Eye Pressure Symptoms: Is It Glaucoma or Something Else? - Ophthalmology

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Eye pressure sensation?


Hello Doctor: I have high myopia, with both eyes over 600 degrees.
About two months ago, I returned for a check-up due to floaters, and at that time, the doctor did not mention any issues with high intraocular pressure.
However, I have been experiencing the following problems recently: 1.
I sometimes feel a sensation of fullness and pressure in the eye socket and the inner corner of my eyes, not just at night.
Could this be a symptom of high intraocular pressure? 2.
Since I haven't been using my eyes extensively in the morning, could I rule out eye fatigue as the cause of these symptoms? 3.
I am very concerned that these symptoms might indicate glaucoma, so I have already scheduled an appointment with an ophthalmologist in about a month.
If there is no significant change in my symptoms, should I seek an earlier consultation? I hope you can address my concerns regarding these symptoms, as I am really worried about having glaucoma at my age...
Thank you, Doctor, for taking the time to answer my questions.

Niming, 20~29 year old female. Ask Date: 2023/05/20

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Elevated intraocular pressure is often an important indicator of glaucoma; however, sensations of fullness and pressure do not directly confirm high eye pressure.
Discomfort in the eyes can have various causes, including eye strain, dry eye syndrome, and eyelid issues.
If you are concerned about high eye pressure, it is best to have an examination and evaluation by an ophthalmologist.
2.
While eye strain is typically associated with prolonged use of the eyes, sometimes discomfort can occur even without excessive use.
This may be due to other factors such as dry eye syndrome or tension in the eye muscles.
3.
If you are very worried about your eye symptoms, please see an ophthalmologist to determine if there is elevated intraocular pressure or other issues.
If your appointment is still about a month away, you can try some eye care measures to alleviate symptoms, such as avoiding excessive eye use and maintaining proper eye moisture.

Reply Date: 2023/05/20

More Info


Understanding eye pressure symptoms can be quite complex, especially for individuals with high myopia, like yourself. Your concerns about the sensations you're experiencing, such as pressure and discomfort around the eyes, are valid and deserve careful consideration.

1. Pressure and Discomfort: The sensations of pressure and discomfort you describe in your eye area could potentially be related to elevated intraocular pressure (IOP), but they are not definitive indicators of high eye pressure or glaucoma. Elevated IOP is often asymptomatic, meaning many people may not experience noticeable symptoms until significant damage has occurred. However, discomfort can arise from various conditions, including eye strain, dry eyes, or even sinus issues. It’s important to have a comprehensive eye examination to determine the underlying cause of your symptoms.

2. Eye Fatigue vs. Other Causes: While eye fatigue typically results from prolonged use of the eyes, it is possible to experience discomfort even without extensive screen time or reading. Factors such as dry eye syndrome, allergies, or tension in the eye muscles can contribute to the sensations you're feeling. Therefore, it’s not safe to completely rule out eye fatigue as a contributing factor, but it’s also essential to consider other potential causes.

3. Concerns About Glaucoma: Your apprehension regarding glaucoma is understandable, especially given your family history and the symptoms you are experiencing. Glaucoma is often associated with high IOP, but not everyone with elevated pressure will develop glaucoma. The fact that your eye pressure was not flagged as high during your last visit is reassuring. However, if your symptoms persist or worsen before your scheduled appointment, it would be prudent to seek an earlier evaluation. Early detection and treatment are crucial in managing glaucoma effectively.

4. Next Steps: In the meantime, consider implementing some eye care practices that may alleviate your symptoms. This includes taking regular breaks during tasks that require intense focus, using artificial tears to combat dryness, and ensuring proper lighting when reading or using screens. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can contribute to overall eye health.

5. Understanding Eye Anatomy: To clarify some terminology, "optic disc" refers to the point in the eye where the optic nerve fibers exit the retina, and "cupping" refers to the appearance of the optic disc when there is damage to the nerve fibers, often seen in glaucoma. It’s important to monitor any changes in your vision and report them to your eye care professional.

In conclusion, while your symptoms may raise concerns about elevated eye pressure or glaucoma, they could also stem from other non-glaucomatous conditions. Regular monitoring and open communication with your eye care provider are essential. If you experience any sudden changes in vision, severe pain, or other alarming symptoms, do not hesitate to seek immediate medical attention. Your proactive approach to your eye health is commendable, and staying informed will help you manage your concerns effectively.

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