Eye Discomfort: Is It Acute Glaucoma? - Ophthalmology

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Eye strain?


I apologize, but last night around midnight, I noticed that my eyeball felt as hard as my forehead, with fluctuating pressure and a sensation of headache and nausea.
I researched online and found information about acute glaucoma, but my eyes feel fine now.
Could this definitely be glaucoma?

Feichang jiaolv, 10~19 year old female. Ask Date: 2024/07/23

Dr. Gao Pilin reply Ophthalmology


Hello: Based on your description, the sensation of hardness in your eyes and forehead last night, accompanied by headache and nausea, could indeed be related to acute glaucoma.
However, there may be other causes as well.
Acute glaucoma typically presents with the following symptoms: - Sudden and severe eye pain - Blurred vision - Eye redness - Dilated pupils with sluggish reaction to light - Headache and nausea, vomiting If you experience these symptoms, you should seek medical attention immediately, as acute glaucoma is an ophthalmic emergency that requires prompt treatment to prevent permanent vision loss.
Other possible causes include: - Tension headaches: This condition is common and may be triggered by stress or fatigue, usually not causing permanent damage to the eyes.
- Eye strain: Prolonged use of computers, smartphones, and other devices can lead to eye fatigue and discomfort.
- Migraines: Migraines can also cause headache and nausea, and sometimes affect the eyes.
It is advisable to have an eye examination as soon as possible, even if your symptoms have subsided, to ensure there are no underlying serious issues.
A physician can confirm whether there is glaucoma or other ocular diseases and rule out other possible causes.
Wishing you good health.

Reply Date: 2024/07/23

More Info


It sounds like you're experiencing a concerning set of symptoms that could be indicative of various eye conditions, including acute glaucoma. However, based on your description, it seems that your symptoms have resolved, which is a positive sign. Acute glaucoma typically presents with a sudden increase in intraocular pressure, leading to symptoms such as severe eye pain, headache, nausea, vomiting, and blurred vision. The eye may feel hard to the touch, and there may be a noticeable decrease in vision.

Given that your symptoms have subsided, it is less likely that you are experiencing acute glaucoma at this moment. However, it is crucial to understand that eye discomfort can arise from various causes, and not all of them are related to glaucoma. For instance, tension headaches, migraines, or even sinus issues can lead to similar sensations of pressure and discomfort around the eyes and forehead.

If you felt a sudden increase in pressure in your eye, along with the headache and nausea, it is essential to seek medical attention promptly. An eye care professional can perform a comprehensive examination, including measuring your intraocular pressure and assessing the health of your optic nerve. If there was a transient increase in pressure, it could be a sign of an underlying issue that needs to be monitored.

In terms of managing your eye health, here are some recommendations:
1. Regular Eye Exams: Regular check-ups with an optometrist or ophthalmologist can help catch potential issues early. If you have a family history of glaucoma or other eye diseases, you should be particularly vigilant.

2. Monitor Symptoms: Keep track of any recurring symptoms, such as headaches, eye pain, or changes in vision. Documenting these can help your eye care provider make a more informed diagnosis.

3. Hydration and Rest: Ensure you are well-hydrated and take regular breaks when using screens or engaging in activities that require prolonged focus. This can help alleviate eye strain and discomfort.

4. Stress Management: Since stress can exacerbate headaches and eye discomfort, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

5. Seek Immediate Care if Symptoms Return: If you experience a recurrence of symptoms, especially if they include severe pain, vision changes, or nausea, seek immediate medical attention.
In conclusion, while your symptoms may have initially raised concerns about acute glaucoma, the fact that they have resolved is encouraging. However, it is essential to remain vigilant about your eye health and consult with a healthcare professional if you have any doubts or if symptoms return. Early detection and treatment are key to managing any potential eye conditions effectively.

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