: Trauma can sometimes lead to retinal detachment or tears, which may not be immediately apparent during an initial examination. Symptoms like persistent pain and visual disturbances could be warning signs.

- Intraocular Pressure Changes: Trauma can also affect intraocular pressure, leading to conditions such as glaucoma, which may present with pain and visual changes.

Recommendations
Given your ongoing symptoms, it is advisable to schedule a follow-up appointment with an eye care specialist. Explain your symptoms in detail, including the nature of the pain, any changes in vision, and the presence of transparent objects in your field of vision. The doctor may perform additional tests, such as a thorough examination of the retina, corneal assessment, and possibly imaging studies, to rule out any serious conditions.

In summary, while your initial examination did not reveal significant issues, the persistence of eye pain and visual disturbances is concerning. It is always better to err on the side of caution when it comes to eye health. Prompt follow-up can help ensure that any potential complications are addressed early, preserving your vision and overall eye health.

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