Eye Pain: Causes and Solutions for Discomfort

Eyeball

Hello, recently I have been experiencing occasional pain in my left eye, which is difficult to describe.
It feels somewhat sore and fatigued.
The sclera of both eyes near the bridge of my nose appears to have a slight black or dark purple tint.
Is this normal? I also have significant myopia.
Additionally, sometimes my eyes become red, itchy, and have a burning sensation, similar to a stinging pain that makes me want to rub them.
The pain can be intense enough that it's hard to keep my eyes open, and I usually need to close them and rest.
Could this be related to eyelash ingrowth? Thank you.

Ahao, 20~29 year old female. Ask Date: 2004/03/03

Dr. Feng Jiefan reply Ophthalmology

Hello, the presence of black or dark purple spots on the sclera usually indicates degeneration of the conjunctival tissue or conjunctival pigmented lesions.
Generally, this is not a serious issue.
However, if there are concerns about other pathologies, it is advisable to consult an ophthalmologist for further evaluation.
Individuals with high myopia should be aware of potential complications such as retinal tears, retinal detachment, macular degeneration, and cataracts, which require regular screening for early detection and treatment.
Symptoms like redness, itching, and stinging in the eyes are not specific and can be associated with various conditions such as blepharitis, conjunctivitis, dry eye syndrome, or corneal erosion.
A thorough eye examination is necessary to accurately diagnose and address your concerns.
Sincerely, Dr.
Feng Jie-Fan, Ophthalmologist.

Reply Date: 2004/03/03

More Info

Eye pain can be a complex issue, often stemming from various underlying causes. Your symptoms, including the sensation of fatigue, discomfort, and the appearance of dark spots near the inner corner of your eye, warrant careful consideration. Let's break down the potential causes and solutions for your discomfort.

Possible Causes of Eye Pain
1. Eye Strain (Asthenopia): Given your description of a tired, achy sensation in your left eye, it’s possible that you are experiencing eye strain. This is common among individuals who spend extended periods looking at screens or reading. The ciliary muscles in your eyes work hard to focus on close objects, leading to fatigue and discomfort.

2. Dry Eye Syndrome: The symptoms of redness, itching, and a burning sensation could indicate dry eyes. This condition occurs when your eyes do not produce enough tears or when the tears evaporate too quickly. Dry eyes can lead to irritation and discomfort, prompting the urge to rub your eyes, which can exacerbate the issue.

3. Allergic Reactions: If you experience redness, itching, and a burning sensation, allergies could be a contributing factor. Allergens such as pollen, dust, or pet dander can cause your eyes to react, leading to discomfort.

4. Conjunctivitis (Pink Eye): This condition can cause redness, itching, and a burning sensation in the eyes. It can be viral, bacterial, or allergic in nature. If you notice discharge or your symptoms worsen, it’s essential to seek medical attention.

5. Corneal Abrasion or Foreign Body: If you feel a sharp pain or a sensation of something in your eye, it could be due to a corneal abrasion or a foreign object. This would typically require immediate medical evaluation.

6. Intraocular Pressure Changes: The dark spots you mentioned, especially if they are new, could be related to changes in intraocular pressure or other retinal issues. Given your history of myopia (nearsightedness), it’s crucial to monitor any changes in your vision.

Recommended Solutions
1. Rest Your Eyes: If you suspect eye strain, 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. Stay Hydrated: Ensure you are drinking enough water throughout the day, as hydration can impact tear production.

3. Use Artificial Tears: If dry eyes are a concern, consider using preservative-free artificial tears to lubricate your eyes. However, if these worsen your symptoms, discontinue use and consult a physician.

4. Cold Compress: Applying a cold compress over your eyes can help reduce inflammation and provide relief from discomfort.

5. Avoid Rubbing Your Eyes: While it may be tempting, rubbing your eyes can lead to further irritation and potential injury.

6. Consult an Eye Care Professional: Given the complexity of your symptoms, it’s advisable to see an eye care specialist. They can conduct a thorough examination to rule out any serious conditions and provide tailored treatment options.

Conclusion
Your symptoms of eye pain, fatigue, and the appearance of dark spots near the inner corner of your eye should not be ignored. While some causes may be benign, others could require medical intervention. It’s essential to prioritize your eye health by seeking professional advice, especially if symptoms persist or worsen. Regular eye exams are crucial, particularly for individuals with a history of myopia, to monitor any changes in vision and overall eye health.

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