Dealing with Eye Pain When Moving Your Eyes: Causes and Solutions - Ophthalmology

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Eye pain when moving the eyes?


I was recently diagnosed, but my condition has improved significantly.
However, I still feel something unusual with my eyes.
Since the diagnosis, I experience pain when looking to the left or right.
How should I address this situation?

Hei Jie Ge, 10~19 year old female. Ask Date: 2023/05/03

Dr. Gao Pilin reply Ophthalmology


Hello: Pain during eye movement can be caused by various reasons.
Here are some possible causes: 1.
Orbital Myositis: Orbital myositis is a condition characterized by inflammation of the eye muscles, usually caused by viral or bacterial infections.
This can lead to pain and discomfort when moving the eyes.
2.
Elevated Intraocular Pressure: Elevated intraocular pressure is a condition known as glaucoma, which can cause pain during eye movement.
If not treated promptly, glaucoma can severely damage the retina and optic nerve, ultimately leading to blindness.
3.
Keratitis: Keratitis is an inflammation of the cornea, typically caused by bacteria, viruses, fungi, or other external factors.
This condition may result in pain and photophobia during eye movement.
4.
Headaches: Certain types of headaches, such as migraines and trigeminal neuralgia, may cause pain during eye movement.
5.
Eye Injury: An eye injury can lead to pain and discomfort when moving the eyes, and this situation requires immediate medical attention.
If you experience pain during eye movement, it is advisable to seek medical care as soon as possible.

Reply Date: 2023/05/03

More Info


Eye pain, especially when moving the eyes, can be a concerning symptom and may arise from various underlying causes. Given your recent health issues, it's essential to approach this symptom with care.


Possible Causes of Eye Pain When Moving
1. Eye Strain: Prolonged screen time or reading can lead to eye strain, which may cause discomfort or pain when moving the eyes. This is often due to the overuse of the ciliary muscles that help focus the lens of the eye.

2. Inflammation: Conditions such as conjunctivitis (inflammation of the conjunctiva), uveitis (inflammation of the uvea), or even sinusitis can cause pain that may be exacerbated by eye movement. Inflammation can lead to sensitivity and discomfort.

3. Nerve Issues: Pain when moving the eyes can sometimes be related to issues with the optic nerve or other cranial nerves. Conditions such as optic neuritis, which is often associated with multiple sclerosis, can cause pain during eye movement.

4. Infections: Viral or bacterial infections can lead to symptoms such as pain, redness, and swelling. Given your recent health status, it's possible that an infection could be contributing to your symptoms.

5. Dry Eyes: If you have been spending a lot of time indoors or on screens, dry eyes can lead to discomfort and pain, especially when moving the eyes.

6. Other Conditions: Conditions like migraines or tension headaches can also manifest as eye pain, particularly when moving the eyes.


Recommended Solutions
1. Rest Your Eyes: If you suspect that eye strain is the cause, take regular breaks using the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds. This helps relax the eye muscles.

2. Warm Compresses: Applying a warm compress over your eyes can help soothe discomfort and reduce inflammation. This can be particularly helpful if you suspect dry eyes or strain.

3. Stay Hydrated: Ensure you are drinking enough water, as dehydration can exacerbate dry eye symptoms.

4. Use Artificial Tears: If dry eyes are a concern, consider using over-the-counter artificial tears to keep your eyes lubricated.

5. Consult an Eye Specialist: Given your symptoms, it would be wise to see an ophthalmologist or optometrist. They can perform a thorough examination to rule out any serious conditions, such as infections or inflammation, and provide appropriate treatment.

6. Monitor Symptoms: Keep track of when the pain occurs and any other accompanying symptoms. This information can be valuable for your healthcare provider.

7. Limit Screen Time: If possible, reduce the amount of time spent on screens and ensure that your workspace is ergonomically set up to minimize strain on your eyes.

8. Consider Your Environment: Ensure that your workspace is well-lit to avoid straining your eyes. Adjust the brightness and contrast of your screens to comfortable levels.


Conclusion
Eye pain when moving your eyes can stem from various causes, ranging from simple eye strain to more complex conditions requiring medical attention. Given your recent health challenges, it is crucial to consult with a healthcare professional to ensure that your symptoms are appropriately evaluated and managed. Taking proactive steps to care for your eyes, such as resting them and using lubricating drops, can help alleviate discomfort. Always prioritize your eye health and seek professional advice when symptoms persist or worsen.

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