Eye Pain: Is It Related to Previous Injury? - Ophthalmology

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The situation you described regarding your eye pain and discomfort following an injury from a volleyball hit raises several important considerations in ophthalmology. It is not uncommon for eye injuries, even those that seem minor, to have lingering effects that may manifest later, particularly when it comes to discomfort or pain associated with contact lenses, such as orthokeratology lenses.

First, let's address the initial injury. When your eye was struck by the volleyball, it is possible that there was some degree of trauma to the cornea or other structures of the eye, even if the initial examination did not reveal any significant damage. The cornea is a sensitive tissue, and any trauma can lead to inflammation or changes in the surface that may not be immediately apparent. This could potentially result in symptoms such as blurred vision or discomfort.

The subsequent development of sharp pain and discomfort while wearing orthokeratology lenses could indeed be related to the initial injury. The cornea has a remarkable ability to heal, but sometimes, the healing process can lead to irregularities or scarring that may not be visible during a standard eye examination. These irregularities can cause discomfort when wearing contact lenses, as the lenses may not fit properly on a cornea that has healed unevenly.

Moreover, the use of orthokeratology lenses involves reshaping the cornea to improve vision, which can exacerbate any underlying issues that may have arisen from the initial injury. If the cornea is not perfectly smooth or has any residual effects from the trauma, wearing these lenses could lead to increased irritation and pain. It is also worth noting that the discomfort you are experiencing could be due to dry eye syndrome, which can be exacerbated by contact lens wear, especially if the cornea has been previously traumatized.

In light of these considerations, it is advisable to revisit your eye care professional for a comprehensive evaluation. They may perform additional tests, such as corneal topography, to assess the shape and surface of your cornea more accurately. This can help determine if there are any irregularities that could be contributing to your discomfort. Additionally, they may suggest alternative methods of vision correction if the orthokeratology lenses continue to cause pain.

In summary, while the initial injury may not have shown significant damage at the time, it is possible that it has led to changes in your cornea that are now causing discomfort with contact lens wear. A thorough examination by an eye care professional is essential to identify any underlying issues and to determine the best course of action for your eye health and comfort. It is crucial to address these symptoms promptly to prevent any potential long-term complications.